DIAGNÓSTICO SITUACIONAL DA LINHA DE CUIDADOS MATERNO INFANTIL NA 4ª REGIÃO DE SAÚDE DO ESTADO DO PARANÁ

Abstract

Situational Diagnosis is a tool used to identify a population’s risk and health conditions, enabling the planning of health actions. The Specialty Outpatient Clinic organized in the Chronic Conditions Care Model (MACC) is a secondary point in the Health Care Network (RAS). This study aims to carry out the situational diagnosis of the Maternal-Infant Care Line in the 4th Health Region of the State of Paraná. Therefore, we opted for an observational, descriptive, cross- sectional study with quantitative and qualitative analysis. At first, 60 health books of pregnant women were analyzed, and then 60 health books of children at risk. In the third moment, 11 professionals who work in the Specialty Outpatient Clinic (MACC), in the Maternal-Infant Care Line, were interviewed through a semi- structured questionnaire, in order to obtain the vision of the practitioner within the follow-up service. For the analysis of data from the booklets of pregnant women and children at risk, descriptive statistics were used. The professionals' interviews were transcribed and analyzed using Thematic Content Analysis proposed by Minayo (2008). The results obtained show the absence of information records in the health handbooks of pregnant women and children, and this document is the communication between the levels of care in the RAS. With regard to the multidisciplinary team, it was possible to verify that professionals identify advances and setbacks in the work process of the maternal and child care line, which is necessary information for managers to plan actions aimed at this audience. The results showed that the situational diagnosis helps in action planning. The importance of carrying out management strategies, such as matrices, which fit the educational function recommended to be developed in specialized outpatient care.