Caderneta de saúde da criança: coordenação do cuidado e acesso à saúde / Cuaderno de salud infantil: coordinación del cuidado y acceso a la salud / Child health booklet: care coordination and access to health care

RESUMO OBJETIVO: analisar fatores associados ao preenchimento da caderneta de saúde da criança para fomentar a coordenação do cuidado e acesso à saúde. MÉTODO: estudo quantitativo, realizado entre janeiro e junho de 2016, em município paulista. Entrevistadas 284 mães e observadas as cadernetas de seus filhos; considerados significativos resultados com p< 0,05. RESULTADOS: identificou-se baixo preenchimento para pré-natal (5%), dados do recém-nascido (40%), exames de triagem neonatal (10%) e alta hospitalar (6%). Escolaridade materna (p=0,006) foi fator associado ao correto preenchimento de dados do recém-nascido. CONCLUSÃO: a caderneta não tem sido fonte de dados para seguimento da atenção ao recém-nascido no município investigado. Favorecer continuidade da atenção após o nascimento e a execução de registros adequados potencializa a coordenação do cuidado. O preenchimento desse instrumento, incorporado às práticas dos serviços e dos profissionais de saúde em todos os pontos da rede de atenção à criança, traz contribuições ao acesso à saúde.

RESUMEN OBJETIVO: analizar factores asociados al hecho de completar el cuaderno de salud infantil para fomentar la coordinación del cuidado y el acceso a la salud. MÉTODO: estudio cuantitativo que se realizó entre enero y junio de 2016, en municipio de São Paulo. Se entrevistaron 284 madres y se observaron los cuadernos de sus hijos; considerándose significativos resultados con p< 0,05. RESULTADOS: se identificó bajo índice de relleno para prenatal (5%), datos del recién nacido (40%), exámenes de selección neonatal (10%) y alta hospitalaria (6%). Escolaridad materna (p=0,006) fue factor asociado al hecho de completar correctamente los datos del recién nacido. CONCLUSIÓN: el cuaderno no viene siendo fuente de datos para la atención al recién nacido en el municipio investigado. Favorecer la continuidad de la atención tras el nacimiento y la realización de registros adecuados potencializa la coordinación del cuidado. Completar el cuaderno de salud infantil, además de las prácticas de los servicios y de los profesionales de salud en todos los puntos de la red de atención al niño trae contribuciones importantes al acceso a la salud.

ABSTRACT OBJECTIVE: analyze factors associated with filling in child health booklets to promote care coordination and access to health care. METHOD: quantitative study conducted between January and June 2016, in a city in the state of São Paulo. A total of 284 mothers were interviewed and the booklets of their children were examined; results with p< 0.05 were considered significant. RESULTS: low completion was identified for prenatal (5%), newborn data (40%), newborn screening (10%) and discharge (6%). Maternal education (p=0.006) was a factor associated with proper filling in of newborn data. Conclusion: the booklets were not a source of data for continued newborn care in the city investigated. Care coordination is strengthened by continued post-birth care and keeping adequate records. Filling in this instrument, incorporated into the practices of health services and professionals at every point in the childcare network enhances healthcare access.

Toxoplasmosis: an examination of knowledge among health professionals and pregnant women in a municipality of the State of Paraná.

INTRODUCTION: The aim of this study was to investigate the knowledge of toxoplasmosis among professionals and pregnant women in the public health services in Paraná, Brazil. METHODS: A cross-sectional observational and transversal study of 80 health professionals (44 nurses and 36 physicians) and 330 pregnant women [111 immunoglobulin M (IgM)- and IgG-non-reactive and 219 IgG-reactive] was conducted in 2010. An epidemiological data questionnaire was administered to the professionals and to the pregnant women, and a questionnaire about the clinical aspects and laboratory diagnosis of toxoplasmosis was administered to the professionals. RESULTS: The participants frequently provided correct responses about prophylactic measures. Regarding the clinical and laboratory aspects, the physicians provided more correct responses and discussed toxoplasmosis with the pregnant women. The professionals had difficulty interpreting the avidity test results, and the physicians stated that they referred pregnant women with high-risk pregnancies to a county reference center. Of the professionals, 53 (91.4%) reported that they instructed women during prenatal care, but only 54 (48.6%) at-risk pregnant women and 99 (45.2%) women who were not at risk reported receiving information about preventive measures. The physicians provided verbal instructions to 120 (78.4%) women, although instructional materials were available in the county. The pregnant women generally lacked knowledge about preventive measures for congenital toxoplasmosis, but the at-risk pregnant women tended to respond correctly. CONCLUSIONS: This study provides data to direct public health policies regarding the importance of updating the knowledge of primary care professionals. Mechanisms should be developed to increase public knowledge because prophylactic strategies are important for preventing congenital toxoplasmosis.

Toxoplasmosis: an examination of knowledge among health professionals and pregnant women in a municipality of the State of Paraná

Introduction The aim of this study was to investigate the knowledge of toxoplasmosis among professionals and pregnant women in the public health services in Paraná, Brazil. Methods A cross-sectional observational and transversal study of 80 health professionals (44 nurses and 36 physicians) and 330 pregnant women [111 immunoglobulin M (IgM)- and IgG-non-reactive and 219 IgG-reactive] was conducted in 2010. An epidemiological data questionnaire was administered to the professionals and to the pregnant women, and a questionnaire about the clinical aspects and laboratory diagnosis of toxoplasmosis was administered to the professionals. Results The participants frequently provided correct responses about prophylactic measures. Regarding the clinical and laboratory aspects, the physicians provided more correct responses and discussed toxoplasmosis with the pregnant women. The professionals had difficulty interpreting the avidity test results, and the physicians stated that they referred pregnant women with high-risk pregnancies to a county reference center. Of the professionals, 53 (91.4%) reported that they instructed women during prenatal care, but only 54 (48.6%) at-risk pregnant women and 99 (45.2%) women who were not at risk reported receiving information about preventive measures. The physicians provided verbal instructions to 120 (78.4%) women, although instructional materials were available in the county. The pregnant women generally lacked knowledge about preventive measures for congenital toxoplasmosis, but the at-risk pregnant women tended to respond correctly. Conclusions This study provides data to direct public health policies regarding the importance of updating the knowledge of primary care professionals. Mechanisms should be developed to increase public knowledge because prophylactic strategies are important for preventing congenital toxoplasmosis. .