scholarly journals Oral health and the care of pregnant women: workshops as a strategy to problematize practices in basic health care in residents living in the peripheral areas of the hills in the city of Santos

2018 ◽  
Vol 66 (4) ◽  
pp. 305-316 ◽  
Author(s):  
Ricardo Antonio NUNES NETO ◽  
Maria Fernanda Petroli FRUTUOSO
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Dental Treatment ◽  
Primary Health ◽  
Educational Groups ◽  
Peripheral Areas ◽  
The City

ABSTRACT Objective: the aim of this study is to question Primary Health Care (PHC) concerning oral health during prenatal care in facilities of primary health care in the residents living in the hills peripheral areas of the city of Santos, São Paulo. Methods: Using a qualitative approach, workshops on PHC concerning oral health were held in three primary care units which present different forms of organization. The transcribed material was analyzed using thematic analysis. Results: the teams have been trying to organize dental agendas giving priority to pregnant women, however difficulties in monitoring attendance commitment have been found. Therefore the use of protocols and the approach to oral health theme during the educational groups have been used as strategies for improving treatment commitment. Regardless of the organization of the PHC unit, the teams have claimed the search for pregnant women care merely in acute painful situations as well as the fear of harming the fetus caused by dental treatment as the main cause of treatment dropout. Some professionals had doubts about the use of local anesthetics in pregnant women. Conclusions: The valorization of oral health care during prenatal care was not unanimous among the professionals and the use of the permanent education strategy applied in the services led the teams to carefully question their practice as well as search for practice integrality.

scholarly journals Comprehensiveness and programmatic vulnerability to stds/hiv/aids in primary care

2014 ◽  
Vol 48 (spe) ◽  
pp. 145-151 ◽  
Author(s):  
Luciane Ferreira do Val ◽  
Lucia Yasuko Izumi Nichiata
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Prenatal Care ◽  
Online Survey ◽  
Health Centers ◽  
Multidisciplinary Teams ◽  
Primary Health ◽  
The City ◽  
Hiv Aids




This study aimed to identify programmatic vulnerability to STDs/HIV/AIDS in primary health centers (PHCs). This is a descrip - tive and quantitative study carried out in the city of São Paulo. An online survey was applied (FormSUS platform), involving administrators from 442 PHCs in the city, with responses received from 328 of them (74.2%), of which 53.6% were nurses. At - tention was raised in relation to program - matic vulnerability in the PHCs regarding certain items of infrastructure, prevention, treatment, prenatal care and integration among services on STDs/HIV/AIDS care. It was concluded that in order to reach comprehensiveness of actions for HIV/ AIDS in primary health care, it is necessary to consider programmatic vulnerability, in addition to more investment and reor - ganization of services in a dialogue with the stakeholders (users, multidisciplinary teams, and managers, among others).




scholarly journals Gestação e Saúde Bucal: Importância do pré-natal odontológico

2021 ◽  
Vol 10 (1) ◽  
pp. e56810112234
Author(s):  
Kelly Alves Guimarães ◽  
Gabriela Andrade Sousa ◽  
Marcelo Dias Moreira de Assis Costa ◽  
Cláudia Maria de Oliveira Andrade ◽  
Lia Dietrich
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
Pregnant Women ◽  
Primary Health

O presente trabalho tem como objetivo apresentar os problemas odontológicos comuns durante a gravidez, bem como o manejo odontológico nesse período. Este estudo consiste de uma revisão bibliográfica qualitativa, tendo como fonte de dados escolhidos para pesquisa as bases Scielo, BVS, e Pubmed. Apresentando uma proposta seletiva para eleição dos estudos escolhidos para este trabalho, onde os critérios de seleção foram: pesquisa de artigos de 2010 a 2020, língua portuguesa, inglesa, e espanhola, que abordam descritores como e/ou relacionados a: gestantes, saúde bucal, cuidado pré-natal, oral health, pregnancy, pregnant women, primary health care, el embarazo, atención odontológica. O pré-natal odontológico deve ser iniciado assim que descoberto a gravidez, contudo, o ideal seria a ocorrência de um planejamento prévio à gestação, para que ocorresse a adequação e promoção da saúde bucal, visto que, resultados adversos são observados em gestações que a mãe se encontra em péssimas condições bucais, onde, a prevenção/tratamento de problemas bucais antes do início gestacional seria sinônimo de uma gestação ainda mais saudável, tanto para a mãe como para o filho. O cirurgião-dentista observaria todo o estado de saúde bucal da gestante, o que possibilita o impedimento de agravos de problemas bucais instalados, e a prevenção de novas alterações.

PERFIL DE GESTANTES COMFIRMADAS PARA ZIKA VÍRUS E ASSISTÊNCIA PRÉ-NATAL NA ATENÇÃO PRIMÁRIA À SAÚDE DE PALMAS, TOCANTINS, 2016

2018 ◽  
Vol 5 (3) ◽  
pp. 12-17
Author(s):  
Juliana da Silva Vanderlei ◽  
Eliane Patricia Lino Pereira Franchi ◽  
Nábia Souza Gomes ◽  
Alice Kelly Reis de Oliveira ◽  
Lorena dias Monteiro
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Virus Infection ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Zika Virus ◽  
Tertiary Care ◽  
Primary Health ◽  
Zika Virus Infection ◽  
Reference Hospital

RESUMO Objetivo: descrever a assistência pré-natal e perfil das gestantes confirmadas para zika vírus na atenção primária à saúde de Palmas, Tocantins no ano de 2016. Métodos: Trata-se de um estudo descritivo, com dados obtidos do SINAN, SISPRENATAL e SINASC. Foram confirmadas 63 gestantes com a infecção por Zika vírus por exame laboratorial. Resultados: A média de idade das gestantes foi de 26 anos. Os casos confirmados foram notificados predominantemente nas unidades de pronto atendimento (41,27%) e no hospital materno de referência (47,62%). Houve predomínio de gestantes pardas (61,90%), sem ensino médio completo (73,02%), em união estável (47,62%) e jovens (58,73%), que foram atendidas em quase totalidade nos serviços públicos de atenção secundária e terciária. Conclusão: Os resultados deste estudo mostraram a necessidade de melhoria para a assistência pré-natal às gestantes positivas na atenção primária e trouxe evidências do caráter da vulnerabilidade social da infecção pelo Zika vírus na capital do Tocantins.   Palavras-chave: Cuidado Pré-Natal; Epidemiologia; Zika vírus; Atenção Primária à Saúde. ABSTRACT Objective: describe the prenatal care and profile of confirmed pregnant women for zika virus in the primary health care of Palmas city, Tocantins, in the year 2016. Methods: This is a descriptive study, with data obtained from SINAN, SISPRENATAL and SINASC. Sixty-three pregnant women with Zika virus infection were confirmed by laboratory examination. Results: The mean age of pregnant women was 26 years. The confirmed cases were predominantly reported in the emergency care units (41.27%) and in the maternal reference hospital (47.62%). There was a predominance of brown pregnant women (61.90%), without complete secondary education (73.02%), in a stable union (47.62%) and young women (58.73%), who were attended almost entirely in public services of secondary and tertiary care. Conclusion: The results of this study showed the need for improvement for prenatal care to positive pregnant women in primary care and brought evidence of the social vulnerability of the Zika virus infection in the capital of Tocantins. Keywords: Prenatal care; Epidemiology; Zika virus; Primary Health Care.

scholarly journals Características do pré-natal na perspectiva de mulheres atendidas em unidades de atenção primária à saúde

2018 ◽  
Vol 12 (2) ◽  
pp. 337
Author(s):  
Leidiene Ferreira Santos ◽  
Sayonara Serafim de Brito ◽  
Cintia Flôres Mutti ◽  
Nayane De Sousa Silva Santos ◽  
Danielle Rosa Evangelista ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Maternity Hospital ◽  
Structured Interviews ◽  
Primary Health ◽  
Analysis Technique ◽  
Minimum Number ◽  
Las Mujeres

RESUMOObjetivo: descrever as características da assistência pré-natal na perspectiva das usuárias do serviço em Unidades de Atenção Primária à Saúde. Método: estudo qualitativo, descritivo, exploratório, em que participaram 17 mulheres internadas em uma maternidade pública. A produção de dados aconteceu por meio de entrevistas do tipo semiestruturada e os depoimentos foram submetidos à técnica de Análise de Conteúdo. Resultados: a análise dos depoimentos resultou na proposição das categorias “Assistência inadequada às gestantes atendidas nas Unidades de Atenção Primária à saúde” e “Construção de vínculo entre equipe de saúde e gestantes atendidas nas Unidades de Atenção Primária à Saúde”. Conclusão: apesar de, no Brasil, existirem inúmeras políticas públicas que garantam à gestante o mínimo de consultas e atendimento humanizado, as mulheres percebem que, na prática, isso nem sempre acontece. Há falhas na oferta e implementação de serviços às gestantes. Descritores: Assistência à Saúde; Atenção Primária à Saúde; Cuidado Pré-Natal; Gestante.ABSTRACTObjective: to describe the characteristics of prenatal care from the perspective of the users of the service in Primary Health Care Units. Method: a qualitative, descriptive, exploratory study involving 17 women hospitalized in a public maternity hospital. The data production took place through semi-structured interviews, and the statements were submitted to the Content Analysis technique. Results: the analysis of the testimonies resulted in the proposition of the categories "Inadequate care for pregnant women attended to Primary Health Care Units" and "Construction of a link between the health team and pregnant women attending the Primary Health Care Units". Conclusion: although, there are many public policies in Brazil that guarantee the minimum number of consultations and humanized care, women realize that, this is not always the case in practice. There are flaws in the provision and implementation of services to pregnant women. Descriptors: Delivery of Health Care; Primary Health Care; Prenatal Care; Pregnant Women.RESUMENObjetivo: describir las características de la asistencia prenatal en la perspectiva de las usuarias del servicio en Unidades de Atención Primaria a la Salud. Método: estudio cualitativo, descriptivo, exploratorio, en el que participaron 17 mujeres internadas en una maternidad pública. La producción de datos se produjo por medio de entrevistas del tipo semiestructurada, y los testimonios fueron sometidos a la técnica de Análisis de Contenido. Resultados: el análisis de los testimonios resultó en la proposición de las categorías "Asistencia inadecuada a las gestantes atendidas en las Unidades de Atención Primaria a la salud" y "Construcción de vínculo entre equipo de salud y gestantes atendidas en las Unidades de Atención Primaria a la Salud". Conclusión: a pesar de, que en Brasil, existan innumerables políticas públicas que garanticen a la gestante el mínimo de consultas y atención humanizada, las mujeres perciben que, en la práctica, eso ni siempre sucede. Hay fallas en la oferta e implementación de servicios a las gestantes. Descriptores: Prestación de Atención de Salud; Atención Primaria de Salud; Atención Prenatal; Mujeres Embarazadas.

scholarly journals Attitudes of Pregnant Women Towards Antenatal Care Services Provided in Primary Health Care Facilities of Mbombela Municipality, Mpumalanga Province, South Africa

2020 ◽  
Vol 13 (1) ◽  
pp. 569-575
Author(s):  
Lucia Drigo ◽  
Masane Luvhengo ◽  
Rachel T. Lebese ◽  
Lufuno Makhado
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Healthcare Providers ◽  
Health Care Facilities ◽  
Care Services ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

Background: Pregnant woman’s personal experience of antenatal care services can either be positive or negative; however, knowledge and experience appear to be of paramount importance in shaping their attitudes towards any healthcare-related services. This implies that women's experience of antenatal care services may affect their decision for seeking antenatal care in their present pregnancy, which can lead them to delay seeking care. Purpose: This study sought to explore the attitudes of pregnant women towards antenatal care services provided in primary health care facilities of Mbombela Municipality, Mpumalanga Province, South Africa. Methods: A qualitative exploratory descriptive study design was used for this study. Purposive sampling technique was used to sample pregnant women who fail to attend antenatal services as expected. Data were collected through face to face unstructured in-depth interview. A total of eighteen pregnant women participated in the study until data saturation. Data were analysed using Tech’s method of analysis. Results: Results revealed the following theme and sub-themes: Attitudes of pregnant women related to individual perceptions, perceived barriers to utilizing antenatal care services,’ attitudes of healthcare providers, long waiting times in healthcare facilities, lack privacy and confidentiality in healthcare facilities and attitudes of pregnant women related to attendance of antenatal services. Conclusion: Attitudes of pregnant women about antenatal care are shaped by their knowledge and previous encounters with the health care services that they had previously received. It is therefore important to provide women-friendly services. It is recommended that health education regarding the importance of antenatal care services must be given to all women daily in the waiting areas of each primary health care facilities, thus, the healthcare providers should promote the active participation of pregnant women during the health education sessions and provide opportunities to ask questions.

scholarly journals Fragilidades e fortalezas da assistência à saúde do homem na atenção primária à saúde

2020 ◽  
Vol 10 (32) ◽  
pp. 53-61
Author(s):  
Angélica Cristina Silveira Marques ◽  
Adriani Izabel de Souza Moraes ◽  
Sílvia Carla da Silva André Uehara
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Men’S Health ◽  
Men's Health ◽  
Health It ◽  
Access To Health Services ◽  
Primary Health ◽  
Access To Health ◽  
Care Health ◽  
The City

O processo de adoecimento dos homens vem sendo determinado pelo seu comportamento na sociedade e como expressam suas crenças de masculinidade. O objetivo deste trabalho foi identificar as ações realizadas pelos enfermeiros da Atenção Primária à Saúde (APS) direcionadas à promoção da saúde do homem. Trata-se de uma pesquisa descritiva, exploratória e de abordagem quantitativa. A pesquisa foi realizada com 29 enfermeiros de serviços da APS do município de São Carlos-SP. Os dados foram coletados por meio de uma entrevista, utilizando um instrumento validado. Os dados foram analisados por meio da estatística descritiva. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa. Os resultados mostram que 65,5% (19) dos enfermeiros referiram não ter recebido capacitação sobre a saúde do homem. Quanto aos fatores facilitadores do acesso dos homens nos serviços de saúde, destacam-se que 19% (11) das respostas incluíram o vínculo estabelecido entre os profissionais e usuários; e, como agentes dificultadores, em 35,1% (19) das respostas foi ressaltada a cultura do homem. Para uma maior efetividade da assistência à saúde do homem, torna-se necessário a sensibilização de profissionais e gestores de saúde na busca de estratégias para facilitar o acesso da população masculina aos serviços de saúde.Descritores: Saúde do Homem, Atenção Primária à Saúde, Enfermagem. Fragilities and strengths of man's health care in primary health careAbstract: The illness process of men has been determined by their behavior in society and how they express their beliefs about masculinity. The objective of this study was to identify the actions performed by nurses of Primary Health Care (PHC) directed to the promotion of men's health. It is descriptive, exploratory, and quantitative approach research. The research was conducted with 29 nurses from the PHC services of the city of São Carlos-SP. Data were collected through an interview using an instrument validated. Data were analyzed using descriptive statistics. Still, data collection began after approval by the Research Ethics Committee. The results show that 65.5% (19) of the nurses reported not having received training on men's health. Regarding factors that facilitate men's access to health services, it is noteworthy that 19% (11) of the answers included the bond established between professionals and users; and, as hindering agents, 35.1% (19) of the answers highlighted men's culture. Thus, for greater effectiveness of men's health care, health professionals and managers need to be sensitized in the search for strategies to facilitate the male population's access to health services.Descriptors: Men's Health, Primary Health Care, Nursing. Fragilidades y fortalezas de la atención médica del hombre en la atención primaria de saludResumen: El proceso de enfermedad de los hombres ha sido determinado por su comportamiento en la sociedad y cómo expresan sus creencias sobre la masculinidad. El objetivo de este estudio fue identificar las acciones realizadas por las enfermeras de Atención Primaria de Salud (APS) dirigidas a la promoción de la salud de los hombres. Es una investigación de enfoque descriptivo, exploratorio y cuantitativo. La investigación se realizó con 29 enfermeras de los servicios de APS de la ciudad de São Carlos-SP. Los datos fueron recolectados a través de una entrevista utilizando un instrumento validado. Los datos se analizaron mediante estadística descriptiva. Aún así, la recopilación de datos comenzó después de la aprobación del Comité de Ética en Investigación. Los resultados muestran que el 65.5% (19) de las enfermeras informaron no haber recibido capacitación sobre la salud de los hombres. En cuanto a los factores que facilitan el acceso de los hombres a los servicios de salud, cabe destacar que el 19% (11) de las respuestas incluyeron el vínculo establecido entre profesionales y usuarios; y, como agentes obstaculizadores, el 35,1% (19) de las respuestas destacaron la cultura de los hombres. Por lo tanto, para una mayor efectividad de la atención médica de los hombres, los profesionales de la salud y los gerentes deben ser sensibilizados en la búsqueda de estrategias para facilitar El acceso de la población masculina a los servicios de salud.Descriptores: Salud del Hombre, Atención Primaria de Salud, Nursing.

scholarly journals Evaluation of Access on the perspective of adult users of Primary Health Care in Fortaleza, Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Borges Costa ◽  
C Salles Gazeta Vieira Fernandes ◽  
T Custódio Mota ◽  
E Torquato Santos ◽  
M Moura de Almeida ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health System ◽  
Assessment Tool ◽  
Health Coverage ◽  
Access To Health Services ◽  
Primary Health ◽  
Care Assessment ◽  
The City

Abstract The Alma-Ata Conference promoted Primary Health Care (PHC) worldwide as a form of universal and continuous access to quality and effective health services. In Brazil, PHC, through the Family Health Strategy (FHS), aims to be the gateway to the health system and its structuring axis. For this, it is necessary to promote access, an essential condition for the quality of health care services, following the attributes systematized by Barbara Starfield. The aim of this study was to evaluate the presence of the attribute “First Contact Access” on the perspective of adult users of public PHC services in the city of Fortaleza, Ceará, Brazil. A transversal study was carried out, in 19 PHC Units, from June to December 2019, using the Primary Care Assessment Tool (PCATool) Brazil version for adult users. Kruskal-Wallis test was used for statistical analysis. 233 users participated, mostly women (69.5%), aged 30 to 59 years old (55.3%), mixed-race (69.5%), with complete high school (38.2%), without private health coverage (89.3%), homeowners (68.7%) and belonging to families of up to 4 members (87.9%). The “Accessibility” component had the lowest score, 2.83, and the “Utilization” had the highest score, 8.06. Older age was associated with higher “Accessibility” scores (p = 0,018), while lower values of “Utilization” were associated with higher education (p = 0,004). The main problems observed were: low access for acute demand consultations, lack of access at nighttime and weekends, little access through non-personal ways, bureaucratic barriers and a long time for scheduling appointments. We conclude that, although there was an improvement in PHC coverage in the city over the years, mainly due to FHS, there is still a lot to improve to ensure timely access to health services. Key messages Users consider PHC as the usual source of care, demonstrated by the high score of 'Utilization', however, they are unable to use it when necessary, demonstrated by the low score of 'Accessibility'. Expanding forms of access is essential to contribute to the strengthening of PHC in Fortaleza, Brazil, facilitating the entry to its national Universal Health System.

scholarly journals Profile of Oral Health and susceptibility to Oral Candidiasis in Patients of Primary Health Care

10.3823/1751 ◽  
2015 ◽  
Author(s):  
Anne Milane Formiga Bezerra ◽  
Maria do Carmo Andrade Duarte de Farias ◽  
Rosilene Agra da Silva ◽  
Patrício Borges Maracajá ◽  
Alfredina dos Santos Araújo ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
Oral Candidiasis ◽  
Primary Health
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