Prenatal care by the family health strategy in a reference city of northeastern Brazil

• Autor(a) principal: Rios , Ellen Raíssa Coelho
• Data de Publicação: 2024
• Outros Autores: Gomes, Daiene Rosa, Aleluia, Ítalo Ricardo Santos
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Baiana de Saúde Pública (Online)
• Texto Completo: https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3595
• topic: Cuidado pré-natal; Qualidade da assistência à saúde; Avaliação em saúde; Atenção Primária à Saúde; Atención prenatal; Calidad de la atención de salud; Evaluación en salud; Atención Primaria de Salud; Prenatal care; Quality of health care; Health assessment; Primary Health Care

Prenatal care plays an important role in maternal and child care and, when qualified, can prevent complications related to pregnancy. The quality of prenatal care in the Family Health Strategy was evaluated in a macro-regional reference municipality in the Brazilian Northeast. This is a normative assessment with an analytical level centered on the Family Health Teams (EqSF). Structured interviews were carried out with nurse managers of the EqSF, through a structured questionnaire, validated nationally and with evaluative standards of the structure and work process of the EqSF, centered on two dimensions of analysis: care and management. The data were processed and analyzed in a descriptive way, considering the frequency of adaptation of the teams to each evaluative standard. 69% (9) of the evaluated EqSF met the quality standards in prenatal care satisfactorily and 31% (4) met it regularly. The percentage of adequacy of the teams evaluated in the studied scenario was higher than that found in other municipalities in Brazil, where the adequacy has shown an average ranging between 15% and 40%. In the managerial dimension, the attributes of work processes were the most critical of adequacy and in the care dimension, the attributes of structure had greater difficulty in achieving adequacy to the quality standards of prenatal care. This study helped to identify the main obstacles and potentialities of the structure and management and care processes of prenatal care. Their findings revealed which are the most critical standards of adequacy and which demand from municipal managers and local managers quality improvement strategies in prenatal care.