Abstract
This systematic review analyzes the methods and instruments employed to evaluate primary child health care in Brazil and their main findings. The review was conducted in accordance with the recommendations of the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyzes) statement. Searches of articles focusing on children aged between zero and five years published between 1994-2006 were conducted of the following databases: MEDLINE, LILACS, IBECS, BDENF, PubMed, PsycNET, Cochrane, and CINAHL. The searches yielded 3,004 articles. After initial screening and the application of the STROBE and SRQR criteria, 21 articles were included in the review. About 52% of the articles were conducted in the Southeast region and 95.2% were published as of 2010. The most commonly used evaluation tool was the Primary Care Assessment Tool Child Edition, adapted and validated for use in Brazil (52.4%). The quality of primary child care was inadequate. The main limitations included poor access to services, inadequate facilities, and underqualified health staff. There has been a significant increase in the number of evaluation studies conducted in Brazil in recent years. Despite advances in health care across the country, the findings point to the need for a more effective response to the challenges in ensuring comprehensive primary child care in Brazil.
Highlights
Resumo Essa revisão sistemática objetivou analisar os métodos e instrumentos, bem como os principais resultados, das avaliações de qualidade da assistência à saúde da criança na Atenção Primária à Saúde (APS) no Brasil
Descrever os aspectos relacionados às dimensões de acesso, características do atendimento e fatores associados à satisfação das mães de crianças menores de cinco anos
Avaliar a qualidade da assistência materno-infantil em áreas assistidas pela Estratégia de Saúde da Família (ESF) estabelecendo uma análise comparativa com serviços tradicionais de APS disponíveis, apresentando indicadores de processos vinculados à essa assistência
Summary
Avaliação da assistência à saúde da criança na Atenção Primária no Brasil: revisão sistemática de métodos e resultados. Evaluation of primary child health care in Brazil: a systematic review of methods and results. George Sobrinho Silva (https://orcid.org/0000-0001-9965-6576) 1 Daisy de Rezende Figueiredo Fernandes (https://orcid.org/0000-0002-8968-6306) 1 Cláudia Regina Lindgren Alves (https://orcid.org/0000-0002-0885-1729) 2
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