[Evaluation of mother-and-child health care in an urban area of Southern Brazil]

Rev Saude Publica. 2000 Jun;34(3):266-71. doi: 10.1590/s0034-89102000000300009.
[Article in Portuguese]

Abstract

Objective: To describe and analyze primary health care provided to mother-and-child population in Teresópolis, state of Rio de Janeiro, Brazil.

Methods: A population survey was performed at the main vaccination station on the local Vaccine National Day, to collect information about the use of health care services and preventive primary care.

Results: Information was collected from 329 mothers and their children. More than 90% of children had at least one pediatric visit in the past three months. Almost all had their growth chart, but in 30% of them the child's weight was not registered. There was a positive association between having a routine visit and the registration of the child's weight in the card (RP = 1.34; IC: 1.13-1.58; p = 0.0002). Around 59% of the mothers had a medical visit after giving after birth; 25% said they had never had a Pap smear test before, and 36% never had a breast examination. There was a positive association between the mother's age being over 20 years and ever having a Pap smear test (RP = 1.56; IC: 1.08-2.26; p = 0.03). Almost 70% of the mothers referred the use of any contraception method, and the most common used were contraceptive pills, condoms and tubal ligation.

Conclusions: Despite some limitations, the results suggest a valid and useful methodology, which allows the identification of important needs in primary health care delivery to children and their mothers.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Brazil
  • Child Health Services / statistics & numerical data*
  • Delivery of Health Care / statistics & numerical data*
  • Evaluation Studies as Topic
  • Female
  • Humans
  • Infant
  • Male
  • Maternal Health Services / statistics & numerical data*
  • Primary Health Care / statistics & numerical data*
  • Surveys and Questionnaires
  • Urban Health Services / statistics & numerical data
  • Vaccination