OBJECTIVETo analyze the factors associated with a lack of prenatal care in a large municipality in southern Brazil.METHODSIn this case-control age-matched study, 716 women were evaluated; of these, 179 did not receive prenatal care and 537 received prenatal care (controls). These women were identified using the Sistema Nacional de Informação sobre Nascidos Vivos (Live Birth Information System) of Pelotas, RS, Southern Brazil, between 2009 and 2010. Multivariate analysis was performed using conditional logistic regression to estimate the odds ratios (OR).RESULTSIn the final model, the variables associated with a lack of prenatal care were the level of education, particularly when it was lesser than four years [OR 4.46; 95% confidence interval (CI) 1.92;10.36], being single (OR 3.61; 95%CI 1.85;7.04), and multiparity (OR 2.89; 95%CI 1.72;4.85). The prevalence of a lack of prenatal care among administrative regions varied between 0.7% and 3.9%.CONCLUSIONSThe risk factors identified must be considered when planning actions for the inclusion of women in prenatal care by both the central management and healthcare teams. These indicated the municipal areas with greater deficits in prenatal care. The reorganization of the actions to identify women with risk factors in the community can be considered to be a starting point of this process. In addition, the integration of the activities of local programs that target the mother and child is essential to constantly identify pregnant women without prenatal care.
RESUMO:Objetivo: descrever a composição das equipes dos Centros de Atenção Psicossocial (CAPS) de acordo com características sociodemográficas, do trabalho, da formação e qualificação como contribuição a avaliação dos investimentos públicos na gestão do trabalho e educação permanente. Método: realizou-se um estudo transversal integrado a pesquisa "Avaliação dos CAPS da Região Sul do Brasil". Resultados: a maioria dos trabalhadores eram mulheres (78%), concluiu ensino superior, trabalhava em média 30 horas por semana e possuía um emprego. Cerca de 30% possuía vínculo de trabalho precário. Observou-se baixo percentual de médicos (62%) e enfermeiros (26%) com especialização em saúde mental e deficiência quantitativa de profissionais de nível médio e técnico (53%). Conclusões: Destaca-se a importância da formação adequada das equipes e a necessidade de desprecarização do trabalho. Os resultados sugerem uma lacuna a ser preenchida rumo ao que é preconizado para a composição profissional dos CAPS. Descritores: Saúde mental; Serviços de saúde mental; Recursos humanos; Formação de recursos humanos. ABSTRACT: Aims: describe the composition of the teams of the Center of Psychosocial Attention (CAPS), according to sociodemographic characteristics, work, training and professional qualification and thus contribute to the evaluation of the public investment
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