Navegando por Autor "Ferreira, Nathália Luíza"

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Challenges for obesity management in a unified health system : the view of health professionals.
(2020) Lopes, Mariana Souza; Freitas, Patrícia Pinheiro de; Carvalho, Maria Cecília Ramos de; Ferreira, Nathália Luíza; Campos, Suellen Fabiane; Menezes, Mariana Carvalho de; Lopes, Aline Cristine Souza
Background: Obesity is an increasingly prevalent chronic condition. Its multiple causes and the complexity of its treatment pose challenges for health professionals. Objective: To explore and describe the challenges for obesity management in the Brazilian Unified Health System according to health professionals. Methods: An exploratory quantitative web-based study, carried out in 2018 with health professionals, developed from the first stage of a national project that aims to examine the management of obesity in Brazil. The questionnaire was self-applied. Invitations to participate in the research were sent by the Ministry of Health, Health Department of Minas Gerais and members of the research group. We collected data on sex, age, professional category, region and level of care. The challenges were investigated using a Likert scale and categorized into structure and work process. Results: We evaluated 1323 professionals, of which about 45% were dietitians, 90.2% were women, and 83.1% self-reported working in primary health care. The main barriers cited included a high demand for curative and individual assistance, the presence of comorbidities, and the absence or insufficient access to instructional materials, professional qualification and lack of support. Conclusion: Obesity management is a critical challenge for all professionals. Barriers were related to the work process and structural aspects and reinforce the need to empower health teams. We propose that permanent education activities should be established, as well as the development of instructional materials that are applicable to routine work. Finally, the results may be used to develop policies and strategies to improve obesity management.
Is the management of obesity in primary health care appropriate in Brazil?
(2021) Lopes, Mariana Souza; Freitas, Patrícia Pinheiro de; Carvalho, Maria Cecília Ramos de; Ferreira, Nathália Luíza; Menezes, Mariana Carvalho de; Lopes, Aline Cristine Souza
This study aims to describe the adequacy of basic health units (UBS) in Brazil regarding structure and work process for obesity management and to evalu- ate user satisfaction with primary health care services. This cross-sectional study was conducted with data from the 2013-2014 National Program for Im- proving Primary Care Access and Quality (PMAQ) – an initiative to assess primary health care teams’ performance. Data were collected between 2013 and 2014 through interviews with primary health care teams and users. All indicators of adequate care for obesity were defined within the article scope, based on data from the PMAQ. Of the 24,055 UBS analyzed, located in 4,845 different cities, only 7.6% had adequate structure for obesity management. Likewise, only 26.6% of the 114,615 users interviewed reported adequate ac- cess, and 27.8% of the UBS showed adequate service organization. Healthcare was considered as “good” or “very good” by 82.4% of users. These indicators varied according to geographic region, showing better results for the South and Southeast. Our results suggest that the country may still be at the ini- tial stage of systematizing care with obesity, presenting significant disparities among regions.