Qualidade do preenchimento do instrumento de acompanhamento da saúde da criança em município do nordeste brasileiro

Abstract

EnglishObjective: To assess the quality when filling out a health follow-up instrument for children in a town in northeastern Brazil. Method: It is a cross-sectional study involving 204 children who received care at 16 family health units. This study analyzes how they filled out the child’s health card (CS) and the Child’s Health Record (CSI), the differences between both and the associated factors. Results: the filling out was unsatisfactory in 37.2% of the CS and 50.5% of the CSI. Regarding the CSIs, the correct filling out was observed less often in the following cases: supply of iron supplements (0%), development checkups (1.1%), prenatal care (9.9%), feeding after stopping the breastfeeding (17.6%), and growth curves (0%-27.5%). There was a lower percentage of correct filling out for the CSIs regarding the baby’s name, type of labor and weight indication in the graph. Newborns from married mothers (p = 0.045) and female babies (p = 0.017) showed lower probability of inappropriate filling out of both CSs and CSIs, respectively. Conclusion: The instrument for health surveillance in children is being underused. Keywords: personal health records; primary health care; health promotion; health knowledge, attitudes and practice; health policy, planning and administration; health management portuguesObjetivo: avaliar a qualidade do preenchimento do instrumento de acompanhamento da saude da crianca em um municipio do nordeste brasileiro. Metodo: estudo transversal envolvendo 204 criancas assistidas em 16 unidades de saude da familia. Analisou-se o preenchimento do Cartao da Crianca (CC) e da Caderneta de Saude da Crianca (CSC), diferencas entre os mesmos e fatores associados. Resultados: o preenchimento foi insatisfatorio em 37,2% dos CC e 50,5% das CSC. Na CSC, observou-se menor frequencia de preenchimento correto para: suplementacao com ferro (0%), desenvolvimento (1,1%), pre-natal (9,9%), alimentacao na alta da maternidade (17,6%) e graficos de crescimento (0%-27,5%). A CSC teve menor percentual de preenchimento correto para nome da crianca, tipo de parto e anotacoes do peso no grafico. Criancas de maes com companheiro (p = 0,045) e meninas (p = 0,017) apresentaram menor chance de preenchimento inadequado do CC e da CSC, respectivamente. Conclusao: ha subutilizacao do instrumento de vigilância a saude da crianca.