Paula Fernanda Brandão Batista dos Santos

Access and Accessibility to the Family Health Program in a Small Municipality

This study aimed to evaluate the population access/accessibility to the Family Health Program (FHP) in a small municipality. This is an impact assessment with quantitative and qualitative approach, developed from a case study in the Municipality of Taipu/RN, Brazil. Data were collected between July 2011 and January 2012 from 72 users of the FHP who responded to a structured questionnaire. Data were analyzed based on the theoretical framework of the program and through descriptive statistics and content analysis. Strict results point that the program coverage has been expanded but this has not been followed by improved access indicators or by the reduction of barriers to accessibility . There has been a substantial increase in available services, but barriers that prevent the user to access the service needs to be the main goal in order to meet health needs.

Vaccination Situation in the First Month of Life of Children of Childhood Education

Introduction: The Brazilian vaccination schedule is a strategy used in disease prevention by providing immunobiologicals to the population and the BCG and Hepatitis B vaccines are the first to be administered shortly after birth. Objective: Describe the vaccination status of BCG and Hepatitis B vaccines in the first month of life of children of childhood education. Methodology: Epidemiological, descriptive and retrospective study, with quantitative approach, conducted from data available in 1,434 copies of childrens immunization cards enrolled in childhood education in the municipality of Natal/RN, Brazil. Data were collected through checklist, categorized by Microsoft Office Excel 2013, exported to statistical software and presented in tables and graphs through simple descriptive statistics. Results: The BCG vaccine showed 98.5% of children with full immunization schedule, 1.2% unvaccinated and 0.8% had record failures. In the case of the hepatitis B vaccine, 98.9% had complete vaccination schedule, 0.6% for unvaccinated children and 0.4% had flaws that prevented their analysis. Final thoughts: The vaccination status of the children had complete immunization schedule rates higher than the target set by the National Immunization Program, but the presence of registry errors prevented the analysis of cards.

Mothers Perception Of The Collective Monitoring On The Child Growth And Development

Background: Child´s Growth and Collective Development Monitoring is a practice that involves low-cost and high-efficiency technologies, based on the prerogative of health promotion. This study aims to describe the mothers´ perception about the collective monitoring of child growth and development. Method: This is a descriptive research with a qualitative approach, carried out with 13 mothers, through semi-structured interviews and participant observation. Data analysis was the technique of content analysis proposed by Bardin. Results: From the data analysis, two categories emerged: “The exchange of experiences and the autonomy of the subjects from the health promotion model”, where it was identified that the collective monitoring of child growth and development is a time favoring the approach between professionals and patients by motivating family participation by the emphasis on health promotion actions; and “The ability to recognize the reality and identify the difficulties” that indicated the change in care practice by professionals as a difficult task, but of great importance for health care. Conclusion: The mothers´ perception about the collective monitoring is directed at the health promotion model, being observed greater involvement among the participants in the consultations, bond, and autonomy.