OBJECTIVE: To assess the extent to which the tools Child Health Handbook and Guide for Monitoring Child Development the context of Integrated Management of Childhood Illness (IMCI) agree for the evaluation of children's development from two to 24 months of age. METHODS: A cross-sectional study was carried out in a Basic Health Unit in Belo Horizonte, from March 2009 to March 2010. After investigating the number of children under the care of the Basic Health Unit by the vaccination card, the register book of newborn tests, and data provided by the Community Health Workers, parents and tutors were invited to participate either verbally or by phone (convenience sample). Among 623 children assisted in the area, 364 were enrolled. Their psychomotor development was evaluated by students of Nursing, Physical Therapy, Speech Therapy, Medical, Nutrition, and Occupational Therapy. To test the agreement between both tools, the Kappa coefficient was used. RESULTS: According to the Child Health Handbook, 115 children (31.6%) were found to have some development delay, while the Guide for Monitoring Child Development found 124 children (34.1%) with the same problem. The Kappa coefficient was 0.27. CONCLUSIONS: The agreement between both tools was poor.
child development; Integrated Management of Childhood Illness; medical records; primary health care
