Family health strategy and equity in prenatal care: a population based cross-sectional study in Minas Gerais, Brazil

We analyzed prenatal care (PN) provided at a unit of the Family Health Strategy Service in São Paulo, according to the indicators of the Program for the Humanization of Prenatal and Birth (PHPB). We compared adequacy of PN in terms of sociodemographic variables, procedures, examinations and maternal and perinatal outcomes. Cross-sectional study with data from records of 308 pregnant women enrolled in 2011. We observed early initiation of PN (82.1%), conducting of a minimum of six consultations (84.1%), puerperal consultation (89.0%); to the extent that there is a sum of the actions, there is a significant drop in the proportion of adequacy. Prenatal care was adequate for 67.9%, with a significant difference between adequacy groups in relation to gestational age and birth weight. Prenatal care deficiencies exist, especially in regards to registration of procedures, exams and immunization. The difference between adequacy groups with respect to perinatal outcomes reinforces the importance of prenatal care that adheres to the parameters of the PHPB. 

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Álcool, alcoolismo e alcoolista: atitudes dos enfermeiros da Estratégia Saúde da Família

Enfermagem em Foco ◽

10.21675/2357-707x.2020.v11.n3.2789 ◽

2020 ◽

Vol 11 (3) ◽

Author(s):

Maria Elisângela Tavares Bezerra ◽

Noélle De Oliveira Freitas ◽

Fernanda Amendola

Keyword(s):

Attitude Of Health Personnel ◽

Family Health ◽

Cross Sectional Study ◽

Attitude Scale ◽

Minas Gerais ◽

Cross Sectional ◽

Low Intensity ◽

Health Strategy ◽

Family Health Strategy ◽

And Performance

Objetivo: avaliar as atitudes dos enfermeiros da Estratégia Saúde da Família-ESF em relação ao álcool, ao alcoolismo e ao alcoolista e correlacionar as atitudes com as práticas, tempo de formação e atuação. Método: Estudo correlacional, observacional, corte transversal realizado nas ESF de oito municípios do Estado de Minas Gerais. Foram aplicados o questionário de avaliação das práticas e a Escala de Atitudes frente ao Álcool, ao Alcoolismo e ao Alcoolista-EAFAAA. Os dados foram analisados por meio da correlação de Spearman. Resultados: 50 enfermeiros participaram do estudo e apresentaram escore total da EAFAAA de 3,1 (DP = 0,4). As correlações entre a EAFAA e o questionário de práticas foram negativas e de fraca intensidade (-0,23;p=0,107) e com tempo de formação (-0,60;p=0,679) e atuação (0,01;p=0,966) foram de fraca intensidade. Conclusão: Os enfermeiros apresentaram tendências a atitudes negativas e não foram evidenciadas correlações entre a EAFAAA com as características dos enfermeiros.Descritores: Atitude; Atitude do pessoal de saúde; Alcoolismo; Atenção primária à saúde; Enfermagem.ALCOHOL, ALCOHOLISM AND ALCOHOLISM: ATTITUDES OF NURSES OF THE FAMILY HEALTH STRATEGYObjective: To assess the nurses’ attitudes from Family Health Strategy-FHS regarding alcohol, alcoholism, and alcoholics and correlate these attitudes with the nurses’ practices, time since graduation as a nurse and work at the FHS. Method: Correlational, observational and cross-sectional study performed at the FHS in eight cities in the state of Minas Gerais It was applied the practice assessment questionnaire and the Attitude Scale towards Alcohol, Alcoholism and Alcoholist-EAFAAA. Data were analyzed using Spearman correlation. Results: 50 nurses participated in the study and had a total EAFAAA score of 3.1 (SD = 0.4). The correlations between EAFAA and the practice questionnaire were negative and of low intensity (-0.23; p = 0.107) and with time of formation (-0.60; p = 0.679) and performance (0.01; p = 0.966) were of low intensity. Conclusion: Nurses showed tendencies towards negatives attitudes and no correlation was found between EAFAAA and nurses' characteristics.Descriptors: Attitude; Attitude of Health Personnel; Alcoholism; Primary Health Care; Nursing.ALCOHOL, ALCOHOLISMO Y ALCOHOLISMO: ACTITUDES DE LAS ENFERMERAS DE LA ESTRATEGIA DE SALUD DE LA FAMILIAObjetivo: Evaluar las actitudes de los enfermeros de la Estrategia de Salud de la Familia-ESF en relación con el alcohol, alcoholismo y alcoholista y correlacionar las actitudes con las prácticas de los enfermeros, el tiempo de formación y actuación en la ESF. Método: Estudio correlacional, observacional, transversal realizado en la EFS de ocho municipios del estado de Minas Gerais. Fue aplicado el cuestionario de evaluación de la práctica y la Escala de actitud hacia el alcoholismo, el alcoholismo y el alcoholismo-EAFAAA. Los datos se analizaron mediante la correlación de Spearman. Resultados: 50 enfermeros participaron en el estudio y tuvieron un puntaje EAFAAA total de 3.1 (DE = 0.4). Las correlaciones entre EAFAA y el cuestionario de práctica fueron negativas y de baja intensidad (-0.23; p = 0.107) y con tiempo de formación (-0.60; p = 0.679) y rendimiento (0.01; p = 0.966) fueron de baja intensidad. Conclusión: Los enfermeros presentaron tendencias a actitudes negativas y no se encontró correlación entre EAFAAA y las características de las enfermeras.Descriptores: Actitud; Actitud del Personal de Salud; Alcoholismo; Atención Primaria de Salud; Enfermería.

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BREASTFEEDING AND ACUTE DIARRHEA AMONG CHILDREN ENROLLED IN THE FAMILY HEALTH STRATEGY

Texto & Contexto - Enfermagem ◽

10.1590/0104-070720160000220015 ◽

2016 ◽

Vol 25 (1) ◽

Cited By ~ 5

Author(s):

Floriacy Stabnow Santos ◽

Leonardo Hunaldo dos Santos ◽

Paula Chuproski Saldan ◽

Felipe César Stabnow Santos ◽

Adriana Moraes Leite ◽

...

Keyword(s):

Acute Diarrhea ◽

Family Health ◽

Cross Sectional Study ◽

Northeastern Brazil ◽

Sectional Study ◽

Early Weaning ◽

Cross Sectional ◽

Health Strategy ◽

The Family ◽

Family Health Strategy

This study's objectives were to identify the prevalence of breastfeeding in children younger than 12 months of age enrolled in the Family Health Strategy and identify cases of reported acute diarrhea, associating them with breastfeeding categories and factors that interfere in the practice of breastfeeding. This descriptive and cross-sectional study, based on statistical analysis, was conducted with 854 children living in a municipality in Northeastern Brazil. The prevalence of exclusive breastfeeding among children under six months of age was 32%. Exclusively breastfed children under the age of six months were less likely to experience diarrhea compared to mixed-breastfeeding children. Children using pacifiers, bottles or consuming water were less likely to be breastfed, while those consuming porridge were more likely to experience diarrhea. Strategies to promote, protect and support breastfeeding require continuous improvement, especially in regard to factors leading to early weaning, in order to achieve better indicators and improve prevention of acute diarrhea and promote child health.

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Screening and Brief Intervention for the use of alcohol and other drugs

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2017-0444 ◽

2018 ◽

Vol 71 (suppl 5) ◽

pp. 2258-2263 ◽

Cited By ~ 2

Author(s):

Ângela Maria Mendes Abreu ◽

Rafael Tavares Jomar ◽

Gunnar Glauco de Cunto Taets ◽

Maria Helena do Nascimento Souza ◽

Daiane Belisário Fernandes

Keyword(s):

Brief Intervention ◽

Family Health ◽

Cross Sectional Study ◽

Screening And Brief Intervention ◽

Cross Sectional ◽

Health Strategy ◽

The Family ◽

Family Health Strategy ◽

Substance Involvement ◽

Alcohol And Other Drugs

ABSTRACT Objective: to identify the lifetime use of alcohol and other drugs among users of the Family Health Strategy and apply Brief Intervention to problems related to the use of these substances. Method: a descriptive cross-sectional study where 1,031 users of the Family Health Strategy of the city of Rio de Janeiro answered a form with socio-demographic information and the Alcohol, Smoking and Substance Involvement Screening Test. Statistical analysis with simple frequency distribution was performed. Results: the most commonly used drugs in lifetime were alcohol and tobacco; among the illegal drugs, marijuana, hypnotics and cocaine/crack stood out. Those who received most Brief Intervention were users of tobacco, hypnotics, marijuana, cocaine/crack and alcohol. Conclusion: it is important to detect early problems associated with the use of alcohol and other drugs in Primary Care, since it has the promotion/protection of health and the prevention of diseases as priority health practices.

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Relational technologies as instruments of care in the Family Health Strategy

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2016-0337 ◽

2017 ◽

Vol 70 (5) ◽

pp. 981-987 ◽

Cited By ~ 5

Author(s):

Tatiana Fernandes Kerches de Abreu ◽

Fernanda Amendola ◽

Monica Martins Trovo

Keyword(s):

Family Health ◽

Structured Interview ◽

Cross Sectional Study ◽

Cross Sectional ◽

Daily Work ◽

Health Strategy ◽

The Family ◽

Family Health Strategy ◽

Final Consideration ◽

Basic Health Units

ABSTRACT Objective: This article aims to identify the relational technologies used by Family Health Strategy nurses in their daily work when treating patients. Method: Descriptive and cross-sectional study with qualitative approach; conducted between May and July 2015, in three Basic Health Units of the Southern Region of the Municipality of São Paulo, with 19 nurses of the Family Health Strategy. Data were collected through a semi-structured interview, and the speeches were fully transcribed and analyzed according to the technique of content analysis. Results: From the speeches of the participants, three categories emerged, showing the unawareness of the concept, but the valorization of its use; which are the relational technologies used by the participating nurses (communication, listening, empathy and welcoming reception), as well as the report of barriers to the use of relational technologies. Final consideration: Although the nurses value the use of relational technologies, the participants denoted unawareness of the nomenclature and its associated concepts, suggesting superficiality in the understanding and use of these instruments in the context of care in the Family Health Strategy.

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Arterial hypertension in the elderly people in the field of health attention

Revista de Enfermagem UFPE on line ◽

10.5205/reuol.1194-10319-1-le.0502201104 ◽

2011 ◽

Vol 5 (2) ◽

pp. 174

Author(s):

Dyego Anderson Alves de Farias ◽

Priscilla Medeiros Neves ◽

Geraldo Eduardo Guedes de Brito

Keyword(s):

Arterial Hypertension ◽

Family Health ◽

The Elderly ◽

Cross Sectional Study ◽

Age Group ◽

Cross Sectional ◽

Primary Health ◽

Health Strategy ◽

The Family ◽

Family Health Strategy

ABSTRACTObjective: to draw the profile of the hypertensive elderly registered/accompanied in the field of basic health attention. Method: cross sectional study of descriptive characteristic, in which users who were 60 years old or more and who were in the Family Health Strategy program between 2000 and 2009 were analyzed through the HIPERDIA system of João Pessoa-PB city. Data referring to number of hypertensive patients registered in that period and association of hypertension with smoking, sedentary habits and overweigh, classified by sex and age group, were used. Results: files of 7,156 hypertensive elderly registered/accompanied by HIPERDIA by sex and age group were found, with prevalence of arterial hypertension of 8 % in the period of study. Among these users, 68,4% are female and the age group from 60 to 64 presented the greatest number of hypertensive when both sexes are added (23.6%). In relation to the presence of associated factors, 49% presented overweigh, 51% had sedentary habits and 15.9% smoked. Conclusion: the hypertensive elderly of João Pessoa showed characteristics which are similar to the other regions of the country. It is necessary to promote and implement public policies towards this population with emphasis on prevention and valorization of the services of Basic Attention. Descriptors: Aged; Hypertension; Primary health careRESUMOObjetivo: traçar o perfil dos idosos hipertensos cadastrados/acompanhados no âmbito da atenção básica de saúde. Método: estudo transversal de cunho descritivo, em que se analisaram por meio do sistema HIPERDIA da cidade de João Pessoa-PB os usuários 60 anos ou mais adscritos a Estratégia de Saúde da Família, entre os anos de 2000 a 2009. Utilizaram-se os dados já tabulados: número de hipertensos cadastrados no período e associação da hipertensão com tabagismo, sedentarismo e sobrepeso estratificados por sexo e faixa etária. Resultados: foram encontrados registros de 7156 idosos hipertensos cadastrados/ acompanhados pelo HIPERDIA por sexo e faixa etária, com prevalência de hipertensão arterial de 8% no período estudado. Destes usuários, 68,4% são do sexo feminino e a faixa etária de 60 a 64 anos apresentou o maior número de hipertensos somado ambos os sexos (23,6%). Quanto à presença de fatores associados, 49% apresentaram sobrepeso, 51% eram sedentários e 15,9% tabagistas. Conclusão: os hipertensos mostraram características semelhantes às demais regiões do país. Faz-se necessário incentivar e implementar políticas públicas voltadas a essa população, enfatizando a prevenção e valorizando os serviços de Atenção Básica. Descritores: Idoso; Hipertensão; Atenção básica; RESUMENObjetivo: trazar el perfil de los ancianos hipertensos registrados/acompañados en el ámbito de la atención básica de salud. Método: estudio transversal de cuño descriptivo, en el que fueron analizados por medio del sistema HIPERDIA de la ciudad de João Pessoa – PB los usuarios de 60 o más años inscritos en la Estrategia de Salud de la familia, entre el año 2000 y el 2009. Fueron utilizados los datos ya procesados: número de hipertensos registrados en el periodo y asociación de la hipertensión con tabaquismo, sedentarismo y obesidad estratificados por sexo y faja etaria. Resultados: fueron encontrados registros de 7156 ancianos hipertensos registrados/acompañados por el HIPERDIA por sexo y faja etaria, con prevalencia de hipertensión arterial de 8% en el periodo estudiado. De estos usuarios el 68,4% son del sexo femenino y los de la faja etaria entre 60 y 64 años presentaron un número mayor de hipertensos de ambos sexos (23,6%). En relación a la presencia de factores asociados el 49% presentaron obesidad, el 51% eran sedentarios y el 15,9% fumadores. Conclusión: los hipertensos mostraron características semejantes a las demás regiones del país. Se hace necesario incentivar e implementar políticas públicas orientadas a dicha población, enfatizando la prevención y dando más valor a los servicios de Atención Básica. Descriptores: Anciano; Hipertensión; Atención primaria de salud.

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Insulin self-administration technique with disposable syringe among patients with diabetes mellitus followed by the family health strategy

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692009000400007 ◽

2009 ◽

Vol 17 (4) ◽

pp. 474-480 ◽

Cited By ~ 12

Author(s):

Thaís Santos Guerra Stacciarini ◽

Ana Emilia Pace ◽

Vanderlei José Haas

Keyword(s):

American Diabetes Association ◽

Family Health ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

Self Administration ◽

Cross Sectional ◽

Health Strategy ◽

The Family ◽

Patients With Diabetes ◽

Family Health Strategy

This cross-sectional study aimed to describe the most common correct and incorrect self-administration techniques for insulin using disposable syringes by patients cared for by the Family Health Strategy (FHS), relate the findings to sociodemographic variables and also identify the professional responsible for teaching this technique. A total of 169 patients were selected by simple random sampling in 37 FHS units in a city in the state of Minas Gerais, Brazil from August to October 2006. The results identified errors in all the steps recommended by the American Diabetes Association and Brazilian Diabetes Association for the safe administration of insulin, from hand washing to compression on the injection site. The FHS favors the development of interventions focused on the needs of the clientele registered at the unit, stimulating self-care. Results from this study can contribute to the planning of these interventions.

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Conicity index in people with hypertension followed in the Brazil’s Family Health Strategy

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2019-0484 ◽

2020 ◽

Vol 73 (5) ◽

Author(s):

Natália Carolina de Sousa ◽

Francielle Renata Danielli Martins Marques ◽

Graziele Adrieli Rodrigues Pires ◽

Marcia Glaciela da Cruz Scardoelli ◽

Anderson da Silva Rêgo ◽

...

Keyword(s):

Blood Pressure ◽

Blood Pressure Control ◽

Family Health ◽

Pressure Control ◽

Cross Sectional Study ◽

Anthropometric Parameters ◽

Cross Sectional ◽

Health Strategy ◽

Family Health Strategy ◽

Conicity Index

ABSTRACT Objectives: to analyze the conicity index in people with hypertension followed in the Brazil’s Family Health Strategy. Methods: cross-sectional study conducted in a medium-sized municipality located in the state of Paraná. Data collection took place in the first semester of 2016. using an adapted and validated instrument. which addresses attributes of Primary Health Care. Sociodemographic and anthropometric variables and blood pressure were used in the study. The analysis of variance and linear regression was used to analyze the variables. Results: a total of 417 people participated in the study. most were women. elderly. married. with less than eight years of education and retired. Conicity index was prevalent in most of the study population. being significantly associated with the group of people with inadequate blood pressure control and high anthropometric parameters. Conclusions: most of the study participants had altered conicity index. especially those with inadequate blood pressure control.

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