Evaluating mother-and-child health care in Brazil

• Autor(a) principal: Santos, Sílvia R
• Data de Publicação: 2000
• Outros Autores: Cunha, Antonio José LA, Gamba, Cristiano M, Machado, Fabrício G, Leal Filho, Joaquim Maurício M, Moreira, Nelson Luís M
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista de Saúde Pública
• Texto Completo: https://www.revistas.usp.br/rsp/article/view/25016
• topic: Saúde materno-infantil; Cuidados primários de saúde; Prestação de cuidados de saúde; Serviços de saúde infantil^i1^sutiliza; Serviços de saúde materna^i1^sutiliza; Diagnóstico da situação em saúde; Promoção da saúde; Vacinação; Maternal and child health; Primary health care; Delivery of health care; Child health services^i2^sutilizat; Maternal health services^i2^sutilizat; Diagnosis of health situation; Health promotion; Vaccination

OBJECTIVE: To describe and analyze primary health care provided to mother-and-child population in Teresópolis, state of Rio de Janeiro, Brazil. METHODS: A population survey was performed at the main vaccination station on the local Vaccine National Day, to collect information about the use of health care services and preventive primary care. RESULTS: Information was collected from 329 mothers and their children. More than 90% of children had at least one pediatric visit in the past three months. Almost all had their growth chart, but in 30% of them the child's weight was not registered. There was a positive association between having a routine visit and the registration of the child's weight in the card (RP = 1.34; IC: 1.13-1.58; p = 0.0002). Around 59% of the mothers had a medical visit after giving after birth; 25% said they had never had a Pap smear test before, and 36% never had a breast examination. There was a positive association between the mother's age being over 20 years and ever having a Pap smear test (RP = 1.56; IC: 1.08-2.26; p = 0.03). Almost 70% of the mothers referred the use of any contraceptional method, and the most common used were contraceptive pills, condoms and tubal ligation. CONCLUSIONS: Despite some limitations, the results suggest a valid and useful methodology, which allows the identification of important needs in primary health care delivery to children and their mothers.