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巴西帕拉伊巴州两个市家庭健康战略中儿童保健访视时生长监测情况的评估

Assessment of growth monitoring in child care visits at the Family Health Strategy in two municipalities of Paraíba State, Brazil.

作者信息

Pedraza Dixis Figueroa, Santos Iná S

机构信息

Universidade Estadual da Paraíba, Programa de Pós-Graduação em Saúde Pública, Campina Grande-PB, Brasil.

Universidade Federal de Pelotas, Programa de Pós-Graduação em Epidemiologia, Pelotas-RS, Brasil.

出版信息

Epidemiol Serv Saude. 2017 Oct-Dec;26(4):847-855. doi: 10.5123/S1679-49742017000400015.

DOI:10.5123/S1679-49742017000400015
PMID:29211147
Abstract

OBJECTIVE

to assess the process and structural aspects of child care visits at the Family Health Strategy, in relation to growth monitoring.

METHODS

evaluative study of implementation analysis, carried out in two municipalities of Paraíba State, Brazil; structural characteristics of the services were assessed and child care visits were observed for analysis of the working process.

RESULTS

119 visits (53 in one municipality and 66 in the other) were observed; they were conducted by 18 nurses who were in charge of child care visits (nine from each municipality); five of the nurses had no training to work in primary health care and four units did not have a scale; weight (84.9%), height (84.0%) and cephalic perimeter (82.7%) measurements were held more frequently than recommendations for mothers (11.8% and 29.4% of the visits about height and weight, respectively).

CONCLUSION

child growth monitoring is an action not yet consolidated, with significant deficiencies in the process.

摘要

目的

评估家庭健康战略中儿童保健访视在生长监测方面的过程和结构情况。

方法

在巴西帕拉伊巴州的两个市开展实施分析的评估研究;评估服务的结构特征,并观察儿童保健访视以分析工作过程。

结果

观察了119次访视(一个市53次,另一个市66次);由18名负责儿童保健访视的护士进行(每个市9名);其中5名护士没有接受过初级卫生保健工作培训,4个单位没有秤;体重(84.9%)、身高(84.0%)和头围(82.7%)测量的进行频率高于对母亲的建议(分别为11.8%和29.4%的访视涉及身高和体重)。

结论

儿童生长监测是一项尚未巩固的行动,在过程中存在重大缺陷。

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