0091/2021 - Qualidade da atenção primária à saúde infantil em estados da região Nordeste. Quality of primary child health care in states in the Northeast region.
Objetivo: comparar a avaliação das usuárias que participaram do PMAQ-AB acerca da saúde infantil entre os estados da macrorregião Nordeste do Brasil. Método: Estudo transversal, realizado com dados secundários, a partir de entrevista com 5.116 usuárias de 4.190 Equipes de Saúde da Família que atuam nos nove estados da macrorregião nordeste. Quatorze perguntas acerca do acompanhamento da criança de 0 a 2 anos de idade foram avaliadas. Foram calculadas proporções e intervalos de confiança de 95% segundo Unidade da Federação da região Nordeste do Brasil. Resultado: Os indicadores com maiores proporções foram teste do pezinho realizado em até sete dias de vida (84,4%), criança sempre consultada pelos mesmos profissionais (79,1%), acompanhamento do crescimento e desenvolvimento esperado para a idade (84,9%), orientação alimentar (86,3%), vacinação em dia (95,3%); Os indicadores com as menores proporções foram orientação sobre a melhor posição para a criança dormir (45,7%) e se recebeu a caderneta de saúde da criança (46,9%). Em todos os indicadores, houve diferenças significativas entre os estados analisados. Conclusão: Existem divergências na qualidade do cuidado ofertado à saúde infantil segundo a avaliação das usuárias participantes do PMAQ-AB entre estados do Nordeste.
Palavras-chave:
Atenção Primária à Saúde, Avaliação em Saúde, Saúde da Criança, Enfermagem Pediátrica; Serviços de Saúde.
Abstract:
Objective: to compare the evaluation of users of health services who participated in the PMAQ-AB about child health among the states of the northeastern of Brazil. Method: Cross-sectional study, conducted with secondary data,an interview with 5,116 users4,190 Family Health Teams working in the nine states of the northeastern macroregion. Fourteen questions about the follow-up of children0 to 2 years old were evaluated. Proportions and 95% confidence intervals were calculated according to the Federation Unit of the Northeast region of Brazil. Result: The indicators with the highest proportions were a foot test performed within seven days of life (84.4%), a child who was always consulted by the same professionals (79.1%), monitoring growth and expected development for age (84 9%), dietary guidance (86.3%), up-to-date vaccination (95.3%); The indicators with the lowest proportions were guidance on the best position for the child to sleep (45.7%) and whether the child\'s health handbook (46.9%) was received. In all indicators, there were significant differences between the states of the Northeast. Conclusion: There are differences in the quality of care offered to child health according to the evaluation of users participating in the PMAQ-AB between states in the Northeast.
Keywords:
Primary Health Care, Health Evaluation, Child Health, Pediatric Nursing, Health Services.
Quality of primary child health care in states in the Northeast region.
Resumo (abstract):
Objective: to compare the evaluation of users of health services who participated in the PMAQ-AB about child health among the states of the northeastern of Brazil. Method: Cross-sectional study, conducted with secondary data,an interview with 5,116 users4,190 Family Health Teams working in the nine states of the northeastern macroregion. Fourteen questions about the follow-up of children0 to 2 years old were evaluated. Proportions and 95% confidence intervals were calculated according to the Federation Unit of the Northeast region of Brazil. Result: The indicators with the highest proportions were a foot test performed within seven days of life (84.4%), a child who was always consulted by the same professionals (79.1%), monitoring growth and expected development for age (84 9%), dietary guidance (86.3%), up-to-date vaccination (95.3%); The indicators with the lowest proportions were guidance on the best position for the child to sleep (45.7%) and whether the child\'s health handbook (46.9%) was received. In all indicators, there were significant differences between the states of the Northeast. Conclusion: There are differences in the quality of care offered to child health according to the evaluation of users participating in the PMAQ-AB between states in the Northeast.
Palavras-chave (keywords):
Primary Health Care, Health Evaluation, Child Health, Pediatric Nursing, Health Services.
Gubert, F. do A., Barbosa Filho, V. C., Queiroz, R.C.S., Martins, M.C, Alves, R.S, Rolim, I. L. T. P., Lopes, M. do S.V.L, Vieira-Meyer, A.P.G.F. Qualidade da atenção primária à saúde infantil em estados da região Nordeste.. Cien Saude Colet [periódico na internet] (2021/mar). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/qualidade-da-atencao-primaria-a-saude-infantil-em-estados-da-regiao-nordeste/17990?id=17990
