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Caucaia mais acessível: plataforma inovadora de protocolos de saúde mental no âmbito do Selo UNICEF (2021-2024)

2026-07-02T17:02:36Z

Título: Caucaia mais acessível: plataforma inovadora de protocolos de saúde mental no âmbito do Selo UNICEF (2021-2024) Autor(es): Fonseca, Georgevania de Melo Tabosa da Abstract: Child and adolescent mental health represents a major challenge for public management, requiring the development of intersectoral strategies capable of providing comprehensive care and ensuring the rights of children and adolescents. In this context, the present study aimed to develop and validate the technological platform "Caucaia Mais Acessível", designed to organize, integrate, and disseminate child and adolescent mental health care pathways and the Care Library developed within the framework of the UNICEF Seal (2021–2024) in the municipality of Caucaia, Ceará, Brazil. This is a methodological study of an applied nature, with a mixed-methods approach, grounded in Design Science Research (DSR). The study involved the analysis of institutional documents, records, reports, and documents related to the development of the Care Library and child and adolescent mental health pathways, as well as the development and validation of the technological platform. The development process included the identification of functional requirements, information architecture modeling, content organization, prototype development, implementation of accessibility features, validation by specialists, and evaluation by end users. Fourteen expert judges and twenty-six users from the target audience participated in the validation process. Quantitative analysis was performed using descriptive statistics, means, the Content Validity Index (CVI), and the Content Validity Coefficient (CVC). The overall CVI was 0.96 and the overall CVC was 0.80, indicating desirable agreement among specialists and adequate content validity of the platform. Qualitative analysis of participants' suggestions and recommendations supported improvements to the final version of the technology. The results demonstrated that the platform has good usability, applicability, and potential to strengthen communication among services, expand access to information, and promote knowledge translation in the context of child and adolescent mental health. It is concluded that the "Caucaia Mais Acessível" platform constitutes a technological innovation capable of strengthening intersectoral management, the organization of care networks, and the development of public policies aimed at children and adolescents. Tipo: Dissertação

Impactos da pandemia de COVID-19 no processo de trabalho e na saúde mental de trabalhadores da Atenção Primária em Saúde do estado do Ceará

2026-06-25T17:54:48Z

Título: Impactos da pandemia de COVID-19 no processo de trabalho e na saúde mental de trabalhadores da Atenção Primária em Saúde do estado do Ceará Autor(es): Viana, Diego Mendonça Abstract: This research was conceived as an investigation into healthcare in the context of COVID-19 and the field of Mental Health (MH) of healthcare workers. The general objective of this thesis and its developments were: to understand the implications of the pandemic on the mental health of Primary Health Care (PHC) workers who worked in the COVID-19 care line in Ceará. Specific Objectives: 1. to systematize the routine and work processes of professionals; 2. to analyze the existence of possible stressors, mental suffering, or similar situations in the professionals' work routine; 3. to construct an analytical synthesis of possible risks of mental health illness existing in the daily work of COVID-19 care; 4. to point out strategies for the mental health care of PHC workers in the contexts of epidemics and pandemics. This thesis was a scientific initiative in the field of qualitative research in terms of its approach, an applied research in nature, with exploratory objectives and procedures that encompass field research, documentary research, and bibliographic research through reviews carried out for its foundation and as a product of this research journey. The research settings were the primary health care units (PHCUs), or equivalent facilities, in the following municipalities: Fortaleza, Itapipoca, Sobral, Quixadá, Juazeiro do Norte, Iguatu, and Crateús. The research subjects were healthcare professionals with higher education degrees who were part of the COVID-19 care teams in primary health care, especially physicians, nurses, dentists, NASF-AB teams, or equivalent. Data collection was carried out through individual semi-structured interviews, either in person or via videoconference, through analysis of official documents, and with the application of the SRQ-20 instrument. Data analysis was performed using content analysis for the interviews and official documents, and descriptive statistics for the data from the SRQ-20 application. The results of this research are divided into groups: a) Results of the Literature Reviews, b) Results of the Semi-structured Interviews, c) Results of the Self-Report Questionnaire (SRQ-20), and d) Results of the Document Analysis. The final considerations version focuses on the following facts: healthcare professionals and systems were surprised by the COVID-19 pandemic; the routine and work process in primary healthcare were altered or completely redesigned to adapt to the new demands of the pandemic; and there was a significant and detrimental impact on the mental health of workers in the context of the health crisis. Tipo: Tese

Atendimento a crianças na primeira infância com atraso no desenvolvimento na Atenção Primária à Saúde: potencialidades e fragilidades sob a ótica dos pais

2026-06-24T12:11:57Z

Título: Atendimento a crianças na primeira infância com atraso no desenvolvimento na Atenção Primária à Saúde: potencialidades e fragilidades sob a ótica dos pais Autor(es): Viana, Suiane Rodrigues Abstract: Early childhood (from birth to six years) is a crucial phase for a child's integral development, where adequate stimuli generate lasting benefits. Within the Brazilian Unified Health System (SUS), this monitoring is carried out through puericulture, a service structured in Basic Health Units (UBS) to monitor growth, promote health, and prevent health problems. Based on the demands identified in this segment, specifically in cases of developmental delay, the Child Growth and Development Center (NCDI) was implemented in the municipality of Caucaia, Ceará, in August 2023, with care provided by a multidisciplinary team linked to the Family Health Strategy (ESF). We highlight that this service has also been offered in the municipality of Fortaleza since December 2018 under the name of Child Development Center (NDI). With the implementation of this new service, the need arose to evaluate how users perceive the gains in the development of children who receive this follow-up. The research took place from August to December 2025 and adopted a qualitative approach, using semi-structured interviews to assess the perception of parents or guardians of children attended at the NCDI regarding the service provided for at least six months. The collected data were analyzed using thematic content analysis, as proposed by Bardin (2011), with the aim of identifying thematic categories that reflect the participants' perceptions and experiences. The analysis sought to understand how parents evaluate the quality of the care received, identify gaps or challenges faced in the follow-up process, and propose improvements for the service. Based on the data analysis, the results of this research demonstrated positive effects, recording relevant perceived improvements in the child development of the participating children. The findings also contributed to the improvement of professional practices, indicating paths for more effective and humanized action in child health. The study thus provided concrete subsidies for strengthening the Child Growth and Development Center (NCDI), fostering continuous improvement in the care offered to children with developmental delays and their families. As a product derived from the investigation and in response to demands identified by the participants themselves, a guidance booklet was prepared for parents and caregivers, aiming to fill informational gaps and consolidate suggestions for service improvement. From the participants' perspective, the NCDI emerges as a promising strategy in Primary Health Care (PHC), and its continuous improvement should be encouraged through educational actions, such as those proposed in this work. Tipo: Dissertação

Impacto de orientações sobre ingestão adequada de água na constipação de pessoas com hipertensão acompanhadas na atenção primária

2026-06-22T19:47:41Z

Título: Impacto de orientações sobre ingestão adequada de água na constipação de pessoas com hipertensão acompanhadas na atenção primária Autor(es): Soares, Dinara Maria Taumaturgo Abstract: Arterial hypertension is a chronic non-communicable disease that may be associated with alterations in the gut microbiota and the development of dysbiosis, a condition that can impair digestive function and contribute to constipation. Constipation is a common condition among individuals with hypertension and may be exacerbated by the use of certain antihypertensive medications. Adequate water intake may play an important role in gastrointestinal motility, helping to prevent and manage constipation. This study aimed to evaluate the impact of guidance on adequate water intake on intestinal function and stool consistency among adults with hypertension receiving care in Primary Health Care. A quasi-experimental before-and-after study was conducted in a Primary Health Care Unit (PHCU) in the municipality of Caucaia, Ceará, Brazil. Fifty-four adults with hypertension participated in the initial assessment, and 33 returned for follow-up after 15 days. Participants received individualized guidance on adequate water consumption, and their progress was monitored using the Bristol Stool Scale. Data were collected using a structured questionnaire covering identification data, sociodemographic, economic, and clinical characteristics, personal history, anthropometric and blood pressure measurements, health history, comorbidities, medication use, lifestyle habits, dietary habits, and water intake practices. Stool consistency was assessed using the Bristol Stool Scale. A pilot study involving four participants was conducted prior to data collection; these individuals were not included in the final study sample. The collected data were entered into an electronic database and analyzed using SPSS Statistics version 23.0. Descriptive analyses included measures of central tendency and dispersion for quantitative variables and absolute and relative frequencies for categorical variables. Associations between variables and study outcomes were assessed using appropriate statistical tests, adopting a significance level of p < 0.05. The study complied with ethical and legal requirements and was approved by a Research Ethics Committee under approval number 7,643,090. The sample was predominantly female, with low to middle income levels and educational attainment corresponding mainly to high school education. A high prevalence of overweight, obesity, anxiety, and dyslipidemia was observed, along with low levels of physical activity and inadequate dietary habits. Constipation emerged as the most frequent intestinal disorder identified among participants, exceeding the occurrence of diarrhea. Following the intervention, a trend toward improvement in bowel patterns was observed, with a reduction in constipation throughout the follow-up period. However, no statistically significant differences were found in the comparison of the assessed outcomes. Likewise, no statistically significant associations were identified between stool consistency and the sociodemographic, clinical, or dietary variables analyzed. In conclusion, constipation was highly prevalent among individuals with arterial hypertension, highlighting its relevance in Primary Health Care. Although the intervention did not produce statistically significant effects, a trend toward clinical improvement in bowel habits was observed. These findings suggest that simple, low- cost educational interventions may contribute to self-care and the promotion of intestinal health. Nevertheless, studies with larger sample sizes and longer follow-up periods are needed to confirm the effectiveness of this strategy. Tipo: Dissertação