[Evaluation of mother-and-child health care in an urban area of Southern Brazil].
OBJECTIVE
To describe and analyze primary health care provided to mother-and-child population in Teresópolis, state of Rio de Janeiro, Brazil.


METHODS
A population survey was performed at the main vaccination station on the local Vaccine National Day, to collect information about the use of health care services and preventive primary care.


RESULTS
Information was collected from 329 mothers and their children. More than 90% of children had at least one pediatric visit in the past three months. Almost all had their growth chart, but in 30% of them the child's weight was not registered. There was a positive association between having a routine visit and the registration of the child's weight in the card (RP = 1.34; IC: 1.13-1.58; p = 0.0002). Around 59% of the mothers had a medical visit after giving after birth; 25% said they had never had a Pap smear test before, and 36% never had a breast examination. There was a positive association between the mother's age being over 20 years and ever having a Pap smear test (RP = 1.56; IC: 1.08-2.26; p = 0.03). Almost 70% of the mothers referred the use of any contraception method, and the most common used were contraceptive pills, condoms and tubal ligation.


CONCLUSIONS
Despite some limitations, the results suggest a valid and useful methodology, which allows the identification of important needs in primary health care delivery to children and their mothers.
Fundação Educacional Serra dos Orgãos, Teresópolis, RJ, Brasil. srsantos@ax.apc.org
S R
SR
Santos
A J
AJ
Cunha
C M
CM
Gamba
F G
FG
Machado
J M
JM
Leal Filho
N L
NL
Moreira
D000293:Adolescent; D000328:Adult; D001938:Brazil; D002662:Child Health Services / Q000706:statistics & numerical data*; D003695:Delivery of Health Care / Q000706:statistics & numerical data*; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008427:Maternal Health Services / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D019037:Urban Health Services / Q000706:statistics & numerical data; D014611:Vaccination