Avaliando as dificuldades para a realização da consulta de crescimento e desenvolvimento em um município de pequeno porte do Nordeste Brasileiro
Introduction: The Growth and Development Consultation (CD) is a programmatic action of attention to the work of health problem teams that may occur as children in the first years of life. The main major increases occurred with the Unified Health System (SUS), there are still those that make diffi...
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| Formato: | Dissertação |
| Idioma: | por |
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/26480 |
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| Resumo: | Introduction: The Growth and Development Consultation (CD) is a programmatic action of
attention to the work of health problem teams that may occur as children in the first years of life.
The main major increases occurred with the Unified Health System (SUS), there are still those
that make difficult the implementation of its policies, programs and strategies, which is not
different from the PHC reality of the municipality under study. Objective: to recognize the
difficulties for conducting the CD consultation in a small municipality of Northeast Brazil.
Methodology: cross-sectional evaluative research with a quantitative approach, the database
came from the external evaluation of the II Program Cycle of Improvement of Access and
Quality (PMAQ). The research was carried out in the framework of six Family Health
Strategies (FHS) teams that were evaluated by the PMAQ in the year 2015. The evaluation
instrument was composed of a set of quality standards, aligned with the standards contained in
the instrument self-assessment tool to improve access to and quality of basic care (AMAQ-AB),
and which were organized in five major dimensions (institutional support of management for the
basic care, reception and accessibility teams, care process , care coverage and active search) with
the observation of the specific variables that are relate to each of them. These represent or
translate the quality or the difficulties to perform the CD consultation in the reality of basic care
worked. The ethical precepts of the resolution 510/16 were preserved. Results: It was verified in
relation to the CD consultation that only 29% of eligible children performed this care. Among
the users evaluated, only 33.3% of the children had a consultation in the first week of life and
66.7% of the patients underwent the right foot test. As for the management support for PHC
teams, 50% of these do not receive this support, and 66.7% of the teams do not receive support
for discussion of the monitoring data of the Information Systems. It was also recorded that
66.7% of the professionals were not trained to work the host. Regarding structural problems and
accessibility, 50% of Basic Units have limitations and difficulties. It was also verified that 100%
of the women did not receive ACS visits in the first week of life, and 66.7% of the women did
not have a puerperium visit. In addition, 63% of users who missed a scheduled or scheduled
service were not sought or rescued for these services. Conclusions: the quality assessment
research carried out allowed us to represent the scenery of the CD consultation offered in the
reality under study, at the same time as it gave answers to the objectives outlined. It was verified
that many are the challenges still present for the correct operationalization of this programmatic
action in this municipality and that stands out among them the need to rescue the critical reflection of the work process of the PHC teams based on the collective planning of the service,
as well as , the need for several interventions in this service, given the inherent fragility verified
in the assistance offered. |
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