Filling process of the Child Health Record in health care services of Belo Horizonte, Minas Gerais, Brazil

Amorim, Leonardo de Paula; Senna, Maria Inês Barreiros; Gomes, Viviane Elisângela; Amaral, João Henrique Lara do; Vasconcelos, Mara; Silva, Adriana Gonçalves da; Lucas, Simone Dutra; Ferreira, Raquel Conceição

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Epidemiologia e Serviços de Saúde

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ORIGINAL ARTICLE • Epidemiol. Serv. Saúde 27 (1) • 2018 • https://doi.org/10.5123/S1679-49742018000100016 copy

Filling process of the Child Health Record in health care services of Belo Horizonte, Minas Gerais, Brazil^* * This article was based on Leonardo de Paula Amorim’s Professional Master’s thesis, entitled: ‘Filling Process of the Child Health Record and associated factors: cross-sectional study in a large-sized municipality’, defended to the Post-graduation Program in Public Health Dentistry, of the Dentistry College, of the Federal University of Minas Gerais, in 2015. Financing Agency: Fundação de Amparo à Pesquisa de Minas Gerais (APQ-03442-12).

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective:

to describe the filling process of the Child Health Record (CHR) in health care services.

Methods:

descriptive study held in Belo Horizonte, Minas Gerais, Brazil; an interview was conducted with parents/guardians of children aged 3-5 years old; 21 essential items to child monitoring were observed in the CHR during the 2014 Multi-vaccination Day; fields that should be filled in maternity wards, Primary Health Care (PHC), and other services were assessed separately.

Results:

367 children (96.1%) were included; 44.5% of CHR presented ≥60% of completeness; among the items that should be recorded in maternity wards, birth weight showed the highest proportion of completeness (64.5%); for those that should be filled in PHC/other services, records of vaccines (94.0%) presented the highest completeness; there was more filling in maternity wards than in PHC and other services (p<0.001).

Conclusion:

a low proportion of filling was observed, especially in PHC and other services.

Keywords:
Child Health; Primary Health Care; Hospitals, Maternity; Health Records, Personal; Growth and Development

Fields of the Child Health Record	Filling
	Yes			No
	n	%	95%CI^a	n	%	95%CI^a
Data to be filled by the child’s parents
Child’s name	364	99.5	97.8;99.8	2	0.5	0.1;2.2
Date of Birth	364	99.2	97.5;99.7	3	0.8	0.3;2.5
Mother’s name	354	96.5	93.9;97.9	13	3.5	2.1;6.0
Data to be filled by maternities
Birth weight	236	64.5	59.4;69.2	130	35.5	30.8;40.6
Birth lentgh	232	63.4	58.3;68.2	134	36.6	31.8;41.7
Type of delivery	206	56.1	51.0;61.1	161	43.9	38.9;49.1
Cephalic perimeter at birth	205	56.0	50.9;61.0	161	44.0	38.9;49.1
Child’s gestational age	200	54.8	49.6;59.8	165	45.2	40.1;50.4
Apgar score at 5^th minute	197	54.0	48.8;59.1	168	46.0	40.9;51.2
Trimester of first prenatal care visit	142	38.7	33.8;43.8	225	61.3	56.1;66.2
Type of fuding when discharged from the maternity ward	131	36.0	31.2;41.1	233	64.0	58.9;68.8
Number of prenatal care visits	129	35.1	30.4;40.2	238	64.9	59.8;69.6
Data to be filled in PHC ^b /other services
Record of vaccines	344	94.0	91.0;96.0	22	6.0	3.9;8.9
Birth weight (chart)	237	64.8	59.7;69.5	129	35.2	30.5;40.3
Age of the last recorded weight in the chart	229	62.7	57.6;67.6	136	37.3	32.4;42.4
Cephalic perimeter at birth (chart)	213	59.0	53.8;64.0	148	41.0	36.0;46.2
Age of the last cephalic perimeter registered in the chart	187	51.8	46.6;56.9	174	48.2	43.1;53.4
Neuropsychomotor development	22	6.0	4.0;9.0	342	94.0	91.0;96.0
Use of iron registry	17	4.6	2.9;7.3	349	95.4	92.6;97.1
Register of tooth eruption schedule	5	1.4	0.6;3.3	360	98.6	96.7;99.4
Odontogram register	3	0.8	0.3;2.5	362	99.2	97.4;99.7

Filling percentage of the CHR fields to be filled in the maternity ward		Filling percentage of CHR fields to be filled in the PHC/other services
		≥60%	≥70%	≥80%	≥90%
	Total
<60%	159 (43.3)	28.3	2.5	-	-
≥60%	208 (56.7)	47.1	11.1	1.4	0.5
p-value		<0.001 ^a	0.002 ^b	0.261 ^b	0.567 ^b
<70%	184 (50.1)	-	3.8	-	-
≥70%	183 (49.9)	-	10.9	1.6	0.5
p-value		-	<0.009 ^a	0.123 ^b	0.499 ^b
<80%	214 (58.3)	-	-	0.5	-
≥80%	153 (41.7)	-	-	1.3	0.7
p-value		-	-	0.573 ^b	0.417 ^b
<90%	249 (67.8)	-	-	-	-
≥90%	118 (32.2)	-	-	-	0.8
p-value		-	-	-	0.328 ^b
Total		143 (39.0%)	27 (7.4%)	3 (0.8%)	1 (0.3%)

Secretaria de Vigilância em Saúde e Ambiente - Ministério da Saúde do Brasil SRTVN Quadra 701, Via W5 Norte, Lote D, Edifício P0700, CEP: 70719-040, +55 61 3315-3464, Fax: +55 61 3315-3464 - Brasília - DF - Brazil
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[1] Correspondence: Leonardo de Paula Amorim - Rua Professor Moacir Gomes de Freitas, No. 688, Pampulha, Belo Horizonte-MG, Brasil. CEP: 31270-901 E-mail: leo180381@gmail.com