Prenatal care by the family health strategy in a reference city of northeastern Brazil
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | , |
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 |
Resumo: | 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. |
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Prenatal care by the family health strategy in a reference city of northeastern BrazilLa atención prenatal en la estrategia de salud de la familia en una ciudad de referencia del noreste de BrasilAtenção pré-natal na estratégia saúde da família em município de referência do nordeste brasileiroCuidado pré-natalQualidade da assistência à saúdeAvaliação em saúdeAtenção Primária à SaúdeAtención prenatalCalidad de la atención de saludEvaluación en saludAtención Primaria de SaludPrenatal careQuality of health careHealth assessmentPrimary Health CarePrenatal 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. La atención prenatal juega un papel importante en la atención maternoinfantil y, cuando está calificada, puede prevenir complicaciones relacionadas con el embarazo. Se evaluó la calidad de la atención prenatal en la Estrategia Salud de la Familia en un municipio de referencia macrorregional del Nordeste brasileño. Esta es una evaluación normativa con un nivel analítico centrado en los Equipos de Salud de la Familia (EqSF). Se realizaron entrevistas estructuradas con enfermeros gestores del EqSF, a través de un cuestionario estructurado, validado a nivel nacional y con estándares evaluativos de la estructura y proceso de trabajo del EqSF, centrado en dos dimensiones de análisis: cuidado y gestión. Los datos fueron procesados ??y analizados de forma descriptiva, considerando la frecuencia de adaptación de los equipos a cada estándar evaluativo. El 69% (9) de los EqSF evaluados cumplieron satisfactoriamente con los estándares de calidad en la atención prenatal y el 31% (4) cumplieron regularmente. El porcentaje de adecuación de los equipos evaluados en el escenario estudiado fue superior al encontrado en otros municipios de Brasil, donde la adecuación ha mostrado una media que oscila entre el 15% y el 40%. En la dimensión gerencial, los atributos de los procesos de trabajo fueron los más críticos de adecuación y en la dimensión asistencial, los atributos de estructura tuvieron mayor dificultad para lograr la adecuación a los estándares de calidad de la atención prenatal. Este estudio ayudó a identificar los principales obstáculos y potencialidades de la estructura y los procesos de gestión y atención del prenatal. Sus hallazgos revelaron cuáles son los estándares de adecuación más críticos y cuáles demandan de los gestores municipales y locales estrategias de mejora de la calidad en la atención prenatal.O pré-natal tem um importante papel na atenção materno-infantil e quando qualificado pode prevenir complicações ligadas à gestação. Avaliou-se a qualidade da atenção pré-natal na Estratégia Saúde da Família em município de referência macrorregional do Nordeste brasileiro. Trata-se de uma avaliação normativa com nível analítico centrado nas Equipes de Saúde da Família (EqSF). Realizaram-se entrevistas estruturadas com enfermeiros gerentes das EqSF, através de um questionário estruturado, validado nacionalmente e com padrões avaliativos da estrutura e processo de trabalho das EqSF, centrados em duas dimensões de análise: a assistencial e a gerencial. Os dados foram processados e analisados de forma descritiva, considerando a frequência de adequação das equipes a cada padrão avaliativo. 69% (9) da EqSF avaliadas atendiam satisfatoriamente aos padrões de qualidade na atenção pré-natal e 31% (4) atendiam regularmente. O percentual de adequação das equipes avaliadas no cenário estudado foi superior ao encontrado em outros municípios do Brasil, onde a adequação tem apresentado média variando entre 15% e 40%. Na dimensão gerencial, os atributos de processos de trabalho foram os mais críticos de adequação e na dimensão assistencial os atributos de estrutura tiveram maior dificuldade de alcançar a adequação aos padrões de qualidade do pré-natal. Este estudo contribuiu para identificar os principais obstáculos e potencialidades da estrutura e processos gerenciais e assistenciais da atenção pré-natal. Seus achados revelaram quais são os padrões mais críticos de adequação e que demandam dos gestores municipais e gerentes locais estratégias de melhoria da qualidade na atenção pré-natal.SESAB2024-04-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/359510.22278/2318-2660.2024.v47.n4.a3595Revista Baiana de Saúde Pública; v. 47 n. 4 (2023); 36-522318-26600100-023310.22278/2318-2660.2024.v47.N4reponame:Revista Baiana de Saúde Pública (Online)instname:Secretaria da Saúde do Estado da Bahia (Sesab)instacron:IBICTporhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3595/3274Copyright (c) 2024 Revista Baiana de Saúde Públicainfo:eu-repo/semantics/openAccessRios , Ellen Raíssa Coelho Gomes, Daiene RosaAleluia, Ítalo Ricardo Santos 2024-04-02T13:52:28Zoai:ojs.pkp.sfu.ca:article/3595Revistahttps://rbsp.sesab.ba.gov.br/index.php/rbspPUBhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/oai||saude.revista@saude.ba.gov.br|| rbsp.saude@saude.ba.gov.br2318-26600100-0233opendoar:2024-04-02T13:52:28Revista Baiana de Saúde Pública (Online) - Secretaria da Saúde do Estado da Bahia (Sesab)false |
dc.title.none.fl_str_mv |
Prenatal care by the family health strategy in a reference city of northeastern Brazil La atención prenatal en la estrategia de salud de la familia en una ciudad de referencia del noreste de Brasil Atenção pré-natal na estratégia saúde da família em município de referência do nordeste brasileiro |
title |
Prenatal care by the family health strategy in a reference city of northeastern Brazil |
spellingShingle |
Prenatal care by the family health strategy in a reference city of northeastern Brazil Rios , Ellen Raíssa Coelho 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 |
title_short |
Prenatal care by the family health strategy in a reference city of northeastern Brazil |
title_full |
Prenatal care by the family health strategy in a reference city of northeastern Brazil |
title_fullStr |
Prenatal care by the family health strategy in a reference city of northeastern Brazil |
title_full_unstemmed |
Prenatal care by the family health strategy in a reference city of northeastern Brazil |
title_sort |
Prenatal care by the family health strategy in a reference city of northeastern Brazil |
author |
Rios , Ellen Raíssa Coelho |
author_facet |
Rios , Ellen Raíssa Coelho Gomes, Daiene Rosa Aleluia, Ítalo Ricardo Santos |
author_role |
author |
author2 |
Gomes, Daiene Rosa Aleluia, Ítalo Ricardo Santos |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Rios , Ellen Raíssa Coelho Gomes, Daiene Rosa Aleluia, Ítalo Ricardo Santos |
dc.subject.por.fl_str_mv |
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 |
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 |
description |
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. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-04-02 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3595 10.22278/2318-2660.2024.v47.n4.a3595 |
url |
https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3595 |
identifier_str_mv |
10.22278/2318-2660.2024.v47.n4.a3595 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3595/3274 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2024 Revista Baiana de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2024 Revista Baiana de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
SESAB |
publisher.none.fl_str_mv |
SESAB |
dc.source.none.fl_str_mv |
Revista Baiana de Saúde Pública; v. 47 n. 4 (2023); 36-52 2318-2660 0100-0233 10.22278/2318-2660.2024.v47.N4 reponame:Revista Baiana de Saúde Pública (Online) instname:Secretaria da Saúde do Estado da Bahia (Sesab) instacron:IBICT |
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Secretaria da Saúde do Estado da Bahia (Sesab) |
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IBICT |
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IBICT |
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Revista Baiana de Saúde Pública (Online) |
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Revista Baiana de Saúde Pública (Online) |
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Revista Baiana de Saúde Pública (Online) - Secretaria da Saúde do Estado da Bahia (Sesab) |
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||saude.revista@saude.ba.gov.br|| rbsp.saude@saude.ba.gov.br |
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