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Caregiver´s Perceptions And Institutional Proposal Concerning The Childhood Health Care In Day-care
(Alves, Roberta Cristiane Pascarelli)

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Caregiver´s perceptions and institutional proposal concerning the childhood health care in day-care centerTo promote children health is to guarantee care quality to providetheir integral development. The child day-care center is a place wherechildren live great part of their days, justifying the attempt tounderstand how this care is offered to them. The aim of the presentstudy, as a general objective, was to characterize the aspects relatedto the implementation of health care in day-care center and as specificobjectives to identify the caregivers? perceptions and institutionalproposal concerning the child health care. Interviews had been carriedout with four teachers and the pedagogical coordinator of a municipalpublic day-care center, in the city of São Paulo, as well as theanalysis of institutional documents. Based on caregivers speeches, theintegration of education and care seems to be as a characteristic ofthe work itself in the day-care center, but many factors made thisimplementation difficult, such as the deficient personnel formation inrelation to care, particularly those in the health area, and the burdenof activities. In view of these difficulties, questions concerning thepossibility to extensively accomplish this integration arouse.Education still appears as the main focus of the teachers? work, andcare seems to be something inevitable since the child is verydependent. Therefore, care actions remain restricted to the body itselfand are only emphasized when they are considered as activities to betaught, aiming the independence of the child. The institutionalproposal identified in documents presents gaps concerned to theeffective inclusion of the care as an independent and inherent categorythat is a characteristic of caregivers in day-care centers. Inconclusion, it is pointed out the need to continue improving theconstruction of appropriate proposals to this level of childhoodattendance, with support of other knowledge areas that performchildcare.



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