scholarly journals Health promotion actions in the School Health Program in Ceará: nursing contributions

2021 ◽  
Vol 74 (1) ◽  
Author(s):  
Adna de Araújo Silva ◽  
Fabiane do Amaral Gubert ◽  
Valter Cordeiro Barbosa Filho ◽  
Roberto Wagner Júnior Freire de Freitas ◽  
Anya Pimentel Gomes Fernandes Vieira-Meyer ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Promotion ◽  
Clinical Assessment ◽  
School Health ◽  
Health Program ◽  
Family Health ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
External Assessment ◽  
School Health Program

ABSTRACT Objectives: to compare health promotion actions carried out by Family Health teams in Ceará, linked to the School Health Program. Methods: a cross-sectional study involving the first and second cycles of an external assessment of 910 and 1,626 teams from 184 municipalities, which joined the Brazilian National Program for Improvement of Access and Quality of Primary Care. Eight clinical assessment and seven health promotion indicators were assessed, together with health professionals working in schools. Results: the interviewees were nurses (95.6% and 98.3%). Between the cycles, there was an increase in clinical assessment (78.7% and 91.3%), health promotion and disease prevention (82.5% and 89.3%) and survey of students for follow-up (41.4% and 66.4%) in schools. Conclusions: health actions at school advanced between cycles, with nurses as protagonists in school health, which can reduce vulnerabilities in children and adolescents and qualify Primary Care.

scholarly journals Experience and professional training in the School Health Program

2018 ◽  
Vol 52 (0) ◽  
Author(s):  
Eliabe Rodrigues de Medeiros ◽  
Erika Simone Galvão Pinto
Keyword(s):  
Professional Training ◽  
School Health ◽  
Health Program ◽  
Family Health ◽  
Statistical Association ◽  
Normative Study ◽  
School Health Program ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ABSTRACT Objective: To analyze the association between experience and professional training in the School Health Program. Method: Descriptive, inferential, quantitative and normative study. The data were collected from May to July 2017 through a questionnaire based in the School Health Program, with the participation of professionals from the Family Health Strategy. Results: 105 professionals participated in the study. The average time working in the Family Health Strategy and in the School Health Program is 12.1 and 7.2 years, respectively. 94.3% of the professionals feel qualified to perform the activities of the School Health Program, although only 30.5% have participated in training. There is statistical association between experience and professional training. Conclusion: The professionals who conduct activities in the School Health Program undergo few training processes, but feel qualified to carry out the activities proposed.

scholarly journals Construction and Validation of an Instrument to Evaluate Knowledge on Healthy Eating in Schoolchildren

Aquichan ◽  
2019 ◽  
Vol 19 (2) ◽  
Author(s):  
Celia Maria Ribeiro de Vasconcelos ◽  
Eliane Maria Ribeiro de Vasconcelos ◽  
Maria Gorete Lucena de Vasconcelos ◽  
Viviane Cristina Fonseca Jardim ◽  
Maria Cristina Falcão Raposo ◽  
...  
Keyword(s):  
Content Validity ◽  
School Health ◽  
Health Program ◽  
Family Health ◽  
P Value ◽  
Validity Index ◽  
Significance Level ◽  
Content Validity Index ◽  
Family Health Program ◽  
School Health Program

Objective: To validate the content and appearance of an instrument to evaluate knowledge on healthy feeding. Materials and Methods: Methodological study of validation of content, appeareance with 22 judges, and semantic validation with 12 schoolchildren from 4th and 5th grades in primary school education, ranging in age between nine and ten years. The Scale-Level Content Validity Index (S-CVI) ≥ 0.90 and the Item-Level Content Validity Index (I-CVI) ≥ 0.80 were considered approved in the validation. The Binomial test was used through the p value of the proportion (rejecting the H0 if p ≤ 0.80) to select items that should be revised or modified (items validated at significance level ≤ 0.05). Results: The instrument was validated with S-CVI = 0.93 and I-CVI ≥ 0.80 in the 12 items evaluated, with the mean proportion of “non-discordance” among judges = 0.93. The instrument with the suggested modifications was submitted to the target audience and completely approved by all the participating students. Conclusion: This instrument can be used during the health education activities of the School Health Program and the Family Health Program to promote healthy feeding with children between nine and ten years of age.

scholarly journals Assessment of access to first contact in the perspective of professionals

2020 ◽  
Vol 73 (3) ◽  
Author(s):  
Glaucia Margarida Bezerra Bispo ◽  
Eduarda Maria Duarte Rodrigues ◽  
Amanda Cordeiro de Oliveira Carvalho ◽  
Kenya Waleria de Siqueira Coêlho Lisboa ◽  
Roberto Wagner Júnior Freire Freitas ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Professionals ◽  
Assessment Tool ◽  
Family Health ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Unified Health System ◽  
Basic Care ◽  
Care Assessment ◽  
First Contact

ABSTRACT Objectives: to evaluate the “access to first contact” attribute, from the perspective of Primary Care Health professionals. Methods: an evaluative and cross-sectional study, carried out from February to March 2017. The sample consisted of 163 health professionals, of both genders, who worked in the basic care of the Municipality of Juazeiro do Norte, Ceará. Access to first contact was evaluated by the Primary Care Assessment Tool (PCATool). The 6.60 mark was used as the cut-off point for the evaluated attribute. Results: access to first contact reached a score of 3.3, denoting a low degree of orientation for Primary Health Care. Nurses were the ones who evaluated the attribute more negatively (p=3.2). Conclusions: access to first contact obtained a low score, pointing to the fragility of the Family Health Strategy as a gateway to the Brazilian Unified Health System (Sistema Único de Saúde).

scholarly journals Challenges, Barriers, and Good Practices in the Implementation of Rashtriya Bal Swasthya Karyakram in Jodhpur, India

2021 ◽  
Author(s):  
Niraj Kumar ◽  
Nitin Kumar Joshi ◽  
Yogesh Kumar Jain ◽  
Kuldeep Singh ◽  
Pankaj Bhardwaj ◽  
...  
Keyword(s):  
School Health ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Good Practices ◽  
Daily Work ◽  
Community Stakeholders ◽  
School Health Program ◽  
Rapport Building ◽  
The Government ◽  
Harsh Climate

Abstract Introduction The Rashtriya Bal Swasthya Karyakram of the Government of India subsumes the existing school health program to provide care and treatment to children below 18 years through screening and early interventions. Benefitting an estimated 270 million children for 30 preidentified conditions is a step toward “health for all.” Although the program is running since 2013, due to paucity of studies particularly in Thar desert region and its associated challenges, this study was planned to assess challenges and good practices in the implementation of RBSK in Jodhpur. Objectives To assess the challenges, barriers, and good practices in the implementation of RBSK among the mobile health team (MHT) in Jodhpur, Rajasthan. Methods A community based descriptive cross-sectional study in all 11 medical blocks of Jodhpur district, with purposive sampling to invite all members of MHT to participate in the study as grassroot workers was planned. A pretested, semistructured questionnaire was processed using SPSS for quantitative component and in-depth interviews were reported using qualifiers for qualitative observations. Results As much as 74.1% (n = 40) of the staff perceived the trainings to be sufficient for daily work needs but needed more sessions for birth defects (33.3%) and development delays (29.6%). As much as 96.3% (n = 52) of the staff considered salaries to be low and 55.5% were dissatisfied with the jobs. However, 70.4% found targets to be achievable and 76% found the work environment helpful. Taboos and superstitions in community, harsh climate, dual workload on pharmacists as data operators, and noninclusion of AYUSH medicines for AYUSH medical officers (MOs) were few of the challenges, while good practices such as fully equipped MHTs, readily available vehicles, information education communication (IEC) materials, and treatment coverage under Bhamashah Bima Yojana (BSBY) were also observed. Conclusion Many good practices were observed during the study which can be adopted by other states for better implementations elsewhere. Certain challenges such as belief in quackery, superstitions and taboos could be minimized by conducting rapport-building meetings with community stakeholders. Feedback and regular trainings of MHT staff can further increase the success manifold.

scholarly journals Spending with unnecessary complementary tests for hypertension and diabetes in health services

2014 ◽  
Vol 35 (4) ◽  
pp. 86-93 ◽  
Author(s):  
Thiago Roberto Castellane Arena ◽  
Marli de Carvalho Jericó ◽  
Liliana Cristina de Castro ◽  
Valéria Castilho ◽  
Antonio Fernandes Costa Lima
Keyword(s):  
Health Center ◽  
Medical Records ◽  
School Health ◽  
Family Health ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Southeastern Brazil ◽  
Cross Sectional ◽  
The Family ◽  
Different Levels

The aims of this study were to analyze unnecessary laboratory exams for patients with hypertension and diabetes and to check the expenditures involved. This is an exploratory-descriptive, cross-sectional study with a quantitative approach. We used data from medical records of 293 patients registered in primary units - the Family Health Center (NSF3); secondary: School Health Center (CSE); and tertiary: Hospital das Clínicas (HC) from 2006 to 2009 in a city in Southeastern Brazil. We identified a total of 9,522 laboratory tests, of which 5.97% were unnecessary. Of these, about 58% were requested by NSF3 and 42% by CSE. Results suggest there is a lack of integration among different levels of health care, which result in misallocation of resources and unnecessary spending.

scholarly journals Diagnostic and laboratory test ordering in Northern Portuguese Primary Health Care: a cross-sectional study

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e018509 ◽  
Author(s):  
Luísa Sá ◽  
Andreia Sofia Costa Teixeira ◽  
Fernando Tavares ◽  
Cristina Costa-Santos ◽  
Luciana Couto ◽  
...  
Keyword(s):  
Primary Care ◽  
Laboratory Tests ◽  
Family Health ◽  
Family Physicians ◽  
Cross Sectional Study ◽  
Health Administration ◽  
Regional Health ◽  
Cross Sectional ◽  
Primary Health ◽  
Test Ordering

ObjectivesTo characterise the test ordering pattern in Northern Portugal and to investigate the influence of context-related factors, analysing the test ordered at the level of geographical groups of family physicians and at the level of different healthcare organisations.DesignCross-sectional study.SettingNorthern Primary Health Care, Portugal.ParticipantsRecords about diagnostic and laboratory tests ordered from 2035 family physicians working at the Northern Regional Health Administration, who served approximately 3.5 million Portuguese patients, in 2014.OutcomesTo determine the 20 most ordered diagnostic and laboratory tests in the Northern Regional Health Administration; to identify the presence and extent of variations in the 20 most ordered diagnostic and laboratory tests between the Groups of Primary Care Centres and between health units; and to study factors that may explain these variations.ResultsThe 20 most ordered diagnostic and laboratory tests almost entirely comprise laboratory tests and account for 70.9% of the total tests requested. We can trace a major pattern of test ordering for haemogram, glucose, lipid profile, creatinine and urinalysis. There was a significant difference (P<0.001) in test orders for all tests between Groups of Primary Care Centres and for all tests, except glycated haemoglobin (P=0.06), between health units. Generally, the Personalised Healthcare Units ordered more than Family Health Units.ConclusionsThe results from this study show that the most commonly ordered tests in Portugal are laboratory tests, that there is a tendency for overtesting and that there is a large variability in diagnostic and laboratory test ordering in different geographical and organisational Portuguese primary care practices, suggesting that there may be considerable potential for the rationalisation of test ordering. The existence of Family Health Units seems to be a strong determinant in decreasing test ordering by Portuguese family physicians. Approaches to ensuring more rational testing are needed.

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