Quality of infant care in primary health services in Southern and Northeastern Brazil

Autores

  • Andréia Soprani dos Santos Universidade Federal do Espírito Santo. Centro Universitário Norte do Espírito Santo. Departamento de Ciências da Saúde
  • Suele Manjourany Silva Duro Universidade Federal de Pelotas. Faculdade de Enfermagem
  • Nágela Valadão Cade Universidade Federal do Espírito Santo. Centro de Ciências da Saúde. Departamento de Enfermagem
  • Luiz Augusto Facchini Universidade Federal de Pelotas. Departamento de Medicina Social
  • Elaine Tomasi Universidade Federal de Pelotas. Departamento de Medicina Social

DOI:

https://doi.org/10.11606/S1518-8787.2018052000186

Palavras-chave:

Infant. Child Health Services. Quality of Health Care. Primary Health Care. Unified Health System. Family Health Strategy.

Resumo

OBJECTIVE: To assess the quality of the health care provided to children aged under one year old performed by primary health services in the South and Northeast regions of Brazil. METHODS: This is a cross-sectional, population-based study carried out in 2010 with 7,915 children aged from one to four years, whose homes are located in the areas of health service coverage. We described the prevalence of procedures and guidelines, such as weight and height measurement, vaccination, newborn blood spot screening, evaluation of umbilical cord, instruction on breastfeeding and introduction of new food, and their respective 95% confidence intervals. The differences were analyzed using the chi-square test of heterogeneity and linear trend. We considered the main outcome of high-quality infant care if the child had received all recommended procedures and guidelines in the first year of life. For this analysis, we used the Poisson regression considering hierarchical model. RESULTS: There was low prevalence for the instruction on breastfeeding in the first week of life (58.8%, 95%CI 57.5–60.0) and on the introduction of new food in the fourth month care. The prevalence of high-quality in childcare was 42.0% (95%CI 40.5–43.5). The adjusted analysis according to hierarchical model indicated greater probability of this outcome in the Northeast region (PR = 1.17, 95%CI 1.09–1.26), in smaller municipalities (PR = 1.17, 95%CI 1.03–1.33), and in municipalities with 50,000 and 99,000 inhabitants (PR = 1.20, 95%CI 1.09–1.34). CONCLUSIONS: The Northeast region has higher-quality infant care services, which can be explained by the consolidation of the Family Health Strategy in that region.

Publicado

2018-01-29

Edição

Seção

Artigos Originais

Como Citar

Santos, A. S. dos, Duro, S. M. S., Cade, N. V., Facchini, L. A., & Tomasi, E. (2018). Quality of infant care in primary health services in Southern and Northeastern Brazil. Revista De Saúde Pública, 52, 11. https://doi.org/10.11606/S1518-8787.2018052000186