Detalhes bibliográficos
| Ano de defesa: |
2023 |
| Autor(a) principal: |
Silva, Fábula Bráz José da Silva |
| Orientador(a): |
Benedetti, Franceliane Jobim Benedetti |
| Banca de defesa: |
Sitão , Victor João Rota,
Bosa, Vera Lúcia,
Dotto, Patricia Pasquali |
| Tipo de documento: |
Dissertação
|
| Tipo de acesso: |
Acesso embargado |
| Idioma: |
por |
| Instituição de defesa: |
Universidade Franciscana
|
| Programa de Pós-Graduação: |
Mestrado Profissional em Saúde Materno Infantil
|
| Departamento: |
Saúde Materno Infantil
|
| País: |
Brasil
|
| Palavras-chave em Português: |
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| Palavras-chave em Inglês: |
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| Área do conhecimento CNPq: |
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| Link de acesso: |
http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/1256
|
Resumo: |
Child malnutrition continues to be one of the most serious public health problems in Mozambique and the world. It affects children under the age of five the most, and among its consequences, it is responsible for high morbidity, mortality, and serious long-term sequelae. Adequate management of children with severe acute malnutrition depends basically on a system of care based on scientific evidence. Various actions have been taken to ensure the reduction of malnutrition since, in 2015, the world committed itself to achieving the Sustainable Development Goals (SDGs), including the ambitious goal of eliminating malnutrition in all its forms by 2030. Objectives: To analyse the implementation of the nutritional rehabilitation programme in Tete Province/Mozambique, the results of which were used to describe the development of an evidence-based guideline for improving the Nutritional Rehabilitation Programme. Methods: The construction of a guide for the Nutritional Rehabilitation Programme was based on four methodological principles: situational diagnosis, content survey, textual elaboration, and the choice of images. In order to materialise it, a retrospective documentary analysis survey was carried out, where data was collected from 573 patients, corresponding to 44 health units in 14 districts of Tete province, the anthropometric data was entered into Anthro software to obtain cut-off points and then classified according to the tables in use in the national health system in Mozambique. Results: A technical/technological product was developed, which is a didactic material such as an orientation guide, which has a score of 100 from Capes and was developed with the aim of helping to implement a nutritional rehabilitation programme aimed at health professionals. The guide covers five points identified as essential for improving the programme, namely discharge criteria, case origin, supplement administration, progress during treatment and discharge information. The study found that of the 573 cases studied, 77.8 per cent had moderate acute malnutrition, 95.5 per cent of patients were recorded as having new episodes of malnutrition at their first appointment, and 55.8 per cent of patients did not receive nutritional supplements. Conclusion: Although there is a guideline manual for use in the programme, a guideline for improving the implementation of outpatient treatment for child malnutrition could draw the attention of the programme's managers and implementers, so that they pay more attention to the points where some improvement is needed to guarantee the quality of implementation. |
