Abstract
OBJECTIVE: To analyze the association between neurodevelopment and the family environment resources of children from the coverage area of a Basic Health Unit (BHU) of Belo Horizonte, Brazil, using a tool based on the Integrated Management of Childhood Illness (IMCI) strategy. METHODS: Cross-sectional study with a non-probabilistic sample involving 298 children aged between 2-24 months old, who attended a BHU in 2010. The assessment of child development and family resources made at the BHU lasted, in average, 45 minutes and included two tests - an adaptation of the Handbook for Monitoring Child Development in the Context of IMCI and an adapted version of the Family Environment Resource (FER) inventary. The nonparametric tests of Kruskal-Wallis and Mann-Whitney were used for the statistical analysis.RESULTS: The sample included 291 assessments, with 18.2% of children between 18 and 24 months old, 53.6% male gender, and 91.4% who did not attend day care centers. According to IMCI, 31.7% of the children were in the risk group for developmental delay. The total average score in FER was 38.0 points. Although it has been found an association between the IMCI outcome and the total FER score, all groups had low scores in the family environment assessment. CONCLUSIONS: The data indicate the need for childhood development screening in the primary health care and for early intervention programs aimed at this age group.
Highlights
Children have different opportunities during their development due to their personal attributes and the social environment in which they live
A avaliação do desenvolvimento infantil e dos recursos familiares feita na Unidade Básica de Saúde (UBS) teve duração média de 45 minutos e incluiu a aplicação de dois testes – uma adaptação do Manual para Vigilância do Desenvolvimento Infantil no Contexto da Atenção Integral das Doenças Prevalentes na Infância (AIDPI) e uma versão adaptada do Inventário de Recursos do Ambiente Familiar (RAF)
Given the importance of early detection of delayed child development, this study examined the association between neuropsychomotor development and family environment resources in children from 2 to 24 months old from a Basic Health Unit (BHU) in Belo Horizonte, state of Minas Gerais, using the instrument based on the Integrated Management of Childhood Illness (IMCI) strategy
Summary
Children have different opportunities during their development due to their personal attributes and the social environment in which they live. In line with this observation, Bronfebrenner proposed the Ecological Theory of Development, which suggested a model of child development based on the processes of complex, reciprocal, and gradual interaction between the child and all levels of environmental influence[1]. The family can act as stimulating and protector of this process by providing varied quality experiences and interaction with adults and children It may constitute a risk factor, when the infant is deprived of a well-structured family environment and with appropriate stimuli[3]
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