ASSOCIAÇÃO ENTRE INSEGURANÇA ALIMENTAR E CONSUMO ALIMENTAR DE IDOSOS ASSISTIDOS POR UMA ESTRATÉGIA DE SAÚDE DA FAMÍLIA DO INTERIOR PAULISTA

The aim was to verify the association between food insecurity (FI) and food consumption of elderly people assisted by a Family Health Strategy (FHE). Sixteen elderly people, of both sexes, with a mean age of 69.13 years and BMI of 29.23 kg/m2 were evaluated. The Brazilian Food Insecurity Scale, food frequency questionnaire and 24-hour food recall were used. Weight and height were taken from the patients' records. It was observed that 37.5% of the elderly were in mild AI, 31.25% in moderate AI, 18.75% in severe AI and only 12.5% in food security. Individuals do not consume skimmed milk and have frequent intake of eggs, sausages, margarine, refined cereals, industrialized beverages, sweets and candies. And little or no use of olive oil and whole grains. No significant association between AI and food consumption. It is concluded that there was no association between food insecurity and food consumption in elderly people assisted by an ESF.

Nurses’ perceptions of counseling and rapid testing for sexually transmitted infections

Objective: to understand Family Health Strategy nurses’ perceptions on counseling and rapid testing for sexually transmitted infections. Methods: this is a qualitative study, with data triangulation. Data collection was conducted through a semi-structured interview with seven nurses from Family Health Strategy. For systematization and data processing, content analysis was adopted in the thematic modality. Results: after analysis, four categories emerged: Rapid test training; Counseling conduction; Ease in rapid testing offer; and Challenges offering rapid testing. Conclusion: nurses’ perceptions were related to difficulties in the face of pre and posttest counseling, requiring improvement, permanent education and training for professional preparation, and the logistics of inputs and materials, in addition to changes in the physical structure of the units.

Nutritional deviations in children: comparative analysis of data from the food and nutrition surveillance system and those obtained by anthropometrists

ABSTRACT Objective: To compare the prevalence rates of nutritional deviations in children under five years of age according to data from the Food and Nutrition Surveillance System (Sistema de Vigilância Alimentar e Nutricional — SISVAN) and those obtained by trained anthropometrists. Methods: This is a descriptive cross-sectional study based on data from 10 municipalities and 2 sources: i) SISVAN Web (secondary database) and ii) an investigation that evaluated the implementation of food and nutrition actions in the Family Health Strategy in the state of Paraíba (primary database), with 24,137 and 897 individuals, respectively. Proportions of overweight — according to weight/age (W/A), weight/height (W/H), and body mass index/age (BMI/A) — and stunting — according to the height/age (H/A) index — based on classifications of SISVAN Web and those obtained by trained anthropometrists were compared using the two-proportion Z-test. Results: Frequencies of overweight, according to W/A (10.0 vs. 7.8%), W/H (17.2 vs. 14.3%), and BMI/A (18.1 vs. 14.4%), as well as stunting (12.3 vs. 8.6%), were higher on data from SISVAN Web than on those obtained by trained anthropometrists, and the differences were significant. Conclusions: The findings point to distortions in the nutritional classification of children under five years of age monitored by SISVAN Web.

Factors associated with the incomplete opportune vaccination schedule up to 12 months of age, Rondonópolis, Mato Grosso

Objective: To analyze factors associated with the incomplete timely vaccination schedule up to 12 months of age, in children born in 2015, in the municipality of Rondonópolis, Mato Grosso. Methods: Population survey, August/2017 to February/2018, which used the method proposed by the World Health Organization to collect information about routine vaccination. For analysis of the associated factors, the recommendations of the National Immunization Program of the Ministry of Health were considered. Univariate analysis was performed, and the factors associated with p<0.20 entered in the multiple analysis, with hierarchical entry of individual variables and contextual indicator of concentration of the income extremes. Results: The incomplete timely vaccination schedule up to 12 months was 82.03% (95%CI 78.41–86.63). In the final model, the following remained independently associated: having one or more siblings at home (OR 3.18; 95%CI 1.75–5.76) and not receiving a visit from a community health worker in the last 30 days (OR 1.93; 95%CI 1.04–3.57). Conclusions: It is necessary to implement an active search for children with vaccination delay in relation to the recommended interval for each vaccine, in addition to the need to strengthen the link of the family health strategy and child caregivers.

Mental health assistance in Primary Care: the perspective of professionals from the Family Health Strategy

ABSTRACT Objective: To learn about the perceptions of the professionals who work in Primary Health Care about mental health care. Methods: Descriptive and qualitative study, carried out with 29 health workers through open and individual interviews. The IRaMuTeQ® software was used to organize the data which, then, was submitted to a content analysis process in the thematic modality. Results: Three classes emerged from the content analysis: “Perceptions about the mental health care provided in the city”, “The biomedical paradigm in mental healthcare”, and “Elements for the construction of a new way for professionals to act in mental health”. Final considerations: It was found that, despite the good infrastructure of the services and the elements pointed at by the professionals to create a new way to act, they do not do so, and the responsibility falls, mostly, on the psychologist to carry out these activities.

Exclusive breastfeeding and professionals from the family health strategy

ABSTRACT Objectives: to analyze the perception of health professionals about exclusive breastfeeding in Family Health Strategy units in the city of Macaé. Methods: qualitative study carried out in four units of the Family Health Strategy in the city of Macaé, Rio de Janeiro. Thirty health professionals were interviewed from March to May 2019. Textual contents were processed in the IRaMuTeQ® software by the Descending Hierarchical Classification. Results: professionals use different strategies for actions to promote, protect and support breastfeeding in prenatal consultations, but social and cultural determinants are important issues that interfere in this process, the involvement of the family being essential for the success of this practice. Final Considerations: health professionals, including nurses, need training and qualification to strengthen the support and social network of pregnant women and insert the family in the different strategies used to improve adherence to exclusive breastfeeding.

Médicos de Família e Comunidade ou médicos da Estratégia Saúde da Família? / Family and Community doctors, or doctors from the Family Health strategy?

Em resposta à revisão integrativa “Papel do Médico de Família e Comunidade no Manejo da Hipertensão Arterial na Atenção Primaria à Saúde”, cumpre destacar que os médicos de família e comunidade constituem uma especialidade médica, enquanto os médicos da estratégia Saúde da Família constituem uma ocupação. Discute-se a não sobreposição entre as duas categorias no mercado de trabalho, e a distinção no que diz respeito ao escopo da prática, com ênfase na saúde mental.---Abstract: In response to the integrative review “Role of the Family and Community Doctor in theManagement of Hypertension in Primary Health Care”, it should be noted that family and communitydoctors are a medical specialty, while doctors of the Family Health strategy constitute an occupation. Itdiscusses the non-overlapping between the two categories in the labor market, and the distinctionregarding the scope of practice, with an emphasis on mental health.

ATUAÇÃO DO AGENTE COMUNITÁRIO DE SAÚDE NA ESTRATÉGIA SAÚDE DA FAMÍLIA NA ZONA RURAL

The Community Health Workers (CHW) performs the initial care in households, in order to collect information and interact in a healthy way with the community. It is important to understand the role that these professionals perform in rural areas, as their duties are of fundamental importance within the Family Health Strategy (FHS). Given this, the present study seeks, through a narrative review, to find scientific evidence and information in the available literature regarding the difficulties and challenges of CHW's work in rural areas. After surveying and collecting the results, 15 articles were selected, which showed that the difficulties faced by the CHWs who work in the Family Health Strategy (FHS) in the rural area are mainly related to 1) difficulty of access to rural families, 2) overload of tasks inherent to other professionals of the ESF, 3) low qualification and 4) little recognition. Even with all these difficulties, it was proven that the role of this professional is of extreme significance in promoting health actions and improving the quality of life in the communities in which they act. This study concludes that these professionals have changed the reality of many communities; and that they can optimize their potential in promoting health in rural areas through public policies and initiatives that contribute to minimizing the difficulties related to their work standards.

Resistência antimicrobiana na pneumonia adquirida na comunidade: revisão de literatura

A resistência antimicrobiana é um fator importante para a abordagem da Pneumonia Adquirida na Comunidade, uma das principais causas de morte por doenças infecciosas no mundo. A presente revisão de literatura objetiva analisar a resistência bacteriana relacionada aos principais antimicrobianos usados para o tratamento da Pneumonia Adquirida na Comunidade, na Atenção Primária à Saúde, no mundo e no Brasil. Foram realizadas pesquisas com oito associações composta por quatro dos seguintes descritores: “Pneumonia”, “Brazil”, “Family Health Strategy”, “Primary Health Care”, “Anti-Bacterial Agents”, “Drug Resistance, Bacterial”, “Drug Resistance, Microbial” e “Antimicrobial Stewardship”. As bases de dados utilizadas foram: Pubmed/Medline, Google Scholar, Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs), Portal de Periódicos Capes/MEC e Research Gate, considerando o período de maio a junho de 2020. Após a análise, dez estudos foram incluídos, com ausência de resultados concernentes ao Brasil. Os trabalhos obtidos referiram-se à resistência nos países europeus (sete), nos Estados Unidos (dois) e no Malawi (um). O Streptococcus pneumoniae apresentou-se como o patógeno bacteriano de maior prevalência nessa infecção. Os resultados sugerem a importância de se estabelecer diretrizes para o tratamento da Pneumonia Adquirida na Comunidade de acordo com o perfil epidemiológico de cada região. No Brasil, especificamente, as dificuldades no manejo dessa condição, realizado regularmente de forma empírica, podem ser explicadas pela ausência de estudos dirigidos a essa temática, tornando-se fundamental a realização de investigações da realidade brasileira.