Avaliação da cobertura e indicadores do Programa de Humanização do Pré-natal e Nascimento no município de Salvador, Bahia, Brasil

Nascimento, Enilda Rosendo do; Paiva, Mirian Santos; Rodrigues, Quessia Paz

doi:10.1590/s1519-38292007000200010

Cited by 19 publications

(22 citation statements)

References 6 publications

(7 reference statements)

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“…According to previous studies, the proportion of women that perform the second round of exams is always less than expected and less than the proportion that performed the fi rst routine exams. 2,3,[6][7][8][9][10]12,13,16 In the current study, the decrease in the number of routine second exams was much less according to the prenatal booklet compared to SISPRENATAL, which indicates that most women meet this requirement, without a corresponding record in the system. A substantial difference can also be found for tetanus vaccination according to DATASUS, which reinforces the conclusion that integration between the multiprofessional team is fundamental for improved documentation of information.…”

Section: Discussionmentioning

confidence: 45%

“…2,3,[6][7][8][9][10]12,13,16 Although the number of women with six or more prenatal visits has increased over the years, the minimum requirements have not reached 20% coverage, with large regional differences. 12,13 All data from Brazilian municipalities are inserted in DATASUS through local upload to SISPRENATAL.…”

Section: The Prenatal and Birth Humanization Program (Programa De Hummentioning

confidence: 99%

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Sisprenatal como instrumento de avaliação da qualidade da assistência à gestante

et al. 2011

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OBJECTIVE:To evaluate coverage by the Prenatal and Birth Humanization Program, according to its minimal requirements and process indicators, by comparing information from prenatal booklets to SISPRENATAL (System to Accompany the Prenatal and Birth Humanization Program). METHODS:A cross-sectional study was carried out with prenatal data from 1,489 women in the postpartum period after birth in the Brazilian Unifi ed Health System, between November 2008 to October 2009 in São Carlos municipality, Southeastern Brazil. Data were collected from the prenatal booklet and afterwards from the SISPRENATAL. Information from both sources was compared using the McNemar χ 2 test for related samples. RESULTS:Prenatal coverage in relation to the number of live births was 97.1% according to the prenatal booklet and 92.8% according to SISPRENATAL. There were statistical significant differences between both sources of information for all the minimum requirements of the Prenatal and Birth Humanization Program, and also the process indicators. Except for the fi rst prenatal visit, the prenatal booklet always had greater frequencies than SISPRENATAL. The proportion of women with six or more prenatal visits and all basic exams was 72.5%, according to the prenatal booklet and 39.4% by the offi cial system. These differences remained for the fi ve health regions in the municipality.CONCLUSIONS: SISPRENATAL was not a reliable source for evaluating the available information on care during pregnancy. There was high adherence to the Prenatal and Birth Humanization Program, but documentation of information was insuffi cient for all the minimum requirements and process indicators. Ten years after the start of the program, municipalities should provide adequate quality of care and build health professional capacity for proper documentation of health information.

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Section: Discussionmentioning

confidence: 45%

Section: The Prenatal and Birth Humanization Program (Programa De Hummentioning

confidence: 99%

Sisprenatal como instrumento de avaliação da qualidade da assistência à gestante

et al. 2011

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“…Tetanus vaccinations, considered an effective measure in the prevention of neonatal (24) tetanus, has shown low coverage in Brazil (31%) (20) , in Salvador, (33.5%) (25) , and Botucatu, (31.4%) (26) . However, in Curitiba, registration of 87.2% was observed for application of tetanus vaccine (27) .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of prenatal care in unit with family health strategy

Corrêa

Tsunechiro

Lima

et al. 2014

Rev. esc. enferm. USP

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INTRODUCTIONPrenatal care (PN) may contribute to more favorable maternal and perinatal outcomes by enabling early detection and timely treatment of various diseases; in addition to the control of some risk factors that cause complications to women's health and that of newborns (1) .In Brazil, although infant mortality rates have decreased in recent decades, this decline has been uneven across states and municipalities, as well as between areas of a specific municipality (2,3) . To improve national rates and decrease these regional differences, the Brazilian government has taken several measures to increase women's access to prenatal care, in order to qualify the actions developed within it and to modify the model of health care for deliveries.For pregnant women of normal risk, the Program for Humanization of Prenatal and Birth (PHPB) established basic rules for qualified and humanized care, recommending a first prenatal care consultation before the fourth month of pregnancy, at least six prenatal visits (one in the first trimester of pregnancy, two in the second and three in the third), and puerperal consultation until 42 days after birth (4) .Furthermore, in the city of São Paulo, with the goal of improving the quality of maternal-infant care, the Network for the Protection of the Paulistana Mother (Rede de Proteção à Mãe Paulistana) was created in 2006 (5) , which works by way of articulation, integration and monitoring of ambulatory healthcare services as well as municipal and state hospitals. This program aims to ensure: registration and connection of pregnant women to primary healthcare units (PHU) near their homes; inclusion of pregnant women exclusively in the primary healthcare network, regulating the entry point into the healthcare system; linking of pregnant women to reference hospitals in their region and means of transport.Despite the expansion of teams in the Family Health Strategy Service (FHSS) in the municipal healthcare system in São Paulo, the most recent study that evaluated the quality of the prenatal care network occurred in the mid-2000s (6) , and did not specifically focus on primary care. Therefore, there is a knowledge gap, especially in the regions of greatest vulnerability in São Paulo. Recent studies indicate that prenatal care offered by FHSS teams is more in line with the regulations of the PHPB than in the PHU, which has a more traditional organization (7,8) .The objectives of this study were therefore constituted as follows: to analyze the healthcare process of PN in a unit of the FHSS, in accordance with the indicators of the PHPB, and compare the adequacy of the PN with sociodemographic variables, clinical procedures and obstetrics, examinations and maternal and perinatal outcomes. METHODThis study is part of the project Prenatal assessment in a region of the southern area of São Paulo, funded by the National Council for Scientific and Technological Development -CNPq (Case No. 485.264/2011-0), approved by the Research Ethics Committee of the sponsoring institution and the co-par...

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“…De outro lado, o acesso ao serviço público tem se estendido a uma parcela crescente de indivíduos que também usam serviços conveniados ou particulares 12 . Apesar disso, ainda é baixa a cobertura das ações dirigidas a grupos vulneráveis a cargo das Unidades Básicas de Saúde (UBS) 11,13 .…”

Section: N T R O D U ç ã Ounclassified

A dinâmica do aleitamento materno entre famílias em vulnerabilidade social: o que revela o sistema de busca ativa

2011

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ObjetivoDescrever as práticas de amamentação em grupos vulneráveis residentes na área de cobertura do Distrito Noroeste de Campinas. MétodosFoi realizado um estudo transversal, utilizando levantamento de caráter censitário, denominado busca ativa, em visitas a todos os domicílios da área estudada. Foi feito um estudo exploratório das práticas de aleitamento materno em população moradora de região urbana periférica em vulnerabilidade social, com aproximadamente 165 mil habitantes, atendidos por três unidades básicas de saúde. ResultadosForam encontradas 1.139 crianças com até seis anos de idade, com 72,6% das famílias abaixo da linha de pobreza. A amamentação ocorreu em 93,3% dos casos, com mediana de aleitamento materno de 8 meses (IC 95% 7,0 -8,9 meses), tempo de aleitamento materno exclusivo com mediana de 4 meses (IC 95% 3,9 -4,1 meses), sendo que mais de 20% das crianças recebiam outros alimentos já no primeiro mês. Grande parte das famílias referiu não ter recebido orientação sobre o aleitamento materno nas unidades básicas de saúde. ConclusãoO tempo de aleitamento materno e de aleitamento materno exclusivo na área do estudo, encontrado por busca ativa, foi superior à média nacional e também ao observado em populações com características socioeconômicas semelhantes, o que reforça a importância da incorporação dessa estratégia pela Atenção Básica, nas ações de promoção do aleitamento materno. Termos de indexação:Aleitamento materno. Lactente. Serviços de saúde.

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Avaliação da cobertura e indicadores do Programa de Humanização do Pré-natal e Nascimento no município de Salvador, Bahia, Brasil

Cited by 19 publications

References 6 publications

Sisprenatal como instrumento de avaliação da qualidade da assistência à gestante

Sisprenatal como instrumento de avaliação da qualidade da assistência à gestante

Evaluation of prenatal care in unit with family health strategy

A dinâmica do aleitamento materno entre famílias em vulnerabilidade social: o que revela o sistema de busca ativa

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