ASSISTANCE OF EVOLUTION IN A UNIT OF PRIMARY

Introduction and Objective: As we begin the management of a unit of primary care in the city of Rio de Janeiro, in September 2013, faced with statistics well below the agreed by the Secretariat, especially the Children's Health. Thus identified the challenge of understanding and work, along with staff, ways to widen and improve our service. Methodology: To analyze the data we used the electronic medical record VITACARE variable 2, where the indicators D4, D5, D6 and D7 reflect the Children's Health in vaccine issues and early life care. And we use the weekly team meetings to understand the reason of the low results and plan actions to improve the data. Results and conclusions: The meetings identified that professionals know not to use the chart and were unmotivated compromising the quality of your calls. Well planned actions that would have justified the team and to influence in attendance, such as printing of production; encouraging education and work; waiting rooms explaining the importance of assistance. These actions have helped our data significantly increase, causing almost all exceeded the minimum target which is 80% between the periods from 2013 to 2015. D4 rose from 16.36% to 85.76%; D5 rose from 8.71% to 90.49%; D6 rose from 71.04% to 87.83%; D7 rose from 41.5% to 61.01%. It follows that participative management in addition to providing increased data calls in favors the integration of the staff thus allowing exchange of knowledge and multiplication of knowledge.