Trends in the quality of child health care in the first week of life in primary care services in Brazil

Flores-Quispe, María del Pilar; Duro, Suele Manjourany Silva; Facchini, Luiz Augusto; Barros, Nicole Borba Rios; Tomasi, Elaine

doi:10.1590/1413-81232024291.09192022EN

María del Pilar Flores-Quispe

preparing the manuscript

approved the final version to be published

conceived the research question

carried out data analysis and interpretation

drafted the manuscript

Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas (UFPel). Rua Marechal Deodoro 1160, Centro. 96020-220 Pelotas RS Brasil. mariadelpilarfloresq@hotmail.com

https://orcid.org/0000-0003-1472-7350

Suele Manjourany Silva Duro

preparing the manuscript

approved the final version to be published

carried out data analysis and interpretation

drafted the manuscript

Programa de Pós-Graduação em Enfermagem, Faculdade de Enfermagem, UFPel. Pelotas RS Brasil.

https://orcid.org/0000-0001-5730-0811

Luiz Augusto Facchini

preparing the manuscript

approved the final version to be published

drafted the manuscript

Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas (UFPel). Rua Marechal Deodoro 1160, Centro. 96020-220 Pelotas RS Brasil. mariadelpilarfloresq@hotmail.com

Departamento de Medicina Social, Faculdade de Medicina, UFPel. Pelotas RS Brasil.

https://orcid.org/0000-0002-5746-5170

Nicole Borba Rios Barros

preparing the manuscript

approved the final version to be published

drafted the manuscript

Faculdade de Medicina, UFPel. Pelotas RS Brasil.

https://orcid.org/0000-0002-0581-4914

Elaine Tomasi

preparing the manuscript

approved the final version to be published

conceived the research question

carried out data analysis and interpretation

drafted the manuscript

Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas (UFPel). Rua Marechal Deodoro 1160, Centro. 96020-220 Pelotas RS Brasil. mariadelpilarfloresq@hotmail.com

Departamento de Medicina Social, Faculdade de Medicina, UFPel. Pelotas RS Brasil.

https://orcid.org/0000-0001-7328-6044

Chief editors:

Romeu Gomes, Antônio Augusto Moura da Silva

	Cycle I (2012)	Cycle II (2014)	Cycle III (2018)
	N	N	N
Total number of service users ≥18 years interviewed	65,410	114,615	140,444
Women	50,808	91,203	110,145
Women who were pregnant	45,560	82,935	21,110
Women with children up to 2 years	8,777	12,787	14,276

Variable		Cycle I		Cycle II		Cycle III
Variable		N	%	N	%	N	%
Brazil		5,636		7,151		8,888
Municipal characteristics
Region
	North	220	4.0	466	6.5	782	8.8
	Northeast	1,450	26.3	2,448	34.2	3,211	36.1
	Southeast	2,844	51.5	2,790	39.1	3,215	36.2
	South	573	10.4	882	12.3	1,032	11.6
	Midwest	429	7.8	565	7.9	648	7.3
Population size
	Up to 10,000	814	14.8	958	13.6	1,029	11.6
	10,001 to 30,000	1,542	27.9	1,954	27.7	2,428	27.3
	30,001 to 100,000	1,200	21.7	1,711	24.3	2,264	25.5
	100,001 to 300,000	704	12.8	954	13.5	1,168	13.1
	More than 300,000	1,256	22.8	1,469	20.9	1,999	22.5
HDI
	Very low/low	369	6.7	281	15.8	1,695	19.0
	Medium	1,236	22.4	2,463	35.0	2,893	32.6
	High	2,218	40.2	2,786	39.5	3,433	38.6
	Very high	1,693	30.7	683	9.7	867	9.8
Family health coverage %
	Up to 50	1,699	30.8	1,363	19.3	1,406	15.8
	50.1 to 75.0	1,331	24.1	1,230	17.5	1,734	19.5
	75.1 to 99.9	1,075	19.5	1,428	20.3	1,776	20.0
	100	1,411	25.6	3,025	42.9	3,972	44.7
Health team characteristics
Actions to ensure child check-up
	No	519	25.0	1,437	22.6	1,832	21.8
	Yes	1,560	75.0	4,919	77.4	6,557	78.2
Tracking of children
	No	1,781	32.2	3,053	43.3	919	10.4
	Yes	3,752	67.8	3,933	56.7	7,955	89.6
Recording of follow-up of children
	No	1,587	28.7	1,418	20.1	696	7.8
	Yes	3,946	71.3	5,628	79.9	8,178	92.2
Maternal characteristics
Received a CHW visit
	No	621	29.2	1,945	27.6	2,779	32.7
	Yes	1,507	70.8	5,101	72.4	5,715	67.3
Had a postnatal check-up
	No	1,877	33.6	2,354	33.6	2,019	23.7
	Yes	3,718	66.4	4,654	66.4	6,492	76.3

Variable	Cycle I	Cycle II	Cycle III	Annual change*	P-value#
Variable	%	%	%	Annual change*	P-value#
Baby’s weight was measured	88.3	94.3	90.1	-0.17	0.043
Baby’s length was measured	88.3	94.0	91.9	0.19	0.018
Baby put to the breast	71.5	75.5	75.8	0.56	<0.001
Baby’s navel was examined	88.9	89.9	90.8	0.30	<0.001
Counselling on best sleeping position received	72.4	71.7	72.0	-0.03	0,831
Heel prick test	90.2	91.1	94.2	0.69	<0.001
Good quality care	47.9	52.5	53.3	0.73	<0.001

Variable		Cycle I	Cycle II	Cycle III	Annual change*	P-value#
Variable		%	%	%	Annual change*	P-value#
Brazil		47.9	52.5	53.3	0.73	<0.001
Municipal characteristics
Region
	North	42.2	49.5	52.3	1.28	0.022
	Northeast	44.3	50.6	57.6	2.06	<0.001
	Southeast	51.3	55.9	50.1	-0.39	0.072
	South	44.5	51.1	50.0	0.59	0.161
	Midwest	44.3	48.2	53.8	1.54	0.002
Population size
	Up to 10,000	50.6	53.8	53.8	0.44	0.261
	10,001 to 30,000	48.4	53.3	54.2	0.79	0.003
	30,001 to 100,000	46.7	52.8	54.8	1.12	<0.001
	100,001 to 300,000	45.3	50.4	52.9	1.11	0.004
	More than 300,000	48.2	52.3	50.4	0.19	0.520
HDI
	Very low/low	44.0	50.4	55.0	1.48	<0.001
	Medium	46.6	53.4	56.0	1.24	<0.001
	High	48.1	52.3	51.0	0.31	0.170
	Very high	49.3	55.2	49.7	0.07	0.849
Family health coverage %
	Up to 50	48.1	52.5	50.9	0.38	0.216
	50.1 to 75.0	47.3	51.6	50.6	0.42	0.169
	75.1 to 99.9	47.8	51.4	52.0	0.56	0.072
	100	48.3	53.7	55.9	0.98	<0.001
Team characteristics
Tracking of children		48.2	54.3	53.8	0.68	<0.001
Recording of follow-up of children		48.0	53.3	53.6	0.69	<0.001
Maternal characteristics
Received a CHW visit		55.2	57.2	58.5	0.44	0.026
Had a postnatal check-up		52.6	57.9	56.7	0.44	0.007

[1] Chief editors:

Romeu Gomes, Antônio Augusto Moura da Silva

Brasil

Brasil

Trends in the quality of child health care in the first week of life in primary care services in Brazil

Abstract