Amorim Leonardo de Paula, Senna Maria Inês Barreiros, Soares Anna Rachel Dos Santos, Carneiro Gisele Teixeira Nascimento, Ferreira Efigênia Ferreira E, Vasconcelos Mara, Zarzar Patrícia Maria Pereira, Ferreira Raquel Conceição
Departamento de Odontologia Social e Preventiva. Universidade Federal de Minas Gerais. Av. Antônio Carlos 6627, Pampulha. 31270-901 Belo Horizonte MG Brasil.
Cien Saude Colet. 2018 Feb;23(2):585-597. doi: 10.1590/1413-81232018232.06962016.
The scope of this study was to assess the way Child Health Records (CHRs) are filled out and the association between the quality of entries and type of service used to monitor the health of children. It involved a cross-sectional study with a stratified sample - proportional for the nine Health Districts of Belo Horizonte, State of Minas Gerais - of 3- to 5-year-old children selected on Child Vaccination Campaign Day in 2014. Interviews with parents including observation of the 21 CHR items were conducted. The dependent variable was defined by the quality of the CHR entry (satisfactory/unsatisfactory), where satisfactory entries were > 60%. The independent variables were the type of service for monitoring child health, demographic and health conditions of the mother and child and healthcare treatment received by the child, with the participation of 367 (96.10%) parents. The prevalence of unsatisfactory entries was 55.5%. No significant association was found between quality of entry and type of healthcare. Unsatisfactory entries were associated with gestational age < 37 weeks, lack of access to information about the CHR and the absence of parental entries on the CHR. The CHR has been unsatisfactorily employed as a tool for monitoring health, irrespective of the type of service used by the child.
本研究的范围是评估儿童健康记录(CHR)的填写方式以及记录条目质量与用于监测儿童健康的服务类型之间的关联。该研究采用横断面研究方法,对米纳斯吉拉斯州贝洛奥里藏特市九个卫生区按比例分层抽样,选取了2014年儿童疫苗接种活动日的3至5岁儿童。研究人员对家长进行了访谈,并观察了CHR的21个项目。因变量由CHR记录条目的质量(满意/不满意)定义,其中满意的条目>60%。自变量包括监测儿童健康的服务类型、母婴的人口统计学和健康状况以及儿童接受的医疗保健治疗,共有367名(96.10%)家长参与。不满意条目的患病率为55.5%。记录条目质量与医疗保健类型之间未发现显著关联。不满意条目与孕周<37周、无法获取CHR相关信息以及CHR上没有家长记录有关。无论儿童使用何种类型的服务,CHR作为健康监测工具的使用情况都不尽人意。