Vigilância nutricional de crianças indígenas Kaiowá, Guarani e Terena menores de cinco anos do Mato Grosso do Sul: Um estudo de tendência temporal de 2006 a 2019

Abstract

This research aims to analyze the coverage and temporal trend of the nutritional status of indigenous children under five years old in Base Pole of Dourados, Mato Grosso do Sul, Brazil, between 2006 and 2019. This is a descriptive study carried out with secondary data collected by health workers at Base Pole of Dourados from 2006 to 2019, authorized by SESAI and DSEI-MS. The worksheets contained: child's name, gender, weight, birth and evaluation dates. The analysis of the historical series for the 14 years was carried out in the Joinpoint Regression Program. An annual average of 2059 children were assisted, with an average coverage in the period of 95.4% (95%CI 94.09; 96.78). Regarding nutritional status, the results of the temporal trend showed that the very low weight for age showed a non-significant increase for under two years old and under five years, but significant for older than two years; low weight for age reduced at 14 years, with a non-significant increase at older than two years old; and the heavy weight for age significantly increased in all age groups throughout the entire time series. The coverage of nutritional status assessment was high and constant throughout almost the entire period assessed. The data reveal surprisingly high rates of indigenous child coverage in the Dourados Base Pole. The extreme vulnerability in which indigenous communities live directly reflects on their food conditions and on their nutritional and health indicators.