Adequacy of public maternal care services in Brazil

Detalhes bibliográficos
Autor(a) principal: Bittencourt, Sonia Duarte de Azevedo
Data de Publicação: 2016
Outros Autores: Domingues, Rosa Maria Soares Madeira, Reis, Lenice Gnocchi da Costa, Ramos, Márcia Melo, Leal, Maria do Carmo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/28835
Resumo: Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.
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spelling Bittencourt, Sonia Duarte de AzevedoDomingues, Rosa Maria Soares MadeiraReis, Lenice Gnocchi da CostaRamos, Márcia MeloLeal, Maria do Carmo2018-09-17T16:18:14Z2018-09-17T16:18:14Z2016BITTENCOURT, Sonia Duarte de A. et al. Adequacy of public maternal care services in Brazil. Reproductive Health, v. 13, n. 120, supl. 1, p. 257-265, 2016.1742-4755https://www.arca.fiocruz.br/handle/icict/2883510.1186/s12978-016-0229-6engAdequacy of public maternal care services in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.Secretaria Municipal de Saúde. Subsecretaria de Vigilância. Fiscalização Sanitária e Controle de Zoonose. Rio de Janeiro, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.Background: In Brazil, hospital childbirth care is available to all, but differences in access and quality of care result in inequalities of maternal health. The objective of this study is to assess the infrastructure and staffing of publicly financed labor and birth care in Brazil and its adequacy according to clinical and obstetric conditions potentially associated with obstetric emergencies. Methods: Nationwide cross-sectional hospital-based study “Birth in Brazil: national survey into labor and birth” conducted in 2011–2012. Data from 209 hospitals classified as public (public funding and management) or mixed (public or private funding and private management) that generate estimates for 1148 Brazilian hospitals. Interview with hospital managers provided data for the structure adequacy assessment covering four domains: human resources, medications, equipment for women emergency care and support services. We conducted analysis of the structure adequacy rate according to type of hospital (public or mixed), availability of ICU and the woman obstetric risk using the X2 test to detect differences in categorical variables with the level of statistical significance set at p <0.05. Results: Global rate of adequacy of 34.8 %: 42.2 % in public hospitals and 29.0 % in mixed hospitals (p < 0.001). Public and mixed hospitals with ICU had higher scores of adequacy than hospitals without ICU (73.3 % × 24.4 % public hospitals; 40.3 % × 10.6 % mixed hospitals). At a national level, 32.8 % of women with obstetric risk were cared for in hospitals without ICU and 29.5 % of women without risk were cared for in hospitals with ICU. Inequalities were observed with the North, Northeast and non-capital regions having the lower rates of hospitals with ICU. Conclusions: The majority of maternity wards across the country have a low rate of adequacy that can affect the quality of labor and birth care. This holds true for women at high obstetric risk, who suffer the possibility of having their care compromised by failures of hospital infrastructure, and for women at low obstetric risk, who may not receive the appropriate care to support the natural evolution of their labor when in a technological hospital environment.Maternal healthMaternity hospitalsStructure of servicesQuality of health careinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/28835/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALAdequacy of public maternal care services in Brazil_Rosa_Domingues_etal_INI_Lapclin-AIDS_2016.pdfAdequacy of public maternal care services in 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dc.title.pt_BR.fl_str_mv Adequacy of public maternal care services in Brazil
title Adequacy of public maternal care services in Brazil
spellingShingle Adequacy of public maternal care services in Brazil
Bittencourt, Sonia Duarte de Azevedo
Maternal health
Maternity hospitals
Structure of services
Quality of health care
title_short Adequacy of public maternal care services in Brazil
title_full Adequacy of public maternal care services in Brazil
title_fullStr Adequacy of public maternal care services in Brazil
title_full_unstemmed Adequacy of public maternal care services in Brazil
title_sort Adequacy of public maternal care services in Brazil
author Bittencourt, Sonia Duarte de Azevedo
author_facet Bittencourt, Sonia Duarte de Azevedo
Domingues, Rosa Maria Soares Madeira
Reis, Lenice Gnocchi da Costa
Ramos, Márcia Melo
Leal, Maria do Carmo
author_role author
author2 Domingues, Rosa Maria Soares Madeira
Reis, Lenice Gnocchi da Costa
Ramos, Márcia Melo
Leal, Maria do Carmo
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Bittencourt, Sonia Duarte de Azevedo
Domingues, Rosa Maria Soares Madeira
Reis, Lenice Gnocchi da Costa
Ramos, Márcia Melo
Leal, Maria do Carmo
dc.subject.en.pt_BR.fl_str_mv Maternal health
Maternity hospitals
Structure of services
Quality of health care
topic Maternal health
Maternity hospitals
Structure of services
Quality of health care
description Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.
publishDate 2016
dc.date.issued.fl_str_mv 2016
dc.date.accessioned.fl_str_mv 2018-09-17T16:18:14Z
dc.date.available.fl_str_mv 2018-09-17T16:18:14Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.citation.fl_str_mv BITTENCOURT, Sonia Duarte de A. et al. Adequacy of public maternal care services in Brazil. Reproductive Health, v. 13, n. 120, supl. 1, p. 257-265, 2016.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/28835
dc.identifier.issn.pt_BR.fl_str_mv 1742-4755
dc.identifier.doi.none.fl_str_mv 10.1186/s12978-016-0229-6
identifier_str_mv BITTENCOURT, Sonia Duarte de A. et al. Adequacy of public maternal care services in Brazil. Reproductive Health, v. 13, n. 120, supl. 1, p. 257-265, 2016.
1742-4755
10.1186/s12978-016-0229-6
url https://www.arca.fiocruz.br/handle/icict/28835
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/28835/1/license.txt
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