Measuring the quality of child health care at first-level facilities

2005 ◽  
Vol 61 (3) ◽  
pp. 613-625 ◽  
Author(s):  
Eleanor Gouws ◽  
Jennifer Bryce ◽  
George Pariyo ◽  
Joanna Armstrong Schellenberg ◽  
João Amaral ◽  
...  
2013 ◽  
Vol 23 (2) ◽  
pp. 151
Author(s):  
Maria Lucélia Da Hora Sales ◽  
Liz Ponnet ◽  
Carlos Eduardo Aguilera Campos ◽  
Marcelo Marcos Piva Demarzo ◽  
Cláudio Torres de Miranda

ResumoObjetivo: verificar a qualidade da atenção à saúde da criança pelas equipes da Estratégia Saúde da Família (ESF) em Capital do Nordeste do Brasil. Método: trata-se de um estudo transversal, descritivo, com abordagem quantitativa, realizado durante o ano de 2010, por meio de inquérito com os profissionais médicos e enfermeiros de 66 equipes da ESF de Maceió-AL, estratificadas por tempo de funcionamento em anos. Utilizou-se parte do instrumento de auto-avaliação denominado Avaliação para Melhoria da Qualidade da Estratégia Saúde da Família (AMQ) do Ministério da Saúde, especificamente as questões referentes às ações e atividades realizadas no campo de atenção à “saúde da criança”, dentro da dimensão “atenção à saúde”. Resultados: os padrões elementares de qualidade foram encontrados em 84,1% das ações realizadas. Os padrões considerados avançados apresentaram o menor percentual de conformidade entre todas as equipes (47,7%). Quanto ao tempo de implantação da ESF, as equipes com menos de quatro anos tenderam a relatar melhores padrões de qualidade. Conclusões: os achados sugerem que as ações de saúde da criança estão sendo realizadas em melhor conformidade nas equipes com menos tempo de implantação, e que a grande maioria das equipes ainda estão atendendo a padrões considerados menos avançados em termos de qualidade.


PEDIATRICS ◽  
1971 ◽  
Vol 48 (6) ◽  
pp. 984-985
Author(s):  
R. J. McKay

Iwould like to begin this address with a summary of activities and accomplishments during the past year, which, in my opinion, are new or of particular significance for the Academy and its Fellows, and for the health and welfare of children. In doing so, many, if not most, of our organization's established activities and functions will be ignored, not because they are unimportant, but because you are all well acquainted with them and their value. Our Report on the Delivery of Health Care to Children has finally gone to the printer and will hopefully be in your hands by the end of the calendar year. Implementation of some of its recommendations is already under way, and plans are being made to implement the others. A policy and statement on national health insurance has been completed and issued after 3 years of intensive effort. While it satisfies neither the advocates of total socialization of medical care, nor the advocates of the status quo, I believe that it does represent a view of the majority of our membership that changes must be made, that we must maintain an ability to influence these changes, and that the changes must provide options, flexibility, appropriate incentives, and economic feasibility for both the consumer and the deliverer of health care. Under Academy leadership and sponsorship a Joint Committee on Quality Assurance of Child Health Care has been formed. Financed by a large federal grant, it will develop and test methods designed to assure the quality of child health care.


2013 ◽  
Vol 29 (6) ◽  
pp. 753-762 ◽  
Author(s):  
D. M. E. Hoque ◽  
S. E. Arifeen ◽  
M. Rahman ◽  
E. K. Chowdhury ◽  
T. M. Haque ◽  
...  

2008 ◽  
Vol 42 (2) ◽  
pp. 183-190 ◽  
Author(s):  
Débora G Amorim ◽  
Taghreed Adam ◽  
João J F Amaral ◽  
Eleanor Gouws ◽  
Jennifer Bryce ◽  
...  

OBJECTIVE: The Integrated Management of Childhood Illness is a strategy designed to address major causes of child mortality. The aim of this study was to assess the impact of the strategy on the quality of child health care provided at primary facilities. METHODS: Child health quality of care and costs were compared in four states in Northeastern Brazil, in 2001. There were studied 48 health facilities considered to have had stable strategy implementation at least two years before the start of study, with 48 matched comparison facilities in the same states. A single measure of correct management of sick children was used to assess care provided to all sick children. Costs included all resources at the national, state, local and facility levels associated with child health care. RESULTS: Facilities providing strategy-based care had significantly better management of sick children at no additional cost to municipalities relative to the comparison municipalities. At strategy facilities 72% of children were correctly managed compared with 56% in comparison facilities (p=0.001). The cost per child managed correctly was US$13.20 versus US$21.05 in the strategy and comparison municipalities, respectively, after standardization for population size. CONCLUSIONS: The strategy improves the efficiency of primary facilities in Northeastern Brazil. It leads to better health outcomes at no extra cost.


Sign in / Sign up

Export Citation Format

Share Document