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<p>Both the Primary Care System and the Family Health Program are responsible for promoting and maintaining the health of the child population by providing full care and follow-up. For enabling the health teams to carry out their work it is fundamental to analyze the health status of the population covered by the system. The Primary Care Information System (SIAB) is a priceless instrument for this purpose. The goal of this study is to demonstrate the sensitivity of protein-calorie malnutrition diagnosis performed by the Family Health Teams when only using the SIAB as data source and when performing active search of children from 0-23 months and 29 days of age, taking their anthropometric data. This cross-sectional study was carried out in the municipality of Patos de Minas (State of Minas Gerais), from January to April 2005. The prevalence of protein-calorie malnutrition informed by the SIAB found by teams A and B was of 2.35% and 2.5% respectively. The prevalence of malnutrition found by teams A and B through active search, collection of anthropometric data and weight/age ratio calculation were 14.12% and 13.75% respectively. This prevalence rate was higher than that described by the National Demographic and Health Survey, which was 5.7%. The prevalence of protein-calorie malnutrition based on weight/age ratio exclusively using the SIAB as a data source results in an underdiagnosis of this health problem. Seen that the SIAB is a territorialized information system designed for allowing elaboration of population indicators in well defined areas of coverage, the authors propose a critical and constant evaluation of these data. The authors also suggest active search of all cases, involving the entire health team.</p> <p>&Eacute; atribui&ccedil;&atilde;o da Aten&ccedil;&atilde;o Prim&aacute;ria &aacute; Sa&uacute;de e da Estrat&eacute;gia de Sa&uacute;de da Fam&iacute;lia (ESF) atuar na promo&ccedil;&atilde;o e na manuten&ccedil;&atilde;o do estado de sa&uacute;de da popula&ccedil;&atilde;o infantil por meio do atendimento e acompanhamento integrais. Para a atua&ccedil;&atilde;o das equipes de sa&uacute;de &eacute; fundamental a an&aacute;lise de sa&uacute;de das popula&ccedil;&otilde;es cobertas. Para esse fim o Sistema de Informa&ccedil;&atilde;o da Aten&ccedil;&atilde;o B&aacute;sica (SIAB) &eacute; instrumento de valor inestim&aacute;vel. O objetivo deste estudo foi demonstrar a sensibilidade no diagn&oacute;stico da desnutri&ccedil;&atilde;o prot&eacute;ico-cal&oacute;rica realizado pelas equipes de Sa&uacute;de da Fam&iacute;lia, quando s&atilde;o utilizados apenas dados prim&aacute;rios como instrumentos de busca da adequa&ccedil;&atilde;o e posterior informa&ccedil;&atilde;o destes, via SIAB, e por meio da busca ativa de crian&ccedil;as de 0 a 23 meses e 29 dias e obten&ccedil;&atilde;o de seus dados antropom&eacute;tricos delas. Trata-se de estudo seccional, realizado no munic&iacute;pio de Patos de Minas (MG), de janeiro a abril de 2005. As preval&ecirc;ncias de desnutri&ccedil;&atilde;o prot&eacute;ico-cal&oacute;rica informadas no SIAB foram 2,35% e 2,5%, nas equipes A e B, respectivamente. As preval&ecirc;ncias de desnutri&ccedil;&atilde;o encontradas a partir da busca ativa, dos dados antropom&eacute;tricos e do c&aacute;lculo dos &iacute;ndices peso-idade foram 14,12% e 13,75% nas equipes A e B, respectivamente. Essas foram superiores &agrave; preval&ecirc;ncia descrita pela Pesquisa Nacional de Demografia e Sa&uacute;de, cuja preval&ecirc;ncia foi 5,7%. As preval&ecirc;ncias de desnutri&ccedil;&atilde;o prot&eacute;ico-cal&oacute;rica com base no &iacute;ndice peso-idade, mediante exclusivamente a utiliza&ccedil;&atilde;o do SIAB como fonte de dados, levam ao subdiagn&oacute;stico do problema. Tratando-se o SIAB de um sistema de informa&ccedil;&atilde;o &ldquo;territorializado&rdquo;, cujos dados possibilitam a constru&ccedil;&atilde;o de indicadores populacionais referentes a &aacute;reas de abrang&ecirc;ncia bem-delimitadas, propomos a avalia&ccedil;&atilde;o cr&iacute;tica e constante desses dados.</p>

Sensibilidade no diagnóstico da desnutrição protéico-calórica realizado pelas equipes de saúde por meio do SIAB e de busca ativa de casos