Family Health Team: reports of conduct on child hearing loss

Silva, Jullyane Florencio Pachêco da; Teixeira, Cleide Fernandes; Lima, Maria Luiza Lopes Timóteo de; Sousa, Fabiana de Oliveira Silva; Griz, Silvana Maria Sobral

doi:10.1590/2317-1782/20172016027

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Original Article • CoDAS 29 (3) • 2017 • https://doi.org/10.1590/2317-1782/20172016027 linkcopy

Family Health Team: reports of conduct on child hearing loss

Authorship SCIMAGO INSTITUTIONS RANKINGS

Purpose To analyze the performance of family health teams toward the suspicion and identification of child hearing loss.

Methods This is a case study. Data were collected in three focus groups with three family health teams of a health district in the metropolitan area of Recife, Brazil. All data were transcribed and analyzed based on the interview analysis model of condensation of meanings.

Results The family health professionals investigated made use of some resources to assess child reaction to sound stimuli, but they were mostly unaware of risk indicators for hearing loss and presented doubts about conducting referrals. Regarding child monitoring, the family health professionals reported that the lack of counter-reference by other professionals precludes the effective monitoring of children in the family health units.

Conclusion Despite their potential in assisting child health, the role of family health teams is still permeated by weaknesses that hinder their performance with respect to hearing health.

Keywords
Primary Health Care; Family Health Strategy; Child Care; Hearing; Hearing Loss

PROFESSIONALS (CODENAME * )		PROFESSIONAL EXPERIENCE		TOTAL
PROFESSIONALS (CODENAME * )		FAMILY HEALTH STRATEGY	FAMILY HEALTH TEAM ASSESSED	TOTAL
MICRO-REGION A	MD-A	12 years	7 years	8
	N-A	5 years	4 years
	NT-A	5 years	5 years
	CHA-A1	3 years	1 year
	CHA-A2	1 year	1 year
	CHA-A3	20 years	7 years
	CHA-A4	5 years	3 years
	SI-A (Medicine)	3 months	3 months
MICRO-REGION B	MD-B	6 years	1 year and 1 month	9
	N-B	10 years	3 years
	NT-B	13 years	9 years
	CHA-B1	14 years	5 years
	CHA-B2	18 years	9 years
	CHA-B3	11 years	7 years
	CHA-B4	12 years	7 years
	CHA-B5	15 years	7 years
	SI-B (Nursing)	2 months	2 months
MICRO-REGION C	MD-C	14 years	2 years e 9 months	10
	N-C	14 years	5 years
	NT-C	13 years	3 years
	CHA-C1	15 years	13 years
	CHA-C2	13 years	13 years
	CHA-C3	7 years	5 years
	CHA-C4	14 years	13 years
	CHA-C5	13 years	10 years
	SI-C1 (Nursing)	2 months	2 months
	SI-C2 (Nursing)	3 months	3 months
TOTAL				27

Key Categories	Subcategories
Identification of children with hearing loss.	Assessment. Risk indicators.
Conduct adopted in the cases of children with hearing loss.	Conduct of referrals for diagnosis and intervention. Guidance to parents. Child monitoring.

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Physician: MD-A, MD-B, MD-C; Nurse: N-A, N-B, N-C; Nursing Technician: NT-A, NT-B, NT-C; Community Health Agent: CHA-A1, CHA-A2, CHA-A3, CHA-A4, CHA-B1, CHA-B2, CHA-B3, CHA-B4, CHA-B5, CHA-C1, CHA-C2, CHA-C3, CHA-C4, CHA-C5; Student Intern: SI-A (Medicine), SI-B (Nursing), SI-C1 (Nursing), SI-C2 (Nursing)