Assessment of the essential attributes of Primary Health Care for children

To identify the presence and extent of essential attributes in primary health care services for children, focusing on the evaluation of structure and process.

Method:

Evaluative, quantitative study carried out in 23 traditional basic health units in a city in Parana State, with 548 caregivers of children under 12 years old, using the Primary Care Assessment Instrument (PCATool Brazil), child version. Essential and general scores of the primary care were calculated according to the methodology proposed, with a cut-off score ≥6.6.

Results:

The scores of the essential attributes in relation to structure are: Accessibility (5.5), Kinship (6.9), Integrality of care - Services Available (6.0) and Coordination - System information (7.4). As for the Process, the following results were obtained: First visit - Use (8.6), Longitudinally (6.1), Integrality - Services Provided (6.1) and Coordination - Integration of Care (6.9).

Conclusion:

The essential score was 6.6 and the general score was 6.3, showing weak focus on primary health care.

Descriptors:
Primary Health Care; Child Health; Health Management; Quality of Health Care; Pediatric Nursing

Variable	Description	n	%
Main caregiver	Mother Father Grandparents Others	440 13 54 41	80.29 2.37 9.85 7.46
Years of education of the main caregiver	0 to 4 years 5 a 9 years 10 a 14 years 15 years or more Couldn't inform	51 205 252 14 26	9.31 37.41 45.99 2.55 4.74
Number of children in the family	One Two Three Four or more Not informed/doesn't know	228 189 82 58 1	41.61 34.49 14.96 8.75 0.18
Family income	Less than one MW One MW Two MW Three MW More than three MW No income Couldn't inform	14 118 202 129 79 1 5	2.55 21.53 36.86 23.54 14.41 0.18 0.90
Type of residence	Owned Rented Donated Illegal invasion	297 182 68 1	54.20 33.21 12.41 0.18

	PHC^* * Primary Health Care; Services (N= 548)
Essencial Attributes	MS^ Mean Score, values converted (0-10);	SD^* ***** Standard Error.	Minimum	Maximum
Structure
First Visit - Accessibility	5.5	0.131	0	10
Kinship	6.9	0.128	0	10
Integrality of care - Services Available	6.0	0.112	0	10
Coordination - System information	7.4	0.090	0	10
Process
First Visit - Use	8.6	0.135	1.1	10
Longitudinality	6.1	0.125	3.3	10
Integrality of care - Services Provided	6.1	0.302	0	10
Coordination - Integration of Care	6.9	0.275	0	10
Essential Score of the PHC^* * Primary Health Care;	6.6	0.524	2.12	10
Derived Attributes
Family orientation	4.4	3.168	0	10
Community orientation	5.1	3.301	0	10
General score of the PHC^* * Primary Health Care;	6.3	0.581	2.48	10

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] CORRESPONDING AUTHOR: Claudia Silveira Viera. E-mail: clausviera@gmail.com