Growth surveillance in the context of the Primary Public Healthcare Service Network in Brazil: literature review

Pedraza, Dixis Figueroa

doi:10.1590/1806-93042016000100002

Cited by 28 publications

(53 citation statements)

References 39 publications

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“…The proper use of these materials enables the correct diagnosis of the nutritional status and the identification of associated risks [25]. Problems related to the use of technical documents in the PHC framework were similarly pointed out in previous studies addressing their use by health professionals in different scenarios and objectives [25][26][27][28]. The adequate use of these technologies is fundamental to the standardization and systematization of care, enabling a multidisciplinary, comprehensive, more qualified and effective care [25][26][27].…”

Section: Discussionmentioning

confidence: 90%

“…Similarly, a previous study found that most nutritionists are familiar with the Food Guide for the Brazilian Population, the Food and Nutrition Surveillance Protocol, and the National Food and Nutrition Policy, but there are few who know the Matrix of food and nutrition actions in Primary Care [21]. The proper use of these materials enables the correct diagnosis of the nutritional status and the identification of associated risks [25]. Problems related to the use of technical documents in the PHC framework were similarly pointed out in previous studies addressing their use by health professionals in different scenarios and objectives [25][26][27][28].…”

Section: Discussionmentioning

confidence: 99%

“…Difficulties related to the infrastructure of health facilities, including anthropometric equipment, were also highlighted in a literature review on growth surveillance in the country's Primary Health Care network [25]. Data from the year 2012 showed that in 17.0%, 20.3%, 34.7% and 49.1% of the Primary Health Care Units of the country there are, respectively, no children's scales, 150kg scales, anthropometric rules and anthropometers in conditions of use [29].…”

Section: Discussionmentioning

confidence: 99%

“…Data from the year 2012 showed that in 17.0%, 20.3%, 34.7% and 49.1% of the Primary Health Care Units of the country there are, respectively, no children's scales, 150kg scales, anthropometric rules and anthropometers in conditions of use [29]. Lack of structure hinders the development of food and nutrition actions, motivation for work, the process of permanent education and the performance of the system [20,25]. On the other hand, satisfaction of the professionals of this study in the scope of human relations can generate commitment, supporting the decisionmaking and promoting co-responsibility for health status [30].…”

Section: Discussionmentioning

confidence: 99%

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Profile and performance of nutritionists in Primary Health Care

Pedraza

Santos

2017

Rev. Nutr.

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A B S T R A C T ObjectiveTo describe the profile and performance of nutritionists in Primary Health Care. MethodsA cross-sectional study was carried out, and all nutritionists in two municipalities of Paraíba, Brazil, were interviewed. Information was collected through structured interviews on demographic characteristics, professional qualification, development of food and nutrition activities, knowledge and use of essential bibliography for the work in Primary Care. ResultsIn one municipality there were 28 teams of the Family Health Strategy and in the other, nineteen teams. In all, nineteen nutritionists were interviewed, fourteen of whom were working in the health teams and five were working exclusively in the Family Health Support Centers. All but one were women and the majority were between 20 and 39 years; the majority (n=10) had no graduate training. Nutritionists from the basic health teams developed more public health nutrition actions, such as defining nutritional care protocols and vitamin A and iron supplementation than those from the Family Health Support Centers (11 versus 1; and 13 versus 1, respectively). About half were satisfied with work in general, and dissatisfaction was related to deficiencies in the availability and quality of anthropometric equipment, physical structure and material. ConclusionNutritionists work in food and nutrition actions in collective health, emphasizing the importance of qualification and practices that better combine the programmatic agenda of this area with Primary Care.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Profile and performance of nutritionists in Primary Health Care

Pedraza

Santos

2017

Rev. Nutr.

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“…However, there are still difficulties in the operation of this policy due to the lack of training and assistance protocols with underutilization of CHH. 18 The professionals also indicated problems of infrastructure of the service and maintenance of the hegemonic medical model in the city. 19 Before the training, nutritional counseling techniques and communication techniques presented a low percentage of correct answers.…”

Section: Discussionmentioning

confidence: 99%

Training in nutritional counseling: knowledge assessment and applicability in child's healthcare

Palombo

Fujimori

Toriyama

et al. 2018

Rev. Bras. Saude Mater. Infant.

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Objectives: to assess the primary healthcare professionals’ knowledge before and after the training in nutritional counseling and the applicability in child’s healthcare. Methods: a non-controlled ‘before and after’ intervention study, in a quantitative approach was conducted in Itupeva city in, Sao Paulo State. Training as an intervention was implemented for nurses, nursing assistants (NA) and community health agents (CHA), based on the critical-reflexive education. The professionals’ knowledge was evaluated by applying a test with 16 multiple choice questions before and after the training. The nutritional counseling applicability in the services was evaluated by an open question test. The descriptive statistics and Fisher’s Exact Test with significance of 5% were used Results: after training, the 'satisfactory' knowledge increased 71% in the nurses group and the NA/CHA groups. The professionals pointed out that training as an opportunity for qualification but the applicability lacks on political support and service organization. Conclusions: training in nutritional counseling contributes to expand the primary care professionals' knowledge, although, the applicability in the routine depends on the efforts of local management and service organization.

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Qualidade do preenchimento do instrumento de acompanhamento da saúde da criança em município do nordeste brasileiro

Pedraza¹

2019

RGYPS

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Objetivo: avaliar a qualidade do preenchimento do instrumento de acompanhamento da saúde da criança em um município do nordeste brasileiro. Método: estudo transversal envolvendo 204 crianças assistidas em 16 unidades de saúde da família. Analisou-se o preenchimento do Cartão da Criança (CC) e da Caderneta de Saúde da Criança (CSC), diferenças entre os mesmos e fatores associados. Resultados: o preenchimento foi insatisfatório em 37,2% dos CC e 50,5% das CSC. Na CSC, observou-se menor frequência de preenchimento correto para: suplementação com ferro (0%), desenvolvimento (1,1%), pré-natal (9,9%), alimentação na alta da maternidade (17,6%) e gráficos de crescimento (0%-27,5%). A CSC teve menor percentual de preenchimento correto para nome da criança, tipo de parto e anotações do peso no gráfico. Crianças de mães com companheiro (p = 0,045) e meninas (p = 0,017) apresentaram menor chance de preenchimento inadequado do CC e da CSC, respectivamente. Conclusão: há subutilização do instrumento de vigilância à saúde da criança.

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Growth surveillance in the context of the Primary Public Healthcare Service Network in Brazil: literature review

Abstract: Objectives

Cited by 28 publications

References 39 publications

Profile and performance of nutritionists in Primary Health Care

Profile and performance of nutritionists in Primary Health Care

Training in nutritional counseling: knowledge assessment and applicability in child's healthcare

Qualidade do preenchimento do instrumento de acompanhamento da saúde da criança em município do nordeste brasileiro

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