Abstract
Estudo transversal que teve por objetivo avaliar as ações de acompanhamento do crescimento no contexto da atenção básica à saúde, no município de Queimadas, Paraíba, Brasil destacando aspectos estruturais e processuais. Foi aplicado um questionário às 204 mães das crianças estudadas, bem como analisados os instrumentos destinados ao acompanhamento da saúde das crianças e as 16 unidades de saúde do município. Na estrutura, observaram-se a completitude da equipe mínima e a capacitação dos enfermeiros para o atendimento à criança como principais limitações. Quanto ao processo, o pior desempenho foi para os registros de peso e de estatura nos últimos três meses. Para o registro de peso nos últimos três meses, o melhor desempenho foi constatado na zona urbana. Em função de atos realizados em discordância com o que preconizam as políticas públicas de atenção à saúde da criança, os achados indicam a não consolidação efetiva da ação de acompanhamento do crescimento.
Highlights
Child growth is considered an important indicator in public health in order to monitor people’s health and nutrition, as it depends on environmental factors that affect the child’s living conditions in the past and in the present
The basic action concerning monitoring of growth and development is the central pillar of child care, which allows to identify children who have a greater risk of morbimortality and promote adequate child growth.[2]
The effective growth monitoring requires good quality records and, in that sense, the Child’s Health Card is an essential resource, as it is the document in which all data and health events regarding the child are recorded.[3]. International organizations, such as World Health Organization, and Brazilian organizations, such as the Ministry of Health and the Brazilian Society of Pediatrics, recommend the growth followup as a routine activity in child care.[4]. The assimilation of this close watch is still causing confusion among health professionals and has not been performed correctly and systematically, even though it has been recommended in Brazil for nearly 30 years, after the implementation of the Comprehensive Child Health Care Program (PAISC).[5,6]
Summary
Child growth is considered an important indicator in public health in order to monitor people’s health and nutrition, as it depends on environmental factors that affect the child’s living conditions in the past and in the present. Such environmental factors include: feeding, diseases, basic hygiene care, housing conditions and access to basic sanitation and health services.[1]. The assimilation of this close watch is still causing confusion among health professionals and has not been performed correctly and systematically, even though it has been recommended in Brazil for nearly 30 years, after the implementation of the Comprehensive Child Health Care Program (PAISC).[5,6]
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