Mudanças em indicadores de saúde infantil em um município com agentes comunitários: o caso de Itapirapuã Paulista, Vale do Ribeira, São Paulo, Brasil

Cadernos de Saúde Pública

Juraci A. Cesar²  Marcelo A. Cavaleti¹  Ricardo S. Holthausen¹  Luis Gustavo S. De Lima¹ 

[1] ,Universidade Federal do Rio Grande Departamento Materno Infantil Rio Grande RS ,Brasil

关键词: Health Status Indicators;    Community Health Agent;    Health Services;    Child Health;    Indicadores de Saúde;    Agente Comunitário de Saúde;    Serviços de Saúde;    Saúde Infantil;   

DOI  :  10.1590/S0102-311X2002000600019

来源: SciELO

【 摘 要 】

Twelve community health workers (CHWs) were trained to offer basic health care for children under five years of age through household visits in Itapirapuã Paulista, a municipality in Vale do Ribeira, São Paulo State, Brazil. Their tasks included diagnosis, initial treatment, and management of diarrhea and acute respiratory diseases at the household level, growth monitoring, incentives to complete basic immunization, and counseling on infant food supplementation. An average of 409 (396-417) children were visited weekly by CHWs in their homes over the course of three years. In this period, the hospitalization rate dropped drastically, and the use of oral rehydration therapy during bouts of diarrhea increased greatly. However, prevalence of stunting and incidence of low birth weight did not change. Child health indicators (CHI) in this municipality were better than those in a municipality chosen as a control. CHWs may have contributed to improved local CHI, but the results should be interpreted with caution for two reasons: (1) CHI is improving in Brazil countrywide and (2) it is a small program implemented in an area with high morbidity and mortality rates and low availability of health services.

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