ABSTRACT
Objetivou-se analisar a mortalidade infantil em uma regional de saúde do estado do Paraná, antes e após a implantação do programa Rede Mãe Paranaense. Utilizou-se o método descritivo, retrospectivo com dados secundários dos Sistemas de Informação da Secretaria de Saúde do Estado, com dados de crianças menores de 1 ano e causas de óbitos, entre 2009 e 2014. Observou-se que no período neonatal precoce, houve aumento para o porte populacional entre 15.000 e 50.000 de 31% para 36% óbitos pós-implantação. Apesar da implantação do programa visando à melhoria da atenção à saúde da mulher na gestação, parto e ao recém-nascido, os óbitos evitáveis mantiveram-se elevados, 63% pré-implantação e 51% pósimplantação. Os resultados não evidenciaram redução significativa na mortalidade infantil após a implantação do programa, porém, sua implantação ainda é recente sendo necessário maior tempo para adequações dos municípios em relação ao programa e investimentos nas capacitações dos profissionais envolvidos (AU).
The objective was to analyze childhood mortality at a regional health department in the State of Paraná before and after the implementation of the Rede Mãe Paranaense program. The descriptive and retrospective method was used with secondary data from the Information System of the State Secretary of Health, using data from children younger than one year and causes of death, between 2009 and 2014. It was observed that, in the early neonatal period, the population size increased from 15,000 to 50,000, from 31% to 36% of deaths after the implementation. Despite the implementation of the program to improve women's health during pregnancy and birth and infant health, the avoidable deaths remained high, i.e. 63% before and 51% after the implementation. The results did not evidence a significant reduction in childhood mortality after the implementation of the program, but its implementation is still recent, demanding further time for the cities to adapt to the program and invest in the training of the professionals involved (AU).
La finalidad fue analizar la mortalidad infantil en una regional de salud del estado de Paraná, antes y después de la implantación del programa Rede Mãe Paranaense. Fue utilizado el método descriptivo, retrospectivo con datos secundarios de los Sistemas de Información de la Secretaría de Salud del Estado, con datos de niños menores de 1 año y causas de óbitos, entre 2009 y 2014. Fue observado que, en el período neonatal precoz, aumentó el tamaño poblacional entre 15.000 y 50.000 del 31% al 36% de óbitos postimplantación. A pesar de la implantación del programa, visando mejorar la atención de salud de la mujer en el embarazo, parte y al recién-nacido, las muertes evitables siguieron altas, 63% pre-implantación y 51% postimplantación. Los resultados no evidenciaron reducción significativa en la mortalidad infantil después de la implantación del programa. Sin embargo, su implantación es reciente, demandando mayor tiempo para adecuaciones de los municipios con relación al programa e inversiones en las capacitaciones de los profesionales involucradoS (AU).
Subject(s)
Humans , Infant, Newborn , Health Evaluation , Infant Mortality , Cause of Death , Health Information SystemsABSTRACT
This is a qualitative survey with a hermeneutic-dialectic frame of reference, designed to identify how parents and caregivers see the attribute 'coordination' in children's healthcare, in terms of resolving problems in children's health. The interview was held with 16 people responsible for care of children under one year of age, served in Emergency Care Units of a municipality in the south of Brazil, in 2010. With the thematic analysis, the central category was identified as: Effects and results of fragile coordination in Children's Primary Health Care, with the following themes: Divergences between different health units in the organization of care; functional barriers and delays obstructing access to technologies; absence of effective communication; absence of medical transport; need for healthcare on an individual basis; and coordination involving management of healthcare. It was concluded that the absence of coordination results in the absence of a solution-based approach in healthcare for children under one year old, showing gaps in the organization of the services and in health management, since communication, access to technologies, referral and counter-referral systems, and secure transport become essential for organizing primary care services and offering fully rounded care to the child.
Subject(s)
Child Health Services/organization & administration , Brazil , Child , HumansABSTRACT
It was conducted a qualitative study based on the methodological framework of dialectical hermeneutics, aiming to identify the attribute access from primary care to solve the health problems of children under one year old from the reports of parents and caregivers. Sixteen caregivers of children were involved, all of them seen in the emergency units of Cascavel-PR, in 2010. Four thematic categories were recognized: Family counselling in seeking health care for the child; Absence of reception on the first contact; Presence of risk classification to the child´s health attention; Barriers that block the access to health care. It was conclude that, families showed difficulties to reach the solution for their children´s health, because of the lack of access to primary care services.
Subject(s)
Child Health Services , Health Services Accessibility , Primary Health Care , Brazil , Child Health Services/statistics & numerical data , Health Services Accessibility/statistics & numerical data , Humans , Infant , Infant, Newborn , Qualitative ResearchABSTRACT
The aim of this study was describing and reflecting about the aspects related to the social history and public policies for the children's health assistance in Brazil. A brief historical contextualization was realized concerning changes on the way the society views the child in Brazil and around the world, also perspectives considering public policies for the children's health in the national context were presented. It was possible to identify that the historical evolution of the child participation in the society is linked to the changes in the assistance public policies, which were demonstrated in the child death decrease and associated to challenges, like the morbimortality reduction caused by perinatal injuries and avoidable causes. The advances and conquers in the child's health are evolved in a paradigmatic change movement into a model of a net formation and a comprehensiveness care. This context requires the human resources preparation for such area, based on the health promotion and prevention, as well as a better quality of life of the population.
