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Assessment of growth monitoring in child care visits at the Family Health Strategy in two municipalities of Paraíba State, Brazil* * This research was funded by the National Council for Scientific and Technological Development (CNPq)/ Ministry of Science, Technology and Innovation (MCTIC) (476520/2013-4) and by the Paraíba State Foundation for Research Support (FAPESQ). Research productivity scholarship was granted by CNPq/MCTIC to Iná S. Santos. Dixis Figueroa Pedraza received a post-doctorate scholarship by the Coordination for the Improvement of Higher Education Personnel (CAPES)/Ministry of Education (MEC).

Abstract

OBJECTIVE:

to assess the process and structural aspects of child care visits at the Family Health Strategy, in relation to growth monitoring.

METHODS:

evaluative study of implementation analysis, carried out in two municipalities of Paraíba State, Brazil; structural characteristics of the services were assessed and child care visits were observed for analysis of the working process.

RESULTS:

119 visits (53 in one municipality and 66 in the other) were observed; they were conducted by 18 nurses who were in charge of child care visits (nine from each municipality); five of the nurses had no training to work in primary health care and four units did not have a scale; weight (84.9%), height (84.0%) and cephalic perimeter (82.7%) measurements were held more frequently than recommendations for mothers (11.8% and 29.4% of the visits about height and weight, respectively).

CONCLUSION:

child growth monitoring is an action not yet consolidated, with significant deficiencies in the process.

Keywords:
Primary Health Care; Child Care; Nutritional Monitoring; Process Assessment (Health Care); Family Nurse Practitioners

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