scholarly journals Quality of child health care in the family Health strategy

2013 ◽  
Vol 23 (2) ◽  
pp. 151
Author(s):  
Maria Lucélia Da Hora Sales ◽  
Liz Ponnet ◽  
Carlos Eduardo Aguilera Campos ◽  
Marcelo Marcos Piva Demarzo ◽  
Cláudio Torres de Miranda
Keyword(s):  
Health Care ◽  
Child Health ◽  
Family Health ◽  
Child Health Care ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ResumoObjetivo: verificar a qualidade da atenção à saúde da criança pelas equipes da Estratégia Saúde da Família (ESF) em Capital do Nordeste do Brasil. Método: trata-se de um estudo transversal, descritivo, com abordagem quantitativa, realizado durante o ano de 2010, por meio de inquérito com os profissionais médicos e enfermeiros de 66 equipes da ESF de Maceió-AL, estratificadas por tempo de funcionamento em anos. Utilizou-se parte do instrumento de auto-avaliação denominado Avaliação para Melhoria da Qualidade da Estratégia Saúde da Família (AMQ) do Ministério da Saúde, especificamente as questões referentes às ações e atividades realizadas no campo de atenção à “saúde da criança”, dentro da dimensão “atenção à saúde”. Resultados: os padrões elementares de qualidade foram encontrados em 84,1% das ações realizadas. Os padrões considerados avançados apresentaram o menor percentual de conformidade entre todas as equipes (47,7%). Quanto ao tempo de implantação da ESF, as equipes com menos de quatro anos tenderam a relatar melhores padrões de qualidade. Conclusões: os achados sugerem que as ações de saúde da criança estão sendo realizadas em melhor conformidade nas equipes com menos tempo de implantação, e que a grande maioria das equipes ainda estão atendendo a padrões considerados menos avançados em termos de qualidade.

scholarly journals Práticas profissionais de saúde diante da linha cuidado à criança

2019 ◽  
Vol 13 ◽  
Author(s):  
Pâmela Silva George ◽  
Donizete Vago Daher ◽  
Emília Gallindo Cursino ◽  
Adriana Teixeira Reis ◽  
Magda Guimarães de Araujo Faria
Keyword(s):  
Health Care ◽  
Child Health ◽  
Family Health ◽  
Child Health Care ◽  
Virtual Library ◽  
Inclusion Criteria ◽  
Modus Operandi ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Bibliographic Study

Objetivo: identificar as práticas de profissionais da Estratégia Saúde da Família frente à linha de cuidado da atenção integral à saúde da criança. Método: trata-se de estudo de bibliográfico, tipo revisão integrativa, com artigos publicados em português, inglês e espanhol, entre 2012 e 2017, nas bases de dados LILACS, MEDLINE, BDENF e na biblioteca virtual SciELO. Utilizou-se os seguintes Descritores em Ciências da Saúde (DeCS): saúde da criança e Estratégia Saúde da Família, utilizando-se o operador booleano AND e seus respectivos termos em inglês e espanhol. Apresentaram-se os resultados em forma de figura. Resultados: compôs-se o corpus de análise por 26 artigos que atenderam aos critérios de inclusão. Evidenciaram-se duas categorias: “A dispersão de práticas profissionais frente ao cuidado à saúde da criança” e “Os entraves que tornam complexa a prática de profissionais de saúde no cuidado à saúde da criança”. Conclusão: reconstroem-se, pelos profissionais que atuam frente à linha de cuidado integral à saúde da criança, práticas centradas no modelo biomédico, com necessidade de superação deste modus operandi. Descritores: Criança; Saúde da Criança; Estratégia Saúde da Família; Enfermagem; Atenção Primária à Saúde; Conhecimentos, Atitudes e Prática em Saúde. ABSTRACT Objective: to identify the practices of Family Health Strategy professionals regarding the care line of comprehensive child health care. Method: this is a bibliographic study, integrative review type, with articles published in Portuguese, English and Spanish, between 2012 and 2017, in the LILACS, MEDLINE, BDENF and SciELO virtual library. The following Health Sciences Descriptors (DeCS) were used: child health and Family Health Strategy, using the Boolean operator AND and its respective English and Spanish terms. The results are presented in figure form. Results: the corpus of analysis was composed by 26 articles that met the inclusion criteria. Two categories were highlighted: “The dispersion of professional practices in relation to child health care” and “The barriers that make the practice of health professionals in child health care complex”. Conclusion: the professionals who work in front of the integral line of child health care reconstruct practices centered on the biomedical model, with the need to overcome this modus operandi. Descriptors: Child; Child Health; Family Health Strategy; Nursing; Primary Health Care; Knowledge, Attitudes and Practice in Health.RESUMEN Objetivo: identificar las prácticas de profesionales de la Estrategia Salud Familiar con respecto a la línea de cuidado de la atención integral a la salud infantil. Método: se trata de un estudio bibliográfico, tipo revisión integradora, con artículos publicados en portugués, inglés y español, entre 2012 y 2017, en la base de datos LILACS, MEDLINE, BDENF y en la biblioteca virtual SciELO. Se utilizaron los siguientes descriptores en Ciencias de la Salud (DeCS): Salud infantil y Estrategia de Salud Familiar, utilizando el operador booleano AND y sus respectivos términos en inglés y español. Los resultados se presentaron en forma de figura. Resultados: el corpus de análisis estuvo compuesto por 26 artículos que cumplieron con los criterios de inclusión. Se destacaron dos categorías: "La dispersión de las prácticas profesionales en relación con la atención de la salud infantil" y "Las barreras que hacen que la práctica de los profesionales de la salud en la atención de la salud infantil sea compleja". Conclusión: los profesionales que trabajan hacia la línea integral de atención de salud infantil reconstruyen prácticas centradas en el modelo biomédico, con la necesidad de superar este modus operandi. Descriptores: Niño; Salud del Niño; Estrategia de Salud Familiar; Enfermería; Atención Primaria a la Salud; Conocimientos, Actitudes y Práctica en Salud.

scholarly journals Child development surveillance: intervention study with nurses of the Family Health Strategy

2015 ◽  
Vol 23 (5) ◽  
pp. 954-962 ◽  
Author(s):  
Altamira Pereira da Silva Reichert ◽  
Neusa Collet ◽  
Sophie Helena Eickmann ◽  
Marília de Carvalho Lima
Keyword(s):  
Child Development ◽  
Intervention Study ◽  
Family Health ◽  
Child Health Care ◽  
Primary Health ◽  
Health Strategy ◽  
The Family ◽  
Before And After ◽  
Family Health Strategy

Objective: to evaluate the effectiveness of an educational action in child development surveillance performed by nurses working in primary health care.Methods: interventional study with a before-and-after type of design, carried out with 45 nurses and 450 mothers of children under 2 years of age. Initially, it was evaluated the practices and knowledge of nurses on child development surveillance and the mothers were interviewed about these practices. Subsequently, workshops were carried out with nurses and four months later, the knowledge of nurses and the maternal information were reevaluated.Results: after intervention there was significant increase in the frequency of the following aspects: from 73% to 100%, in relation to the practice of nurses of asking the opinion of mothers about their children's development; from 42% to 91%, regarding the use of the systematized instrument of evaluation; from 91% to 100% with respect to guidance to mothers on how to stimulate child development.Conclusions: the intervention contributed to the increase of knowledge of nurses and implementation of child development surveillance, showing the importance of this initiative to improve the quality of child health care.

scholarly journals Oral health indicators in primary health care: the understanding and the information recorded by dentist-surgeons

2014 ◽  
Vol 62 (1) ◽  
pp. 37-45
Author(s):  
Patrícia Maria Costa de OLIVEIRA ◽  
Léa Maria Bezerra de MENEZES ◽  
Maria Vieira de Lima SAINTRAIN ◽  
Paulo César de ALMEIDA ◽  
Maria Eneide Leitão de ALMEIDA
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Sampling Error ◽  
Family Health ◽  
Health Indicators ◽  
Ministry Of Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Oral Health Indicators

OBJECTIVE: This study aimed to know the understanding of Oral health indicators recommended by the Ministry of Health by dentists in the family health strategy of the state of Ceará in 2008. METHODS: It is a descriptive, cross-sectional study in which it was used a questionnaire to obtain the data concerning the way information on oral health actions performed in Family Health Care Units and other social spaces are registered, as well as investigate their knowledge about oral health indicators. The calculation of the sample of dentist-surgeons adopted an absolute sampling error of 6.8% and a significance level of 5%, resulting in an initial sample of 175 dentists; however, only 159 participated in this study according to the inclusion criteria. For instance, they should have been working in the service in the period from 2001 to 2007. In all, 32 cities participated in the research, distributed in 18 Regional Health Cells selected by drawing lots. The data were processed in the program SPSS version 17.0 and considered statistically significant the inferential analyses with p < 0.05. RESULTS: it was observed that there are differences between the interpretation of the indicators objectives and the data relating to oral health actions recorded by dentist-surgeons from the Family Health Strategy. They also differ from the guidelines of the Ministry of Health. CONCLUSION: The pregnant present some knowledge about oral health that can be improved by means of educational, preventive and healing programs. This group exert big it influences in the family ambit, could act as agents multipliers and avoiding the child's precocious contamination.

scholarly journals Child Health Booklet: experiences of professionals in primary health care

2014 ◽  
Vol 48 (5) ◽  
pp. 857-864 ◽  
Author(s):  
Gisele Nepomuceno de Andrade ◽  
Tércia Maria Ribeiro Lima Rezende ◽  
Anézia Moreira Faria Madeira
Keyword(s):  
Health Care ◽  
Child Health ◽  
Family Health ◽  
Phenomenological Approach ◽  
Health Strategy ◽  
Incomplete Filling ◽  
Family Health Strategy ◽  
Child Health Surveillance ◽  
Objective Understanding ◽  
Belo Horizonte

Objective: Understanding the experiences of health professionals in primary care with the Child Health Booklet in child health care. Method: A qualitative study with a phenomenological approach, in which participated nurses and doctors from six teams of the Family Health Strategy (FHS) in Belo Horizonte, MG. In total, were carried out 12 non-directive interviews, using two guiding questions. Results: A comprehensive analysis of the speeches enabled the construction of three categories that signal the experiences of the professionals with the booklet. The experiments revealed difficulties arising from the limitations of knowledge about the instrument; incomplete filling out of the booklet by many professionals that care for children; the daily confrontations of the process and the organization of work teams; disinterest of families with the instrument. Conclusion: The research points possible and necessary ways to improve the use of booklets as an instrument of full child health surveillance.

scholarly journals Professional and community satisfaction with the Brazilian family health strategy

2013 ◽  
Vol 47 (2) ◽  
pp. 403-413 ◽  
Author(s):  
Lilian G Perez ◽  
Juliet D Sheridan ◽  
Andrea Y Nicholls ◽  
Katherine E Mues ◽  
Priscila S Saleme ◽  
...  
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Family Health ◽  
Pediatric Care ◽  
Southeastern Brazil ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

OBJECTIVE: To analyze the strengths and limitations of the Family Health Strategy from the perspective of health care professionals and the community. METHODS: Between June-August 2009, in the city of Vespasiano, Minas Gerais State, Southeastern Brazil, a questionnaire was used to evaluate the Family Health Strategy (ESF) with 77 healthcare professionals and 293 caregivers of children under five. Health care professional training, community access to health care, communication with patients and delivery of health education and pediatric care were the main points of interest in the evaluation. Logistic regression analysis was used to obtain odds ratios and 95% confidence intervals as well as to assess the statistical significance of the variables studied. RESULTS: The majority of health care professionals reported their program training was insufficient in quantity, content and method of delivery. Caregivers and professionals identified similar weaknesses (services not accessible to the community, lack of healthcare professionals, poor training for professionals) and strengths (community health worker-patient communications, provision of educational information, and pediatric care). Recommendations for improvement included: more doctors and specialists, more and better training, and scheduling improvements. Caregiver satisfaction with the ESF was found to be related to perceived benefits such as community health agent household visits (OR 5.8, 95%CI 2.8;12.1), good professional-patient relationships (OR 4.8, 95%CI 2.5;9.3), and family-focused health (OR 4.1, 95%CI 1.6;10.2); and perceived problems such as lack of personnel (OR 0.3, 95%CI 0.2;0.6), difficulty with access (OR 0.2, 95%CI 0.1;0.4), and poor quality of care (OR 0.3, 95%CI 0.1;0.6). Overall, 62% of caregivers reported being generally satisfied with the ESF services. CONCLUSIONS: Identifying the limitations and strengths of the Family Health Strategy from the healthcare professional and caregiver perspective may serve to advance primary community healthcare in Brazil.

scholarly journals Quality of life at work: speech of professionals of the Family Health Strategy

2015 ◽  
Vol 19 (4) ◽  
Author(s):  
Carolina Feliciana Bracarense ◽  
Nara dos Santos Costa ◽  
Joyce Mara Gabriel Duarte ◽  
Maria Beatriz Guimarães Ferreira ◽  
Ana Lúcia de Assis Simões
Keyword(s):  
Quality Of Life ◽  
Family Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

scholarly journals Mental Health In Primary Care

10.3823/2463 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Dayse Lôrrane Gonçalves Alves ◽  
Maria Vilani Cavalcante Guedes ◽  
Josualdo Araujo Lima Ribeiro
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Prescription Drugs ◽  
Family Health ◽  
Structured Interview ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Objective: To understand how the professionals of the Family Health Strategy (FHS) develop their actions with people who need mental health care. Methods and results: This is an observational and descriptive research, which predominantly had a qualitative approach. The participants of this research were the professionals of the Reference Teams of the Family Health Strategy of a municipality in the interior of Ceará, in this case, doctors, nurses and dental surgeons. The sample was of twenty participants, which was given by theoretical saturation about the object of study. For the data collection, two techniques were used: semi-structured interview and simple observation. This project was submitted and approved by the Research Ethics Committee of the State University of Ceará (CAAE: 44321015.4.0000.55.34 - Report No.: 1,082,101 / 2015). The data were organized through the technique of the Discourse of the Collective Subject. The results showed that health professionals are not yet ready to promote mental health care in primary care, since they still conceive mental health care from the asylum paradigm and, therefore, act based on the prevalence of diagnosis Psychiatric care, individual care, prescription drugs and renewal of prescriptions. Conclusion: In this regard, we emphasize the need to invest in continuing education for professionals in order to train them for the mental health act. Keywords: Mental Health; Primary Health Care; Family Health Strategy.

scholarly journals Oral Health in Primary Care through the Family Health Strategy

2019 ◽  
Vol 21 (2) ◽  
pp. 139
Author(s):  
Aline Claudia Ribeiro Medeiros Silva ◽  
Mário Molari
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Oral Health ◽  
Health System ◽  
Family Health ◽  
Health Indicators ◽  
Family Health Program ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

AbstractThe purpose of this article is to carry out a literature review on oral health team in primary care with their inclusion in the Family Health Strategy (FHS). The publications were consulted in national papers, official documents and other publications of Health Ministry (MS). In the literature it is observed that with the creation of the Unified Health System (SUS) a process of health restructuring services in Brazil began. The Primary Care National Policy (PNAB) is the result of several historical facts involved with the development and consolidation of SUS. The Family Health Program (PSF), now called the Family Health Strategy (ESF) was created in 1994 aimed at reorienting health care with new bases, centering family focus and attempting to achieve improvement in quality of life of Brazilians. In 2000, oral health teams were included in the PSF to extend access  of the Brazilian population to health promotion actions, prevention and recovery of oral health, improve health indicators and encourage the reorganization of dentistry in primary care. ESF is a unique strategy in the reorganization of the Brazilian health system and the inclusion of the ESB an important complement in primary care, aiming an integral dental practice. Keywords: Primary Health Care. Family Health Strategy. Oral Health. ResumoO presente artigo tem o objetivo de realizar uma revisão de literatura sobre a equipe de saúde bucal na atenção básica, através da sua inserção na Estratégia Saúde da Família (ESF). As publicações consultadas foram artigos científicos nacionais, documentos oficiais (leis e portarias) e outras publicações do Ministério da Saúde (MS).  Na literatura observa-se que com a criação do Sistema Único de Saúde (SUS) iniciou no Brasil um processo de reestruturação dos serviços de saúde. A Política Nacional de Atenção Básica (PNAB) é resultado da experiência acumulada de vários atores envolvidos historicamente com o desenvolvimento e a consolidação do SUS. O Programa Saúde da Família (PSF), atualmente denominado Estratégia Saúde da Família (ESF), foi implantado em 1994 visando a reorientação da prática da atenção à saúde sob novas bases, centrando o foco na família, na tentativa de alcançar uma melhoria na qualidade de vida dos brasileiros. Em 2000, as equipes de saúde bucal foram inseridas no PSF com o objetivo de ampliar o acesso da população brasileira às ações de promoção, prevenção e recuperação da saúde bucal, melhorar os indicadores de saúde, além de incentivar a reorganização da odontologia na atenção básica. A ESF consiste em uma estratégia ímpar na reorganização do sistema de saúde brasileiro e a inclusão da ESB um importante complemento na atenção básica, visando uma prática odontológica integral. Palavras-chave: Atenção Primária à Saúde. Estratégia Saúde da Família. Saúde Bucal.

scholarly journals Dificuldades enfrentadas pelo portador de hipertensão arterial sistêmica à adesão ado tratamento na Estratégia Saúde da Família

2017 ◽  
Vol 7 (1) ◽  
pp. 23
Author(s):  
Thays Jorgeana Alexandre e Silva ◽  
Elvira Uchoa dos Anjos ◽  
Symara Abrantes Albuquerque de Oliveira Cabral ◽  
Carla Heloisa De Alencar Figueiredo
Keyword(s):  
Health Care ◽  
Arterial Hypertension ◽  
Family Health ◽  
Adherence To Treatment ◽  
Hypertensive Patients ◽  
Systemic Arterial Hypertension ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Lack Of Knowledge

<p>A hipertensão arterial sistêmica (HAS) é considerada um grave problema de saúde pública no Brasil e no Mundo. Sendo considerada um dos maiores fatores de risco para o surgimento de doenças cardiovasculares, renais e cerebrovasculares dentre outras. A terapia anti-hipertensiva é extremamente eficaz em reduzir a pressão arterial. Contudo, o percentual de pacientes que alcançam os alvos terapêuticos é baixo. A não adesão ao tratamento é um dos mais importantes problemas enfrentados, neste sentido, objetivou-se identificar as dificuldades enfrentadas pelo portador de hipertensão arterial sistêmica a adesão do tratamento na Estratégia Saúde da Família (ESF), esta responsável pela Atenção Primária à Saúde, seno ainda o centro das redes de atenção à saúde. Trata-se de um estudo exploratório, descritivo com abordagem quantitativa com a população de 4.772 hipertensos cadastrados no programa HiperDia na secretaria de saúde do município de Cajazeiras, a amostra foi composta de 100 hipertensos. Os resultados demostraram prevalência do sexo feminino (65%), a média de idade ficou entre 59 anos (35%). Quanto aos principais motivos que impedem a adesão ao tratamento 89% referiram falta de conhecimento. Antecedentes familiares o predomínio foi entre irmãos 66%. Existe um déficit de adesão ao tratamento, especialmente por usuárias do sexo feminino, que relatam falta de conhecimento, revelando a necessidade de melhores estratégias de atuação no tocante à educação em saúde.</p><p align="center"><strong><em>Difficulties faced by patients with systemic arterial hypertension and adherence to treatment in the Family Health Strategy</em></strong></p><p align="center"><strong><em> </em></strong></p><p><strong>Abstract</strong><strong>: </strong>Systemic arterial hypertension (SAH) is considered a serious public health problem in Brazil and in the World. It is considered one of the major risk factors for cardiovascular, renal and cerebrovascular diseases, among others. Antihypertensive therapy is extremely effective in lowering blood pressure. However, the percentage of patients reaching therapeutic targets is low. Non-adherence to treatment is one of the most important problems faced. In this sense, the objective was to identify the difficulties faced by patients with systemic arterial hypertension, adherence to treatment in the Family Health Strategy (ESF), which is responsible for Primary Health Care, The center of health care networks. This is an exploratory, descriptive study with a quantitative approach with the population of 4,772 hypertensive patients enrolled in the HiperDia program at the department of health of the municipality of Cajazeiras, the sample was composed of 100 hypertensive patients. The results showed female prevalence (65%), mean age was 59 years (35%). Regarding the main reasons that prevent adherence to treatment, 89% reported lack of knowledge. Family history The predominance was between siblings 66%. The data show that there is a deficit of adherence to treatment, especially by female users, who report a lack of knowledge, revealing the need for better strategies in health education.</p>

scholarly journals Child hearing health: practice of the Family Health Strategy nurses

2014 ◽  
Vol 48 (5) ◽  
pp. 865-873
Author(s):  
Suelen Brito Azevedo ◽  
Luciana Pedrosa Leal ◽  
Maria Luiza Lopes Timóteo Lima ◽  
Silvana Maria Sobral Griz
Keyword(s):  
Health Care ◽  
Family Health ◽  
Health Practice ◽  
Health Strategy ◽  
The Family ◽  
The Matrix ◽  
Data Collection Instrument ◽  
Family Health Strategy ◽  
Hearing Health ◽  
The City

Objective Evaluating the practice of nurses of the Family Health Strategy (FHS) in child hearing health care. Method A normative assessment of structure and process, with 37 nurses in the Family Health Units, in the city of Recife, Pernambuco. The data collection instrument originated from the logical model of child hearing health care provided by nurses of the Family Health Strategy, and the matrix of indicators for evaluation of nursing practice. Results All the nurses identified the hearing developmental milestones. At least two risk factors were identified by 94.5% of the nurses, and 21.6% of them carried out educational activities. Conclusion The normative assessment was considered adequate despite existing limitations in the structure and process.


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