Perception of Family Health Strategy Workers on Oral Health Care Provided to Women and Children in the First 1,000 Days
Keywords:
Right to Health, Maternal-Child Health Services, Oral HealthAbstract
Objective: To analyze the perceptions of professionals from Primary Health Care Units (PHCU) concerning oral health care (OHC) provided during the first 1,000 days of life. Material and Methods: This qualitative study was conducted from August 2019 to July 2020. Collective interviews (focal groups) were conducted on health rights in the first 1,000 days in nine PHCUs in two contrasting municipalities in Maranhão. Seven collective interviews were conducted with 57 professionals from all PHCUs in municipality A and a health district in B. Content analysis was used in the thematic modality to perform data analysis. Results: Nine professionals spoke about oral health in the first 1,000 days. The statements were organized into two categories. In one of the categories, professionals mentioned barriers to accessing dental care due to myths about the possibility of treatment, which were not restricted to the users' knowledge but to that of the health professionals themselves. In the second category, the participants mentioned health education problems in which professionals are not heard and/or not understood by the community. Conclusion: There is a flaw in the training/continuing education of professionals concerning oral health in the first 1,000 days of life, especially regarding dental care during pregnancy. The participants still cannot help the population recognize dental care as a health right.References
Leita AGA, Sousa JCMJ, Feitosa ANA, Vieira AG, Quental OC, Assis EV. Health education practices in the family health strategy: An integrative review of literature. Rev Enferm UFPE on line 2015; 9(Supl. 10):1572-1579. https://doi.org/10.5205/reuol.8463-73861-2-SM.0910sup201525
Victora CG, Barros AJD, França GVA, Bahl R, Rollins NC, Horton S, et al. Amamentação no século 21: Epidemiologia, mecanismos e efeitos ao longo da vida. Epidemiol Serv Saúde 2016; 25(1):1-24. [In Portuguese].
Bhutta ZA, Ahmed T, Black RE, Cousens S, Dewey K, Giugliani E, Haider BA, et al. What works? Interventions for maternal and child undernutrition and survival. Lancet 2008; 371(9610):417-440. https://doi.org/10.1016/S0140-6736(07)61693-6
Da Cunha AJLA, Leite AJM, de Almeida IS. The pediatrician's role in the first 1,000 days of the child: The pursuit of healthy nutrition and development. J Pediatr 2015; 91(6 Suppl 1):S44-51. https://doi.org/10.1016/j.jped.2015.07.002
Leal MC, Szwarcwald CL, Almeida PVB, Aquino EML, Barreto ML, Victora C. Reproductive, maternal, neonatal and child health in the 30 years since the creation of the Unified Health System (SUS). Cien Saude Colet 2018; 23(6):1915-1928. https://doi.org/10.1590/1413-81232018236.03942018
Caires ES, Santos Junior PJ. Territorialization in health: A reflection on their importance in primary attention. Rev Eletrôn Acervo Saúde 2017; 9(1):1174-1177.
Brasil. Ministério da Saúde; Sociedade Beneficente Israelita Brasileira Albert Einstein. Technical note for the organization of the health care network with a focus on primary health care and specialized outpatient care: Women's health during pregnancy, childbirth and the puerperium. São Paulo: Ministério da Saúde; 2019. 56p.
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Política Nacional de Atenção Integral à Saúde da Criança: orientações para implementação / Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Brasília (DF): Ministério da Saúde; 2018. [In Portuguese].
George A, Shamim S, Johnson M, Dahlen H, Ajwani S, Bhole S, et al. How do dental and prenatal care practitioners perceive dental care during pregnancy? Current evidence and implications. Birth 2012; 39(3):238-247. https://doi.org/10.1111/j.1523-536X.2012.00553.x
Imparato JCP. Anuário odontopediatria clínica: Integrada e atual. 5th. ed. São Paulo: Napoleão; 2017. [In Portuguese].
Trad LAB. Focal groups: Concepts, procedures and reflections based on practical experiences of research works in the health area. Physis 2009; 19(3):777-796. https://doi.org/10.1590/S0103-73312009000300013
Calixto RBCP, Pinheiro MMK. Content analysis: General considerations, relations with the research question, possibilities and limitations of the method. Inf & Soc Est 2014; 24(1):13-18.
Souza VR, Marziale MH, Silva GT, Nascimento PL. Translation and validation into Brazilian Portuguese and assessment of the COREQ checklist. Acta Paul Enferm 2021; 34:eAPE02631. https://doi.org/10.37689/acta-ape/2021ao02631
Barbosa RVA, Abreu LDP, Alencar OM, Moreira FJF. Prenatal care performed by a multiprofessional team of primary health care. Cad ESP 2020; 14(1):63-70.
Schwab FCNS, Ferreira L, Martinelli KG, Esposti CDD, Pachedo KTS, Oliveira AE, et al. Factors associated with educational guidance regarding oral health during prenatal care. Cien Saude Colet 2021; 26(3):1115-1126. https://doi.org/10.1590/1413-81232021263.12902019
Da Silva CC, Savian CM, Prevedello BP, Zamberlan C, Dalpian DM, Santos BZ. Access and use of dental services by pregnant women: An integrative literature review. Cien Saude Colet 2020; 25(3):827-835. https://doi.org/10.1590/1413-81232020253.01192018
Nascimento EP, Andrade FS, Costa AMDD, Terra FS. Gestantes frente ao tratamento odontológico. Rev Bras Odontol 2012; 69(1):125-130. [In Portuguese].
Brasil. Ministério da Saúde. Portaria no 1459, de 24 de junho de 2011. Institui, no âmbito do Sistema Único de Saúde - SUS - a Rede Cegonha. Diário Oficial da República Federativa do Brasil, Brasília (DF): Ministério da Saúde; 2011. 9p. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2011/prt1459_24_06_2011.html [Accessed on February 17, 2023]. [In Portuguese].
Brasil. Ministério da Saúde. Portaria GM/Ms no 715, de 4 de abril de 2022. Altera a portaria de consolidação GM/MS no 3, de 28 de setembro de 2017, para instituir a Rede de Atenção Materna e Infantil (Rami). Diário Oficial da República Federativa do Brasil, Brasília (DF): Ministério da Saúde; 2022. 31p. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2022/prt0715_06_04_2022.html [Accessed on March 19, 2023]. [In Portuguese].
Santos Filho SB, Souza KV. Rede cegonha network and the methodological challenges of implementing networks in the SUS. Cien Saude Colet 2021; 26(3):775-780. https://doi.org/10.1590/1413-81232021263.21462020
Marques BL, Tomasi YT, Saraiva SS, Boing AF, Geremia DS. Guidelines to pregnant women: The importance of the shared care in Primary Health Care. Esc Anna Nery 2021; 25(1):e20200098. https://doi.org/10.1590/2177-9465-ean-2020-0098
Oral Health Care During Pregnancy Expert Workgroup. Oral health care during pregnancy: A national consensus statement. Washington, DC: National Maternal and Child Oral Health Resource Center; 2012.
Huang SS, Yang C, Cohen V, Russell SL. What factors influence dental faculty’s willingness to treat pregnant women? JDR Clin Trans Res 2022; 7(4):407-414. https://doi.org/10.1177/23800844211028132
Andrade ASL, Silva PS, Lopes MGM. Does antibiotic cause dental caries? Myth or truth? Rev Cien Odontol 2022; 6(1):51-59.
Saliba TA, Custódio LBM, Saliba NA, Moimaz SAS. Dental prenatal care in pregnancy. RGO 2019; 67:e20190061. https://doi.org/10.1590/1981-863720190006120180003
Brasil. Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Departamento de Saúde da Família. Diretriz para a prática clínica odontológica na Atenção Primária à Saúde: tratamento em gestantes/Ministério da Saúde, Secretaria de Atenção Primária à Saúde, Departamento de Saúde da Família. Brasília (DF): Ministério da Saúde; 2022. 43p. [In Portuguese].
Hashim R, Akbar M. Gynecologists′ knowledge and attitudes regarding oral health and periodontal disease leading to adverse pregnancy outcomes. J Int Soc Prev Community Dent 2014; 4(Suppl 3):S166-172. https://doi.org/10.4103/2231-0762.149028
Freire P. Pedagogia da autonomia: Saberes necessários à prática educativa. 25th. ed. São Paulo: Paz e Terra; 2005. [In Portuguese].
Forte FDS, Morais HGD, Rodrigues SAG, Santos JS, Oliveira PFA, Morais MST, et al. Interprofessional education and the Education through Work for Health Program “Stork Network”: Leveraging changes in education. Interface Comun Saúde Educ 2016; 20(58):787-796. https://doi.org/10.1590/1807-57622015.0720
Prasad M, Murthy AK, Sampath A, Jaiswal S, Mohapatra A. Integration of oral health into primary health care: A systematic review. J Family Med Prim Care 2019; 8(6):1838-1845. https://doi.org/10.4103/jfmpc.jfmpc_286_19
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Pesquisa Brasileira em Odontopediatria e Clínica Integrada

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.