OBJECTIVE: To translate and to observe the psychometric measures of the Brazilian version of the Quality of Prenatal Care Questionnaire. METHODS: The translation protocol followed the standards of the International Society for Pharmacoeconomics and Outcomes Research. Descriptive statistics were performed to identify characteristics of 280 literate postpartum women in a public hospital. We examined the internal consistency using Cronbach’s alfa. To determine the test-retest reproducibility and the instrument’s stability, we performed the intraclass correlation coefficient and Bland and Altman plot between two applications. We investigated the item’s properties using the item response theory. RESULTS: The overall Cronbach’s alpha index was 0.975. The intraclass correlation coefficient was 0.995 (95%CI 0.993–0.996) and a uniform distribution was visualized at the Bland and Altman plot. The item response theory identified the discriminatory power and the difficulty level of the instrument and of each item. The instrument showed acute angulation of the expected total score, and good concentrate information and good standard error curves, preserving the latent construct and its original items. CONCLUSIONS: This analysis concluded that the Brazilian version of the Quality of Prenatal Care Questionnaire is a high-quality, reliable and valid questionnaire to determine the quality of prenatal care among Brazilian women. The questionnaire is suitable for the cultural context represented.

Introduction: We evaluated the epidemiological and clinical profile of reported cases of bee sting incidents in Santa Catarina, Brazil. Methods: This retrospective cohort study included all reported cases of bee sting incidents among the population of Santa Catarina from 2007 to 2017. Results: In total, 8,912 cases were reported, corresponding to an overall rate of 12.3/100,000 population. The mean age was 29,8 years with 60.2% men. The lethality rate was 0.2%. Conclusions: Santa Catarina has a high incidence rate of bee stings, which is higher than the national average. The data presented in this study may be underestimated.

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Background HIV infection affects women of childbearing age, and unplanned pregnancies among those infected are prevalent. This fact increases the potential risk for mother-to-child transmission during pregnancy, childbirth or postpartum through breastfeeding. The Brazilian Ministry of Health recommends anti-HIV testing for all pregnant women. Access to antiretroviral therapy is available through prenatal and maternity care, and breastfeeding is contraindicated. The detection rate of pregnant women living with HIV in Brazil has increased by 23.8% in the last ten years. The aim of this study was to estimate the incidence of seroconversion of HIV infection in children exposed to mother-to-child transmission and examine associated risk factors for the period 2007-2017 in Santa Catarina, Brazil. Methods A historical cohort study was conducted using secondary data related to the notifications of HIV-infected pregnant woman and follow-up of HIV-exposed infants. Odds ratios were used to estimate the risk of infection. Results We identified 5,554 HIV-infected pregnant women and 4,559 HIV-exposed infants, 130 of whom had confirmed seroconversion, which corresponds to a rate of 2.9%. Antiretroviral use during pregnancy [OR = 9.31 (5.97-14.52) p < 0.001] and breastfeeding [OR = 3.10 (1.34-7.20) p = 0.008] were found to be independent risk factors for seroconversion. Between 2007 and 2017, there was a 78.3% increase in the number of HIV-infected pregnant women, but the seroconversion rate among infants reduced by 20.4%. Conclusions The study concluded that, between 2007 and 2017, the HIV seroconversion rate was 2.9% among live births, with a tendency to decrease. Seroconversion was associated with not using antiretroviral therapy during pregnancy and breastfeeding. These data reveal gaps in prenatal care regarding adherence to treatment and follow-up of HIV-infected mothers, resulting in new HIV infections among children that could otherwise be prevented. Key messages Vertical transmission of HIV is a public health challenge, which requires strategies for surveillance and quality care. This study may provide relevant information to promote public health policies, with quality care for pregnant women and children living with HIV/AIDS.

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The effectiveness of hospital institutions has been maximized due to the implementation of computerized management systems. The objective of this research was to identify the perception of managers and users regarding the Brazilian government program to implement a hospital information system (AGHU) for the management of federal university hospitals. The survey strategy was adopted, obtaining a total of responses from 736 employees from 21 hospitals. Frequency distribution and semantic differential reduction measure, and content analysis were used for data analysis. The results refer to a set of intervening aspects that acted as obstacles to the implementation process, at macro, meso and micro levels. These aspects are configured in different ways in each hospital institution, influencing the system implementation process. This fact reinforces the diversity of the political, cultural and structural context of each institution and the lack of homogeneity in relation to the actions to introduce the AGHU in the different university hospitals. The perceptions of managers and users are aligned with most of the intervening aspects and the results of the process. There was a tendency to agree on the contributions of AGHU to improve the quality of the care process, management processes and productivity. Keywords: hospital management, health information technology, hospital information system, university hospital, government program. IntroduçãoEm um cenário mundial sem fronteiras, caracterizado por mudanças frequentes nos contextos social, econômico, político e tecnológico, as organizações veem-se frente a um continuum dinâmico de revisões em seus papéis e processos. Sem configurar-se exceção ao contexto global experimentado por organizações de outras naturezas, as instituições vinculadas à saúde pública também sofrem influências profundas do meio, vendo-se compelidas a atualizar suas políticas e práticas de gestão. Acompanhando a demanda global por maiores eficiências competitivas, a perspectiva dessas instituições, antes voltadas ao assistencialismo, desprovidas da obrigação de apresentar evidências de gestão, é alterada para uma orientação empreendedora, norteada pelo desempenho, resultados e transparência (Lima et al., 2009;Crowley et al., 2019).Com este propósito, os Sistemas de Informação Hospitalares (SIH), um tipo de Sistema de Informação em Saúde (SIS), têm o papel de facilitar a gestão hospitalar, ao oferecer ferramentas destinadas à coleta, armazenamento e integração de informações entre os diversos setores de um ambiente hospitalar (Yusof et al, 2008;Alipour et al., 2019). Essas informações incluem aquelas voltadas aos registros de dados (prontuários) do paciente, práticas médicas e de enfermagem, gestão dos ambientes clínicos e questões administrativas associadas (Stefanou & Revanoglou, 2006). Ao disponibilizar informações relevantes aos múltiplos stakeholders envolvidos na gestão hospitalar, é possível avaliar sua eficiência operacional e administrativa, assim como o alcance do bem estar da sociedade por mei...