Wheezy Child Program: The Experience of the Belo Horizonte Pediatric Asthma Management ProgramReport as inadecuate




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World Allergy Organization Journal

, Volume 2, Issue 12, pp 289–295

First Online: 15 December 2009

Abstract

BackgroundUntil 1994, assistance provided by the Municipal Public Health System to children with asthma in Belo Horizonte, Brazil, was ineffective because it focused only on treating exacerbations. This scenario motivated the implementation of the Wheezy Child Program.

ObjectivesThe main objectives were to reduce emergency room visits and hospitalizations.

MethodsThe strategies adopted were as follows: continued medical education for pediatricians, reorganization of public assistance into different levels of complexity regarding asthma care, and free dispensation of inhaled beclomethasone, albuterol, and valved spacers. A partnership between the Pediatric Pulmonology staff of the Federal University of Minas Gerais and the Belo Horizonte Municipal Health Authority made these strategies come to fruition, especially through the training of health workers and the devising of protocol after GINA guidelines.

ResultsOf 2149 patients with a history of hospitalization after program admission, only 453 were re-admitted in the 6 to 12 months after, a reduction of 79%. There was a 300% increase in the use of aerosol and a reduction to 50% in the use of oxygen-driven nebulizers P < 0.001 in the management of exacerbations. For patients enrolled in the program with moderate and severe persistent asthma, the median adherence rate was 50%.

ConclusionsThe Wheezy Child Program has significantly reduced hospitalizations and emergency room visits, has improved quality of life, and has shown that programs of this kind are feasible in low- to middle-income countries. More than 30,000 children have been assisted by the program, and now it seeks to optimize asthma control and increase adherence rates.

Keywordsasthma program children adolescents health services  Download fulltext PDF



Author: Laura Lasmar - Maria Jussara Fontes - Maria Teresa Mohallen - Ana Cristina Fonseca - Paulo Camargos

Source: https://link.springer.com/







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