Estratégias para utilização da caderneta no atendimento ao adolescente na saúde da família

Abstract

Objective: To identify the difficulties of using the carnet in the care of adolescents and to implement actions for their use in the Family Health Strategy. Methods: a descriptive, qualitative, research-action study developed with professionals of a family health team. In the data collection, a questionnaire was applied, followed by the accomplishment of a workshop to problematize the information collected and the elaboration of the strategies of action. After five months of implementation of the proposal, another questionnaire was applied for evaluation. The information collected in the workshop and resulting from the application of the questionnaires were analyzed through the thematic content analysis technique. Results: the poor use of the carnet was identified by the health team. The main difficulties of use were related to lack of training, unprepared professionals and absence of adolescents in the health unit. The action strategies implemented were: dissemination and distribution of the passbook in schools, during the activities of the health program in the school; guidance to parents on home visits; monitoring of height and body mass index by age; preparation of an instrument for the delivery and use of the book for all professionals. Conclusion: The implementation of the agreed actions favored the effective use of the carnet by the staff and adolescents of the service, transforming the limiting factors of their use into a transposable barrier, which provided reflections on professional practice, improvements in care and the registry of health care of this public.