Avaliação dos resultados do Programa Saúde da Família no município de Novo Cruzeiro-MG, sob a ótica dos indicadores de Saúde da Criança

Abstract

The Family Health Program (PSF) was created to complement the traditional care actions with actions of health promotion, prevention and rehabilitation. However, the practice of basic care health still presents problems and difficulties in monitoring and evaluation of actions. It was conducted an exploratory study on health information systems with data relating to indicators of actions developed by the PSF of Novo Cruzeiro, situated in Vale do Jequitinhonha - Minas Gerais, Brazil, with data of the population served by PSF. In the period 2000 to 2005 the rate of infants with low birth weight increased gradually. The information system of basic care (SIAB)is the most important generator of information. The infant mortality rate has not submitted modifications after deployment of the Program. Possibly due to occurrence of underreporting of cases that existed before PSF. In relation to prenatal, the program presented positive results, since the number of pregnant women who performed more than six prenatal consultations, increased gradually after starting the program. However PSF is still far from achieving the parameters recommended by the Ministry of Health. The hospitalizations for acute respiratory infection in children up to five years, fluctuated greatly over the period analyzed, showing little reduction. The same can be said of hospitalizations for acute diarrheal diseases. Positive results were found in vaccination coverage of children the same age. The study highlights the great potential of notification on nowadays information system (SIAB), suggesting significant amount of underreporting of cases, previously. The study demonstrates the influence of various factors, such as geographical position, great territorial extension of the village, as well as socioeconomic and cultural factors, which could significantly had influenced the results.