Saúde infantil: condições de vida e utilização de serviços de saúde em área da Região Metropolitana de São Paulo, 1996

• Autor(a) principal: Puccini, Rosana Fiorini [UNIFESP]
• Data de Publicação: 2002
• Outros Autores: Silva, Nilza Nunes da, Araújo, Norma Sueli de, Pedroso, Glaura César [UNIFESP], Silva, Edina Mariko Koga da [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• dARK ID: ark:/48912/001300000cqm0
• DOI: 10.1590/S1519-38292002000200007
• Texto Completo: http://dx.doi.org/10.1590/S1519-38292002000200007; http://repositorio.unifesp.br/handle/11600/1496
• topic: Maternal and child health; Perinatal care; Quality indicators; health care; Vaccination; Equity; Saúde materno-infantil; Assistência perinatal; Indicadores de qualidade em assistência à saúde; Vacinação; Eqüidade

OBJECTIVES: to identify segments of the population excluded from the health system or requiring specific and oriented action from the health services. METHODS:household survey using a two-stage cluster sample comprised of 1.099 children under five years old, residing in the municipality of Embu, São Paulo in 1996. Living conditions were stratified into four bands; the sampling process considered two independent populations: children under one year old and children between one and four years old. Indicators of prenatal and perinatal care and child's health attention were investigated. Statistical analysis: estimates of proportions, standard errors and confidence intervals (95%) were calculated, utilizing the Csample: Epi-info 6.04 program. RESULTS: in all the bands, over 90% of the mothers had prenatal assistance, although with a tendency towards later access in band four (shantytowns). Around 80% of the children under one year old were followed up by healthcare clinics; the basic health units were principally utilized for vaccinations (97,4%) and checkups (79,0%), especially for band four, and the other healthcare facilities were utilized for medical visits without appointments. For band one (best conditions), there was a greater demand for private and health insurance services. For acute affections healthcare facilities services were the option for almost 100% of the cases. CONCLUSIONS: no segments of the population were identified as being excluded from the health system; some indicators pointed towards deficiencies for all bands, some of which were more accentuated for band four.