EVALUATION OF THE USE OF A MANUAL TO SUPPORT A LARGE-SCALE IMPLEMENTATION OF THE “ESTRATÉGIA AMAMENTA E ALIMENTA BRASIL”
Objective: To evaluate the implementation of the Tutor Support Manual of Estratégia Amamenta e Alimenta (EAAB) – the "Manual", developed to support continuing education activities (CEA) in primary health care. Methods: Evaluative research with a quantitative and qualitative approach. The e...
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Format: | Article |
Language: | English |
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Universidade do Estado do Rio de Janeiro
2019-12-01
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Series: | Demetra |
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Online Access: | https://www.e-publicacoes.uerj.br/index.php/demetra/article/view/43322 |
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author | Gláubia Rocha Barbosa Relvas Gabriela dos Santos Buccini Sonia Isoyama Venancio |
author_facet | Gláubia Rocha Barbosa Relvas Gabriela dos Santos Buccini Sonia Isoyama Venancio |
author_sort | Gláubia Rocha Barbosa Relvas |
collection | DOAJ |
description | Objective: To evaluate the implementation of the Tutor Support Manual of Estratégia Amamenta e Alimenta (EAAB) – the "Manual", developed to support continuing education activities (CEA) in primary health care. Methods: Evaluative research with a quantitative and qualitative approach. The evaluated intervention consisted of the use of the Manual by the tutors of Embu das Artes-SP. The Manual proposes the development of five CEA with the health team. The data collection, before and after the intervention, comprised: 1) knowledge test for tutors and health workers; 2) questionnaire with the managers of the basic health units (UBS) on the implementation of the intervention and compliance with the EAAB certification criteria proposed by the Ministry of Health. A listening workshop was held with key informants on the use of the Manual. A quantitative analysis of the implementation indicators and a qualitative analysis of the listening workshop were used. Results: The Manual was used by eight out of 13 tutors. The median of CEA performed at the UBSs was 5 [0-5]. The mean number of correct answers of the tutors (pre 31.43 ± 5.25; post 34.86 ± 4.45; p=0.021) and workers (pre 26.09 ± 4.45; post 30.28 ± 3.55; p=0.002) in the final knowledge test was higher than in the initial test. The number of certification criteria reached by UBSs was higher in the post-intervention period (median: pre 3 [1-6]; post 5 [3-6]) and was consistent with the perception of changes by managers, as well as with the number of CEA conducted by tutors. Conclusions: The use of the Manual improved the knowledge of tutors and health workers and promoted positive changes in the work process of the teams.
DOI: 10.12957/demetra.2019.43322 |
first_indexed | 2024-04-12T05:35:17Z |
format | Article |
id | doaj.art-20aa6c7319084b54a8daa7ad5e7892c5 |
institution | Directory Open Access Journal |
issn | 2238-913X |
language | English |
last_indexed | 2024-04-12T05:35:17Z |
publishDate | 2019-12-01 |
publisher | Universidade do Estado do Rio de Janeiro |
record_format | Article |
series | Demetra |
spelling | doaj.art-20aa6c7319084b54a8daa7ad5e7892c52022-12-22T03:45:51ZengUniversidade do Estado do Rio de JaneiroDemetra2238-913X2019-12-01140e43322e4332210.12957/demetra.2019.4332224657EVALUATION OF THE USE OF A MANUAL TO SUPPORT A LARGE-SCALE IMPLEMENTATION OF THE “ESTRATÉGIA AMAMENTA E ALIMENTA BRASIL”Gláubia Rocha Barbosa Relvas0Gabriela dos Santos Buccini1Sonia Isoyama Venancio2Secretaria de Estado de Saúde de Mato GrossoYale UniversitySecretaria de Estado de Saúde de São PauloObjective: To evaluate the implementation of the Tutor Support Manual of Estratégia Amamenta e Alimenta (EAAB) – the "Manual", developed to support continuing education activities (CEA) in primary health care. Methods: Evaluative research with a quantitative and qualitative approach. The evaluated intervention consisted of the use of the Manual by the tutors of Embu das Artes-SP. The Manual proposes the development of five CEA with the health team. The data collection, before and after the intervention, comprised: 1) knowledge test for tutors and health workers; 2) questionnaire with the managers of the basic health units (UBS) on the implementation of the intervention and compliance with the EAAB certification criteria proposed by the Ministry of Health. A listening workshop was held with key informants on the use of the Manual. A quantitative analysis of the implementation indicators and a qualitative analysis of the listening workshop were used. Results: The Manual was used by eight out of 13 tutors. The median of CEA performed at the UBSs was 5 [0-5]. The mean number of correct answers of the tutors (pre 31.43 ± 5.25; post 34.86 ± 4.45; p=0.021) and workers (pre 26.09 ± 4.45; post 30.28 ± 3.55; p=0.002) in the final knowledge test was higher than in the initial test. The number of certification criteria reached by UBSs was higher in the post-intervention period (median: pre 3 [1-6]; post 5 [3-6]) and was consistent with the perception of changes by managers, as well as with the number of CEA conducted by tutors. Conclusions: The use of the Manual improved the knowledge of tutors and health workers and promoted positive changes in the work process of the teams. DOI: 10.12957/demetra.2019.43322https://www.e-publicacoes.uerj.br/index.php/demetra/article/view/43322avaliação de programas e projetos de saúde. nutrição da criança. educação continuada. atenção primária à saúde. |
spellingShingle | Gláubia Rocha Barbosa Relvas Gabriela dos Santos Buccini Sonia Isoyama Venancio EVALUATION OF THE USE OF A MANUAL TO SUPPORT A LARGE-SCALE IMPLEMENTATION OF THE “ESTRATÉGIA AMAMENTA E ALIMENTA BRASIL” Demetra avaliação de programas e projetos de saúde. nutrição da criança. educação continuada. atenção primária à saúde. |
title | EVALUATION OF THE USE OF A MANUAL TO SUPPORT A LARGE-SCALE IMPLEMENTATION OF THE “ESTRATÉGIA AMAMENTA E ALIMENTA BRASIL” |
title_full | EVALUATION OF THE USE OF A MANUAL TO SUPPORT A LARGE-SCALE IMPLEMENTATION OF THE “ESTRATÉGIA AMAMENTA E ALIMENTA BRASIL” |
title_fullStr | EVALUATION OF THE USE OF A MANUAL TO SUPPORT A LARGE-SCALE IMPLEMENTATION OF THE “ESTRATÉGIA AMAMENTA E ALIMENTA BRASIL” |
title_full_unstemmed | EVALUATION OF THE USE OF A MANUAL TO SUPPORT A LARGE-SCALE IMPLEMENTATION OF THE “ESTRATÉGIA AMAMENTA E ALIMENTA BRASIL” |
title_short | EVALUATION OF THE USE OF A MANUAL TO SUPPORT A LARGE-SCALE IMPLEMENTATION OF THE “ESTRATÉGIA AMAMENTA E ALIMENTA BRASIL” |
title_sort | evaluation of the use of a manual to support a large scale implementation of the estrategia amamenta e alimenta brasil |
topic | avaliação de programas e projetos de saúde. nutrição da criança. educação continuada. atenção primária à saúde. |
url | https://www.e-publicacoes.uerj.br/index.php/demetra/article/view/43322 |
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