Abstract
Identifying the use of child care situations, the vaccination situation and the reasons for non-vaccination, and characterizing whether mothers/guardians demonstrate notions about the right to special vaccines for children with type 1 Diabetes Mellitus. A descriptive, cross-sectional study with analysis of quantitative data based on interviews with mothers/guardians, particularly regarding access to childcare and vaccination against influenza and pneumococcal 23-valent (PPSV). 47 mothers/guardians participated in the study. The participants reported using more specialized services to follow child health, and only a few used the child care of the basic health care regularly. There were incomplete vaccination schedules, delayed annual follow-ups, missing vaccination cards at the consultations, misinformation about the special character of the vaccination, as well as emphasis on the need of presenting a specific form to obtain the vaccination, resulting in discontinuation of health actions and missed opportunities for vaccination. Fragilities in child care and immunization actions require an increase of primary health care and of the care network, based on knowledge and the right to health in order to expand the evidence-based practice, access and comprehensiveness.
Highlights
Type 1 Diabetes Mellitus (T1DM), previously known as juvenile and/or insulin-dependent diabetes, represents a very frequent chronic health condition in the child population[1].In world terms, the occurrence of T1DM in children is expressive and its incidence has been increasing around 3% per year[2,3,4,5,6]
Based on data from the CMAD and the APedUF, it was possible to estimate the number of children under 12 years of age diagnosed with T1DM, enrolled in the mentioned health services and residing in Uberlândia-MG
The results of the present study show that regularity of follow-ups in child care in basic health care and in specialized outpatient clinics need to be integrated in order to ensure more access and full care
Summary
The occurrence of T1DM in children is expressive and its incidence has been increasing around 3% per year[2,3,4,5,6] This disease can present long-term complications, and is the cause of high morbidity and mortality with impacts on the quality of life and increasing healthcare costs requiring interdisciplinary interventions, comprehensive care, health education, monitoring/follow-up checkups, surveillance, and rational and efficient use of available technologies[7,8]. In Primary Health Care (PHC), basic actions for the child focus on monitoring growth and development, immunization, breastfeeding, healthy eating, accident prevention and attention to diseases prevalent during childhood, taking into consideration that family participation and partnership with health and community services are essential[10,11]. Child health care in the context of the Brazilian PHC presents weaknesses and ineffective articulation between the care attention points of the current health system[3,4], demonstrating that there is no effective PHC coordination and that all the possibilities for child health care and its effectiveness are not being explored[4]
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