[The application of risk strategy to a maternal-child program at a health center].
OBJECTIVE
The overall objective is to prioritize health care for women and children at higher social risk.


METHODS
Intervention study.


METHODS
An urban health centre.


METHODS
Women and children using a programme for mothers and infants at greater social risk. Infant health (IH): immigrant children, low social and economic level and conflictual family relationships. Family planning (FP) and young adult (YA): previous abortion, low social and economic level, immigrants. Pregnancy monitoring (PM): pregnancies in women under 20, immigrants, unwanted pregnancy. Vaccinations: living in an area of social risk, child of immigrants.


METHODS
1) Preferential focus on risk groups, specific markers in records and archives. 2) Checking attendance at appointments and recouping. 3) Early referral to the social worker (and midwife in risk pregnancy). 4) Analysis of reasons for leaving programme and improving access.


RESULTS
The number of people with a greater risk criterion.


CONCLUSIONS
The follow-up procedures of the mother and child programme, specific to those at higher social risk, are useful for recouping those who leave the programme and for positive discrimination in the care delivered to these groups.
Carrasco Rodríguez
A
A
Centro de Salud Limonar, Unidad Docente Medicina Familiar y Comunitaria de Málaga.
Muñoz Cobos
F
F
Espinosa Almendro
J M
JM
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006285:Health Planning / Q000458:organization & administration* / Q000706:statistics & numerical data; D006292:Health Priorities / Q000458:organization & administration / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008430:Maternal-Child Health Centers / Q000458:organization & administration* / Q000706:statistics & numerical data; D011247:Pregnancy; D012307:Risk Factors; D013030:Spain; D019037:Urban Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data
Aplicación de la estrategia de riesgo al programa maternoinfantil en un centro de salud.