[Health care for women over 50: programmatic vulnerability in the Family Health Strategy].
OBJECTIVE
To assess the health care process for women over 50 at a Family Health Unit based on the concept of programmatic vulnerability.


METHODS
This study is inserted in the field of health care assessments. The framework proposed by Donabedian was used to analyze 90.5% of the 790 records of women registered at the unit.


RESULTS
It was observed that none of the women that did not have a diagnosed pathology attended the recommended consultations or underwent the recommended tests. Of the total number of women with hypertension or diabetes, 20.7% were registered in the Hiperdia Programme and less than 1.0% had attended the consultations and undergone the necessary tests. Only 11.9% of the women had had a gynaecological examination, a clinical breast examination and a mammography the year before data collection.


CONCLUSIONS
It is concluded that women over 50 are in a situation of programmatic vulnerability in terms of the indicators established in this study. Knowledge of this reality can help nurses provide care that is best suited for this group.
Faculdade de Medicina de Marília, Marília, São Paulo, Brazil.
Kelly Karine
KK
Pasqual
Faculdade de Medicina de Botucatu, Universidade Estadual Paulista Júlio de Mesquita Filho, Marília, São Paulo, Brazil.
Maria Antonieta de Barros Leite
MA
Carvalhaes
Faculdade de Medicina de Botucatu, Universidade Estadual Paulista Júlio de Mesquita Filho, Marília, São Paulo, Brazil.
Cristina Maria Garcia de Lima
CM
Parada
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001774:Blood Chemical Analysis / Q000706:statistics & numerical data; D001938:Brazil / Q000453:epidemiology; D001943:Breast Neoplasms / Q000175:diagnosis / Q000517:prevention & control; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000451:nursing / Q000523:psychology; D004562:Electrocardiography / Q000706:statistics & numerical data; D005192:Family Health; D005260:Female; D005831:Genital Diseases, Female / Q000175:diagnosis / Q000517:prevention & control; D006293:Health Promotion / Q000458:organization & administration / Q000706:statistics & numerical data*; D006801:Humans; D006973:Hypertension / Q000453:epidemiology / Q000451:nursing / Q000523:psychology; D008327:Mammography / Q000706:statistics & numerical data; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data*; D010349:Patient Compliance; D010808:Physical Examination / Q000706:statistics & numerical data; D011314:Preventive Health Services / Q000458:organization & administration / Q000706:statistics & numerical data*; D015397:Program Evaluation; D035862:Vulnerable Populations; D014932:Women's Health Services / Q000458:organization & administration / Q000706:statistics & numerical data*