Evaluación del cumplimiento de las Normas de Atención Integral a la Niñez. Consultorios de Medicina Familiar y Comunitaria. Centro de Salud Pascuales. Julio 2017 a junio 2018.

Abstract

Background: The Norms of Integral Attention to the Childhood establish minimum standards of quality for the attention to the children under 10 years. Materials and Methods: An observational, descriptive, cross-sectional study included a sample of children under 10 years of age treated in the family and community medicine clinics of the Pascuales health center. The variables included the input and output process standards (equipment, supplies and basic medicines, counseling for their reason of consultation and about breastfeeding and / or nutritional education, comprehensive care according to the norm of attention to children, according to the IMCI strategy protocol and recognition of danger signs by caregivers of sick children under five). The information was obtained through a checklist, review of medical records and surveys. We used summary measures for qualitative variables. Results: Compliance by standards was: 83.3% entry, 83.3% process (counseling based on reason for consultation and breastfeeding and / or nutritional education), 83.3% (care according to the child care standard), 70.0% and 76.6% (care according to the protocol of the IMCI strategy in children and adults over two months, respectively) and 73.3% in exit. Attention was good with 73.5% annual compliance. Conclusions: The Norms of Integral Attention to the Childhood are partially fulfilled by faults in the structure, incomplete registers and the non-recognition of the warning signs, however, the quality of the attention was good.