0125/2020 - Estado nutricional de crianças e serviços de saúde prestados por equipes de Saúde da Família Nutritional status of children under five years old and health services offered by Family Health teams
Objetivo: Analisar se o estado nutricional de crianças está associado aos serviços de saúde oferecidos por equipes de Saúde da Família. Métodos: Estudo transversal realizado em áreas de abrangência da Estratégia Saúde da Família em dois municípios do Estado da Paraíba, com amostra representativa e aleatória de 324 crianças. Utilizou-se regressão linear para analisar a associação das características sociodemográficas das crianças e dos serviços de saúde com os índices antropométricos estatura/idade, peso/idade e massa corporal/idade em escore Z. Resultados: Nas 319 crianças observadas houve predomínio de beneficiárias do Programa Bolsa Família e com uso inadequado da Caderneta de Saúde da Criança. A média de escore Z do peso/idade foi menor nas crianças de equipes de saúde incompletas (p=0,02), sem nutricionista (p=0,03) e com profissionais sem capacitação na área de alimentação e nutrição (p=0,04). Houve um aumento, em média, de 1,43 desvio-padrão de estatura/idade no caso de uso adequado da Caderneta de Saúde da Criança. Conclusão: O presente estudo contribui com o conhecimento ao indicar associações do estado nutricional da criança com características estruturais (recursos humanos) e processuais (preenchimento da Caderneta de Saúde da Criança) dos serviços de saúde.
Palavras-chave:
Atenção Primária à Saúde; Avaliação de serviços de saúde; Crescimento.
Abstract:
Objective: To analyze whether the nutritional status of children is associated with the health services offered by Family Health teams. Methods: This is a cross-sectional study carried out in areas covered by the Family Health Strategy in two cities in the State of Paraíba, with a representative and random sample of 324 children. We used linear regression to analyze the association of sociodemographic and health services characteristics with height/age, weight/age and body mass/age anthropometric indices in Z-score. Results: In the 319 children observed, there was a predominance of beneficiaries of the Programa Bolsa Família and with inadequate use of the Child Health Handbook. The average of the weight/age score Z was lower in childrenincomplete health teams (p=0.02), without nutritionist (p=0.03) and with professionals without training in the area of food and nutrition (p=0.04). There was an average increase of 1.43 standard deviation in height/age in the case of proper use of the Child Health Handbook. Conclusion: This study contributes to the knowledge by indicating associations of the nutritional status of the child with structural (human resources) and procedural (completion of the Child Health Handbook) characteristics of health services.
Keywords:
Primary Health Care; Health Services Evaluation; Growth.
Nutritional status of children under five years old and health services offered by Family Health teams
Resumo (abstract):
Objective: To analyze whether the nutritional status of children is associated with the health services offered by Family Health teams. Methods: This is a cross-sectional study carried out in areas covered by the Family Health Strategy in two cities in the State of Paraíba, with a representative and random sample of 324 children. We used linear regression to analyze the association of sociodemographic and health services characteristics with height/age, weight/age and body mass/age anthropometric indices in Z-score. Results: In the 319 children observed, there was a predominance of beneficiaries of the Programa Bolsa Família and with inadequate use of the Child Health Handbook. The average of the weight/age score Z was lower in childrenincomplete health teams (p=0.02), without nutritionist (p=0.03) and with professionals without training in the area of food and nutrition (p=0.04). There was an average increase of 1.43 standard deviation in height/age in the case of proper use of the Child Health Handbook. Conclusion: This study contributes to the knowledge by indicating associations of the nutritional status of the child with structural (human resources) and procedural (completion of the Child Health Handbook) characteristics of health services.
Palavras-chave (keywords):
Primary Health Care; Health Services Evaluation; Growth.
Pedraza, D.F, Oliveira, M.M. Estado nutricional de crianças e serviços de saúde prestados por equipes de Saúde da Família. Cien Saude Colet [periódico na internet] (2020/jun). [Citado em 28/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/estado-nutricional-de-criancas-e-servicos-de-saude-prestados-por-equipes-de-saude-da-familia/17607?id=17607&id=17607
