| Journal: | Revista de salud pública (Córdoba) |
| Database: | PERIÓDICA |
| System number: | 000269779 |
| ISSN: | 1852-9429 |
| Authors: | Miravet, Marcela1 |
| Institutions: | 1Ministerio de Salud, Córdoba. Argentina |
| Year: | 2007 |
| Season: | Dic |
| Volumen: | 11 |
| Number: | 2 |
| Pages: | 53-61 |
| Country: | Argentina |
| Language: | Español |
| Document type: | Artículo |
| Approach: | Descriptivo |
| Spanish abstract | El desarrollo de redes de servicios de seguimiento de recién nacidos de riesgo (RNR) responde a las actuales políticas de salud y de niñez. OBJETIVO: evaluar el Programa Red de Servicios de Seguimiento de Recién Nacidos de Riesgo de Córdoba. MATERIAL y MÉTODO: Investigación de Servicios de Salud, descriptiva, retrospectiva. Análisis de los resultados del Programa. Análisis estratégico de Fortalezas, Oportunidades, Debilidades y Amenazas. Indicadores de impacto: edad a la primera consulta para Detección Temprana Auditiva (DTA); Mortalidad Infantil post-neonatal. RESULTADOS: Participan de la red 550 servicios de diferentes sectores. Se publicaron 11 Pautas de Seguimiento ambulatorio y el Carnet del RNR, se capacitaron 2000 profesionales, técnicos y padres.Se formuló el Programa de Detección Temprana Auditiva. Se identificaron Debilidades (desigual oferta de especialidades en el interior, deserciones por falta de recursos económicos), Fortalezas (compromiso de los profesionales, continuidad, enfoque interdisciplinario y participativo), Amenazas (sobredemanda en servicios de referencia, escasa priorización política de la red) y Oportunidades (incorporación de obras sociales y privados, capacidad de los servicios del interior para organizar programas locales). Impacto en relación a situación inicial (1998): primera consulta de DTA antes de los 3 meses de vida y reducción de las muertes infantiles post neonatales por causas neonatales o perinatales (60%). CONCLUSIONES: El trabajo interdisciplinario e integrador, base la estrategia vinculatoria de la Red, ha permitido lograr los objetivos de atención integral de los RNR y la descentralización de su seguimiento en toda la provincia. Se produjeron impactos positivos: precocidad en la primera consulta de DTA y reducción de la mortalidad infantil postneonatal por causas neonatales o perinatales |
| English abstract | The development of follow-up networks for high-risk newborns is a goal of current policies of infant health care. Aim: to evaluate the Follow-up Services for High-risk Newborns of the Province of Córdoba. Materials and methods: Descriptive, retrospective health care services research. Analysis of said Program results. Strategic analysis of strengths, opportunities, weaknesses and threats. Impact indexes: age of first consultation for early auditory diagnosis; post-neonatal infant mortality. Results: A network of 550 service units belonging to various sectors participated in the study. A set of 11 Guidelines for Ambulatory Follow-up was published and High-risk Newborn Carnets were issued. A total of 2,000 professionals, technicians and parents received training. An Early Auditory Diagnosis Program was formulated. The following aspects were focused upon: weaknesses (disparity in the offer of specialists outside the capital city, dropouts for economic reasons), strengths (degree of professional involvement, continuity, multidisciplinary and participatory approach), threats (excess in the demand of services, low political priority of the network) and opportunities (participation of mutual health services, private health services, capability of services outside the capital city for organizing local programs). Impact as compared to the initial situation (1998): first consultation for Early Auditory Detection below 3 months of age, reduction of infant post-neonatal mortality due to neonatal or perinatal causes (60%). Conclusions: the interdisciplinary and inclusive approach as a basis for the interrelation strategy of the network has permitted the achievement of the goals of integral care for high-risk newborns and the decentralization of the follow-up services for the entire province. Positive Impacts were obtained: precocity of the first consultation for early auditory detection and reduction of post-neonatal infant mortality due to neonatal or perinatal causes |
| Disciplines: | Medicina |
| Keyword: | Ginecología y obstetricia, Pediatría, Salud pública, Recién nacidos, Argentina, Servicios públicos, Mortalidad infantil |
| Keyword: | Medicine, Gynecology and obstetrics, Pediatrics, Public health, Newborn, Argentina, Public services, Infant mortality |
| Full text: | Texto completo (Ver PDF) |
