Vivências de profissionais de enfermagem da estratégia saúde da família acerca da utilização da caderneta de saúde da criança.

Abstract

Attention to children's health implemented by nurses in the Family Health Strategy has as its axis actions aimed at tracking growth and development, and preventive measures such as immunization and supplementation of iron and vitamin A. As support for monitoring of these, there is the health booklet of the child, an instrument able to gather the most significant records of child health and promote a dialogue between various professionals. Objective: To analyze the experience of the Family Health Strategy nurses about using the Child Health Handbook in a municipality within the Paraíba. Methodology: This is an exploratory study with a qualitative approach, developed in the Health Strategy units in the municipality of Cuité-Paraíba family, and had the sixteen professional subjects, eight of the top level, nurses, and eight mid-level , nursing techniques. Data collection was conducted in March 2015 through a semi-structured interview for, and the reports analyzed by content or thematic analysis technique. Results and Discussion: The assessment of the data enabled the pooling of information on three themes: 1. The Handbook of Child Health as dialogic tool between parents, services and professionals about children's health status; 2. Child Health Handbook: a tool with potential for the registration and monitoring of child growth and development; 3. Unavailability of the service and the devaluation of the parents: factors influencing underutilization of Child Health Handbook by professionals. The Family Health Strategy nurses attribute to book the interpretation of an important document because it contains a number of child health information. But if seized that despite citing that use the tool to monitor child growth and development and record immunobiologicals, vitamin A and iron supplementation, are inconsistencies in the description of how to use the tool to record some actions in everyday work, how to track male children, with the instrument for girls, in the absence of appropriate book in the service, presented as a limitation for use of books. Thus, it is necessary that the competent bodies to invest for this input to the population and ensuring access to managers, professionals and services are integrated for the sake of minimizing the gaps faced for correct use of books. Final Thoughts: Thus, it is expected that this study can subsidize reflections on the use of this instrument, contributing to a better understanding of the use of books as surveillance tool and appropriate follow-up to children's health.