Abstract
Abstract Objectives: to identify and analyze the scientific literature on child growth monitoring in the context of the primary public healthcare service network in Brazil, focusing on the main problems detected in studies. Methods: the review was based on searches ofSciELO, Lilacs and PubMed databases to identify articles published between 2006 and 2014. The articles were categorized according to the analytical categories of structure (items needed to carry out primary activities) or work processes (set of activities and procedures used in the management of resources). Results: of the 16 articles included in this review, only six dealt with structure and, in these, thetraining of professionals and availability of protocols were the most frequently identified problems. Processes, addressed in 15 articles, highlighted the underutilization of Child Health Handbook to record growth measurements and the adoption of guidelines on the basis of notes taken. Conclusions: the difficulties found demonstrate the everyday circumstances of the public health service which have a detrimental effect on growth surveillance.
Highlights
Child growth monitoring is one of the guiding principles of basic health measurement and its main purpose is to assess the adequacy of growth and to identify deficiency at an early stage, before the child reaches the status of undernutrition.[1,2] The main benefits of growth monitoring are reductions in undernutrition, morbidity and mortality among young children.[3]
In Brazil, in the context of Primary Health Care, child growth monitoring and development occurs through childcare consultation
A literature review was carried out with the following question in mind: what scientific production was there on child growth monitoring within the (Unified Health System) SUS health network in Brazil from 2006 to 2014? The study was based on searches ofthe Scientific Electronic Library Online (SciELO), the Latin American and Caribbean Health Sciences (Lilacs) and the National Library of Medicine, United States (PubMed) databases
Summary
Child growth monitoring is one of the guiding principles of basic health measurement and its main purpose is to assess the adequacy of growth and to identify deficiency at an early stage, before the child reaches the status of undernutrition.[1,2] The main benefits of growth monitoring are reductions in undernutrition, morbidity and mortality among young children.[3]. In Brazil, in the context of Primary Health Care, child growth monitoring and development occurs through childcare consultation. This consultation becomes effective when routines are established and assistance is offered on a regular, systematic, comprehensive and individualized basis. This surveillance during routine visits provides access to services, and consolidates ties, promotes acceptance and contributes to comprehensive care. It enables the identification of major health problems, as well as the provision and evaluation of health care services.[4,5]
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