Pré-natal na atenção primária do município de João Pessoa-PB: caracterização de serviços e usuárias

Silva, Esther Pereira da; Lima, Roberto Teixeira de; Ferreira, Nadja Laís Soares; Costa, Maria José de Carvalho

doi:10.1590/s1519-38292013000100004

Cited by 28 publications

(42 citation statements)

References 14 publications

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“…However, it was lower than Botucatu, which ranged from 86.0% to 93.0%, (13) and Araguari, with 91.7% (14) . The number of six or more visits during PN was superior to several recent studies, which found 79.2% (1) 80.0 to 74.0% (15) , 80.0% (13) and 80.4% (16) , but lower than that of João Pessoa, with 89.9% (12) and Botucatu, with 94.0% in the FHSS and 97.0% in the traditional PHU (13) . Also, the combination of an early start of PN and conducting six consultations was higher than that found in two studies, one in São Paulo, at 63.1% (17) and another in Recife, at 38.0% (18) .…”

Section: Discussioncontrasting

confidence: 81%

“…In this study, we found that the proportion of pregnant women enrolled in SISPRENATAL who adhered to this recommendation was higher than that found in a study in Rio de Janeiro and similar to that of a study from João Pessoa -74.4% to 83.6 % (1,12) . However, it was lower than Botucatu, which ranged from 86.0% to 93.0%, (13) and Araguari, with 91.7% (14) .…”

Section: Discussionsupporting

confidence: 77%

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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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Section: Discussioncontrasting

confidence: 81%

Section: Discussionsupporting

confidence: 77%

Evaluation of prenatal care in unit with family health strategy

Corrêa

Tsunechiro

Lima

et al. 2014

Rev. esc. enferm. USP

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“…In a study performed by Silva 27 on prenatal primary care in the city of João Pessoa in line with the present study medications and supplements had a high of solving (95%). For tetanus immunization there was high coverage (94.7%) in this study.…”

Section: Materials Inputssupporting

confidence: 88%

Avaliação da assistência pré-natal na perspectiva da integralidade Evaluation of prenatal care from the perspective of completeness

Costa

Câmara

Costa

et al. 2016

R. pesq. cuid. fundam. online

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Objetivo: Avaliar a assistência pré-natal na perspectiva da integralidade. Metodologia: Trata-se de um estudo avaliativo cujo objeto é a integralidade da assistência pré-natal, com foco na dimensão da organização dos serviços, onde foram analisadas duas dimensões. Participaram da pesquisa, profissionais que atuavam diretamente na assistência pré-natal e os gestores de saúde nesse âmbito. Resultados: Foram analisadas as dimensões garantia de recursos e modelo de vigilância em saúde e a partir das respectivas notas foi possível obter a nota da gestão onde respectivamente foram obtidas notas consideradas regulares(1° dimensão 7,3, 2° dimensão 5,4 nota da gestão6,5).Conclusão: Infere-se para este município no que tange a assistência pré-natal que são necessárias intervenções nesta área para alcançar um padrão de qualidade pautado na integralidade, a gestão municipal precisa prover os recursos necessários para que se tenha uma assistência mais estruturada. Descritores: Assistência pré-natal, Integralidade em saúde, Avaliação de programas.

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“…[23][24] Buscando apresentar um modelo para avaliar a qualidade da atenção básica em saúde bucal e testar sua aplicabilidade em municípios de diferentes portes em SC, um trabalho 25 Com relação à discussão dos instrumentos e modelos de avaliação, um estudo procurou o instrumento "mais adequado" para avaliar a APS. Demonstrou que o principal objetivo nas pesquisas de avaliação é a produção de um conhecimento que seja reconhecido pela comunidade cientifica e que sirva como fator orientador de decisão.…”

Section: Materiais E Métodosunclassified