[Quality of data on the Child Health Record and related factors].
The Child Health Record (CHR) is an essential document for children's health care activities. A cross-sectional study was performed with simple random sampling, aimed at analyzing factors related to quality of data completion on the CHR. Interviews and direct verification of 365 CHRs from 9 health districts in Belo Horizonte, Minas Gerais State, Brazil, were performed. A scoring system was created to classify the CHRs in terms of quality of data completion and to relate them to explanatory variables. Odds ratios were calculated by logistic regression. Completion of the 20 scoring items varied from 3.1% (use of iron supplements) to 99.7% (date of birth). Factors associated with worse scores were: children > 12 months old (OR = 1.77), mothers with < or = 6 years of schooling (OR = 1.97), children not treated by general practitioners (OR = 3.18), and mothers who had not received explanations on the CHR while in the maternity ward (OR = 1.77). The results show poor use of the CHR and emphasize the need for on-going efforts to train health professionals and prepare health services for their important role in the promotion of children's health.
Alves
Claudia Regina Lindgren
CR
Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil. lindgren@medicina.ufmg.br
Lasmar
Laura Maria de Lima Belizário Facury
LM
Goulart
Lúcia Maria Horta Figueiredo
LM
Alvim
Cristina Gonçalves
CG
Maciel
Gustavo Vieira Rodrigues
GV
Viana
Maria Regina de Almeida
MR
Colosimo
Enrico Antônio
EA
Carmo
Guilherme Augusto Alves do
GA
Costa
Juliana Goulart Dias da
JG
Magalhães
Maria Elizabeth Neves
ME
Mendonça
Marislaine Lumena de
ML
Beirão
Mirtes Maria do Vale
MM
Moulin
Zeína Soares
ZS
D000293:Adolescent; D000328:Adult; D001938:Brazil; D002648:Child; D002662:Child Health Services / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care / Q000706:statistics & numerical data; D005260:Female; D006293:Health Promotion; D006801:Humans; D007223:Infant; D007229:Infant Welfare / Q000706:statistics & numerical data*; D008297:Male; D008423:Maternal Age; D008499:Medical Records / Q000592:standards*; D008875:Middle Aged; D009035:Mothers; D015999:Multivariate Analysis; D011320:Primary Health Care / Q000706:statistics & numerical data*; D055815:Young Adult