Evaluation of an intervention aimed at monitoring child development using the Caderneta da Criança in two Brazilian municipalities

• Grant number: 25/10281-4
• Support Opportunities: Scholarships in Brazil - Support Program for Fixating Young Doctors
• Start date: July 01, 2025
• End date: April 30, 2026
• Field of knowledge: Health Sciences - Collective Health - Public Health
• Principal Investigator: Débora Falleiros de Mello
• Grantee: Raytta Silva Viana
• Host Institution: Instituto de Ensino e Pesquisa (Insper). São Paulo , SP, Brazil
• Associated research grant: 24/02083-5 - Evaluation of an intervention aimed at child development surveillance using the Caderneta da Criança in two Brazilian municipalities, AP.R

Abstract

The objective of this study is to evaluate an intervention aimed at monitoring child development (DI) by health professionals from Primary Health Care (PHC) in Louveira and Jundiaí. The specific objectives are: [i] to analyze the perspective of health managers in Louveira and Jundiaí in relation to the design and implementation of the intervention for monitoring child development in the context of PHC; [ii] analyze the impact of the intervention aimed at carrying out ID surveillance by PHC health professionals; [iii] analyze child health indicators; [iv] evaluate barriers and facilitators for implementing ID surveillance in the studied municipalities. This is a mixed methods implementation study, structured in the phases: [i] development of the theoretical basis; [ii] interviews with managers; [iii] explanatory study comprising the development of health professionals' awareness of ID surveillance; [iv] evaluative study that will consist of evaluating the effectiveness of the intervention through a cluster randomized trial. The intervention consists of a series of training and awareness-raising actions, in person (8 hours) and remotely (12 hours). Outcomes of the RE-AIM (Reach Effectiveness Adoption Implementation Maintenance) model will be evaluated after the intervention, using a qualitative approach. The effectiveness of the intervention will be analyzed by comparing the outcomes "assessment of ID milestones" and "guidance on ID offered to families", before and after the intervention. Multivariate analysis techniques will be used, applying Poisson regression models with robust variance, considering the sample design. Qualitative data will be analyzed systematically and will be presented in accordance with the Consolidated criteria for reporting qualitative research (COREQ).