Gubert Fabiane do Amaral, Barbosa Filho Valter Cordeiro, Queiroz Rejane Christine de Sousa, Martins Mariana Cavalcante, Alves Renata de Sousa, Rolim Isaura Letícia Tavares Palmeira, Lopes Maria do Socorro Vieira, Vieira-Meyer Anya Pimentel Gomes Fernandes
Universidade Federal do Ceará. R. Alexandre Baraúna 1115, Rodolfo Teófilo. 60430-160 Fortaleza CE Brasil.
Instituto Federal de Educação, Ciência e Tecnologia do Ceará. Fortaleza CE Brasil.
Cien Saude Colet. 2021 May;26(5):1757-1766. doi: 10.1590/1413-81232021265.05352021.
The scope of this article is to compare the assessment of users of health services who participated in the PMAQ-AB on child health in the states of the Brazilian Northeast. It is a cross-sectional study conducted with secondary data based on interviews with 5,116 users of 4,190 Family Health Teams in the nine states of the Northeast macroregion. Fourteen questions on the medical monitoring of children from 0 to 2 years old were evaluated. Proportions and 95% confidence intervals were calculated for each Unit of the Federation of the Brazilian Northeast. The indicators with the highest proportions were the Guthrie PKU test performed within seven days of life (84.4%), children always accompanied by the same professionals (79.1%), monitoring expected growth and development for age (84.9%), dietary guidance (86.3%) and up-to-date vaccination (95.3%). The indicators with the lowest proportions were guidance on the best position for the child to sleep in (45.7%) and whether or not the child's health handbook (46.9%) was received. In all indicators, there were significant differences between the states analyzed. There are differences in the quality of child health care on offer according to the evaluation of users participating in the PMAQ-AB between states in the Northeast.
本文的范围是比较参与巴西东北部各州儿童健康PMAQ-AB的卫生服务使用者的评估情况。这是一项横断面研究，基于对东北大区九个州4190个家庭健康团队的5116名使用者的访谈收集二手数据。对关于0至2岁儿童医疗监测的14个问题进行了评估。为巴西东北部联邦的每个单位计算了比例和95%置信区间。比例最高的指标是出生后七天内进行的苯丙酮尿症（PKU）古思里试验（84.4%）、儿童总是由同一专业人员陪同（79.1%）、按年龄监测预期生长发育（84.9%）、饮食指导（86.3%）和及时接种疫苗（95.3%）。比例最低的指标是关于儿童最佳睡眠姿势的指导（45.7%）以及是否收到儿童健康手册（46.9%）。在所有指标中，所分析的各州之间存在显著差异。根据参与PMAQ-AB的使用者的评估，东北部各州提供的儿童保健质量存在差异。
