Avaliação da assistência pré-natal com foco na estrutura do serviço de saúde
Autor(a) principal: | |
---|---|
Data de Publicação: | 2019 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UFMA |
Texto Completo: | https://tedebc.ufma.br/jspui/handle/tede/tede/4325 |
Resumo: | Prenatal care evaluation is an indispensable tool for managers and health professionals, as they can better identify factors that entail inadequate care, thereby seeking to improve the quality of health actions and structure. The objective of this research was to evaluate the structure of the Health Units (HU) regarding the adequacy for prenatal care to pregnant women cared for in the Primary Care in São Luís – Maranhão, based on the Prenatal and Birth and Humanization Program (PHPN, as per its Portuguese acronym) and on the Rede Cegonha (Stork Network). This is a descriptive research, with a quantitative approach and an evaluative nature, grounded on the Donabedian framework. It was performed in 21 health units of the 7 Health Districts in San Luís – Maranhão that provide prenatal care, where 3 units were chosen per district, determined by random drawing. The research was attended by 21 managers and 40 prenatal health professionals. We performed absolute frequency and descriptive analyzes using the SPSS software, version 12.0 (SPSS Inc., Chicago, United States). The results showed that the structure of the health units was considered satisfactory (52.4%), mainly in relation to human resources, material resources and registration tools. Nevertheless, the presence of weaknesses is still noticeable in the physical plant (14.3%), such as the sufficient availability of meeting rooms and dental offices, the persistence of gaps in access, the timely provision of laboratory tests (47.6%) and the low supply of essential drugs during the gestational period (57%). We can conclude that, despite the good performance of the structure of health services in the Primary Care of São Luís, there are still health inequalities regarding the structural and operational aspects, which must be overcome to provide adequate prenatal care, with a view to meeting what is recommended by PHPN and Stork Network, as well as specific interventions to strengthen Primary Health Care. |
id |
UFMA_5a46ff06e7987abb69701f1d73a993da |
---|---|
oai_identifier_str |
oai:tede2:tede/4325 |
network_acronym_str |
UFMA |
network_name_str |
Biblioteca Digital de Teses e Dissertações da UFMA |
repository_id_str |
2131 |
spelling |
FONSECA, Lena Maria Barroshttp://lattes.cnpq.br/6007134685901712FONSECA, Lena Maria Barroshttp://lattes.cnpq.br/6007134685901712MOCHEL, Elba Gomidehttp://lattes.cnpq.br/7904420167856122BATISTA, Rosângela Fernandes Lucenahttp://lattes.cnpq.br/3936205532436748CORRÊA, Rita da Graça Carvalhal Frazãohttp://lattes.cnpq.br/6872046904873372http://lattes.cnpq.br/5893335398495075SANTOS, John Lennon da Silva2022-11-23T18:25:52Z2019-10-30SANTOS, John Lennon da Silva. Avaliação da assistência pré-natal com foco na estrutura do serviço de saúde. 2019. 78 f. Dissertação (Programa de Pós-Graduação em Rede - Rede Nordeste de Formação em Saúde da Família/CCBS) - Universidade Federal do Maranhão, São Luís, 2022.https://tedebc.ufma.br/jspui/handle/tede/tede/4325Prenatal care evaluation is an indispensable tool for managers and health professionals, as they can better identify factors that entail inadequate care, thereby seeking to improve the quality of health actions and structure. The objective of this research was to evaluate the structure of the Health Units (HU) regarding the adequacy for prenatal care to pregnant women cared for in the Primary Care in São Luís – Maranhão, based on the Prenatal and Birth and Humanization Program (PHPN, as per its Portuguese acronym) and on the Rede Cegonha (Stork Network). This is a descriptive research, with a quantitative approach and an evaluative nature, grounded on the Donabedian framework. It was performed in 21 health units of the 7 Health Districts in San Luís – Maranhão that provide prenatal care, where 3 units were chosen per district, determined by random drawing. The research was attended by 21 managers and 40 prenatal health professionals. We performed absolute frequency and descriptive analyzes using the SPSS software, version 12.0 (SPSS Inc., Chicago, United States). The results showed that the structure of the health units was considered satisfactory (52.4%), mainly in relation to human resources, material resources and registration tools. Nevertheless, the presence of weaknesses is still noticeable in the physical plant (14.3%), such as the sufficient availability of meeting rooms and dental offices, the persistence of gaps in access, the timely provision of laboratory tests (47.6%) and the low supply of essential drugs during the gestational period (57%). We can conclude that, despite the good performance of the structure of health services in the Primary Care of São Luís, there are still health inequalities regarding the structural and operational aspects, which must be overcome to provide adequate prenatal care, with a view to meeting what is recommended by PHPN and Stork Network, as well as specific interventions to strengthen Primary Health Care.A avaliação da assistência pré-natal configura como uma ferramenta indispensável para gestores e profissionais de saúde, visto que podem identificar com mais propriedade fatores que levam a inadequação da assistência, e podem buscar a melhoria da qualidade das ações de saúde e da estrutura dos serviços. O objetivo desta pesquisa foi avaliar a estrutura das Unidades de Saúde (US) quanto à adequação para a assistência pré-natal às gestantes, atendidas na Atenção Primária em São Luís – Maranhão, com base no Programa de Humanização do Pré-natal e Nascimento (PNHPH) e Rede Cegonha. Trata-se de uma pesquisa descritiva, de abordagem quantitativa, de natureza avaliativa, fundamentada no referencial de Donabedian. É um recorte da pesquisa Retratando a Assistência Pré-Natal em São Luís-MA. Foi realizada em 21 unidades básicas de saúde dos 7 Distritos Sanitários de São Luís - Maranhão que realizam assistência pré-natal, sendo escolhidas 3 unidades por distrito, por sorteio aleatório. Participaram da pesquisa 21 gestores e 40 profissionais de saúde pré-natalistas. Foram realizadas análises descritivas, e frequência absoluta por meio do programa de software SPSS versão 12.0. Os resultados demonstraram que a estrutura das unidades de saúde foi considerada satisfatória (52,4%) em relação aos recursos humanos, recursos materiais e instrumentos de registro. No entanto, fragilidades foram observadas quanto a oferta de exames laboratoriais em tempo hábil (47,6%), e a insuficiência de medicamentos essenciais prescritos durante o pré-natal (57%). Conclui-se que, apesar do bom desempenho da estrutura dos serviços de saúde da Atenção Primária de São Luís, persistem iniquidades em saúde, quanto aos aspectos estruturais e operacionais e que necessitam ser superadas para a oferta de uma adequada assistência pré-natal, para atender ao que está preconizado pelo PHPN e Rede Cegonha, assim como intervenções pontuais para o fortalecimento da Atenção Primária em Saúde.Submitted by Daniella Santos (daniella.santos@ufma.br) on 2022-11-23T18:25:52Z No. of bitstreams: 1 JohnLennondaSilvaSantos.pdf: 1615836 bytes, checksum: 9f27424a1e78a9d5dabaf059dceae080 (MD5)Made available in DSpace on 2022-11-23T18:25:52Z (GMT). No. of bitstreams: 1 JohnLennondaSilvaSantos.pdf: 1615836 bytes, checksum: 9f27424a1e78a9d5dabaf059dceae080 (MD5) Previous issue date: 2019-10-30application/pdfporUniversidade Federal do MaranhãoPROGRAMA DE PÓS-GRADUAÇÃO EM REDE - REDE NORDESTE DE FORMAÇÃO EM SAÚDE DA FAMÍLIA/CCBSUFMABrasilDEPARTAMENTO DE ENFERMAGEM/CCBScuidado pré-natal;avaliação em saúde;saúde materno-infantilprenatal care;health evaluation;maternal and child health.Saúde Materno-InfantilAvaliação da assistência pré-natal com foco na estrutura do serviço de saúdeEvaluation of prenatal care focusing on the structure of the health serviceinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UFMAinstname:Universidade Federal do Maranhão (UFMA)instacron:UFMAORIGINALJohnLennondaSilvaSantos.pdfJohnLennondaSilvaSantos.pdfapplication/pdf1615836http://tedebc.ufma.br:8080/bitstream/tede/4325/2/JohnLennondaSilvaSantos.pdf9f27424a1e78a9d5dabaf059dceae080MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82255http://tedebc.ufma.br:8080/bitstream/tede/4325/1/license.txt97eeade1fce43278e63fe063657f8083MD51tede/43252022-11-23 15:25:52.642oai:tede2: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Biblioteca Digital de Teses e Dissertaçõeshttps://tedebc.ufma.br/jspui/PUBhttp://tedebc.ufma.br:8080/oai/requestrepositorio@ufma.br||repositorio@ufma.bropendoar:21312022-11-23T18:25:52Biblioteca Digital de Teses e Dissertações da UFMA - Universidade Federal do Maranhão (UFMA)false |
dc.title.por.fl_str_mv |
Avaliação da assistência pré-natal com foco na estrutura do serviço de saúde |
dc.title.alternative.eng.fl_str_mv |
Evaluation of prenatal care focusing on the structure of the health service |
title |
Avaliação da assistência pré-natal com foco na estrutura do serviço de saúde |
spellingShingle |
Avaliação da assistência pré-natal com foco na estrutura do serviço de saúde SANTOS, John Lennon da Silva cuidado pré-natal; avaliação em saúde; saúde materno-infantil prenatal care; health evaluation; maternal and child health. Saúde Materno-Infantil |
title_short |
Avaliação da assistência pré-natal com foco na estrutura do serviço de saúde |
title_full |
Avaliação da assistência pré-natal com foco na estrutura do serviço de saúde |
title_fullStr |
Avaliação da assistência pré-natal com foco na estrutura do serviço de saúde |
title_full_unstemmed |
Avaliação da assistência pré-natal com foco na estrutura do serviço de saúde |
title_sort |
Avaliação da assistência pré-natal com foco na estrutura do serviço de saúde |
author |
SANTOS, John Lennon da Silva |
author_facet |
SANTOS, John Lennon da Silva |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
FONSECA, Lena Maria Barros |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/6007134685901712 |
dc.contributor.referee1.fl_str_mv |
FONSECA, Lena Maria Barros |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/6007134685901712 |
dc.contributor.referee2.fl_str_mv |
MOCHEL, Elba Gomide |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/7904420167856122 |
dc.contributor.referee3.fl_str_mv |
BATISTA, Rosângela Fernandes Lucena |
dc.contributor.referee3Lattes.fl_str_mv |
http://lattes.cnpq.br/3936205532436748 |
dc.contributor.referee4.fl_str_mv |
CORRÊA, Rita da Graça Carvalhal Frazão |
dc.contributor.referee4Lattes.fl_str_mv |
http://lattes.cnpq.br/6872046904873372 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/5893335398495075 |
dc.contributor.author.fl_str_mv |
SANTOS, John Lennon da Silva |
contributor_str_mv |
FONSECA, Lena Maria Barros FONSECA, Lena Maria Barros MOCHEL, Elba Gomide BATISTA, Rosângela Fernandes Lucena CORRÊA, Rita da Graça Carvalhal Frazão |
dc.subject.por.fl_str_mv |
cuidado pré-natal; avaliação em saúde; saúde materno-infantil |
topic |
cuidado pré-natal; avaliação em saúde; saúde materno-infantil prenatal care; health evaluation; maternal and child health. Saúde Materno-Infantil |
dc.subject.eng.fl_str_mv |
prenatal care; health evaluation; maternal and child health. |
dc.subject.cnpq.fl_str_mv |
Saúde Materno-Infantil |
description |
Prenatal care evaluation is an indispensable tool for managers and health professionals, as they can better identify factors that entail inadequate care, thereby seeking to improve the quality of health actions and structure. The objective of this research was to evaluate the structure of the Health Units (HU) regarding the adequacy for prenatal care to pregnant women cared for in the Primary Care in São Luís – Maranhão, based on the Prenatal and Birth and Humanization Program (PHPN, as per its Portuguese acronym) and on the Rede Cegonha (Stork Network). This is a descriptive research, with a quantitative approach and an evaluative nature, grounded on the Donabedian framework. It was performed in 21 health units of the 7 Health Districts in San Luís – Maranhão that provide prenatal care, where 3 units were chosen per district, determined by random drawing. The research was attended by 21 managers and 40 prenatal health professionals. We performed absolute frequency and descriptive analyzes using the SPSS software, version 12.0 (SPSS Inc., Chicago, United States). The results showed that the structure of the health units was considered satisfactory (52.4%), mainly in relation to human resources, material resources and registration tools. Nevertheless, the presence of weaknesses is still noticeable in the physical plant (14.3%), such as the sufficient availability of meeting rooms and dental offices, the persistence of gaps in access, the timely provision of laboratory tests (47.6%) and the low supply of essential drugs during the gestational period (57%). We can conclude that, despite the good performance of the structure of health services in the Primary Care of São Luís, there are still health inequalities regarding the structural and operational aspects, which must be overcome to provide adequate prenatal care, with a view to meeting what is recommended by PHPN and Stork Network, as well as specific interventions to strengthen Primary Health Care. |
publishDate |
2019 |
dc.date.issued.fl_str_mv |
2019-10-30 |
dc.date.accessioned.fl_str_mv |
2022-11-23T18:25:52Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
SANTOS, John Lennon da Silva. Avaliação da assistência pré-natal com foco na estrutura do serviço de saúde. 2019. 78 f. Dissertação (Programa de Pós-Graduação em Rede - Rede Nordeste de Formação em Saúde da Família/CCBS) - Universidade Federal do Maranhão, São Luís, 2022. |
dc.identifier.uri.fl_str_mv |
https://tedebc.ufma.br/jspui/handle/tede/tede/4325 |
identifier_str_mv |
SANTOS, John Lennon da Silva. Avaliação da assistência pré-natal com foco na estrutura do serviço de saúde. 2019. 78 f. Dissertação (Programa de Pós-Graduação em Rede - Rede Nordeste de Formação em Saúde da Família/CCBS) - Universidade Federal do Maranhão, São Luís, 2022. |
url |
https://tedebc.ufma.br/jspui/handle/tede/tede/4325 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal do Maranhão |
dc.publisher.program.fl_str_mv |
PROGRAMA DE PÓS-GRADUAÇÃO EM REDE - REDE NORDESTE DE FORMAÇÃO EM SAÚDE DA FAMÍLIA/CCBS |
dc.publisher.initials.fl_str_mv |
UFMA |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
DEPARTAMENTO DE ENFERMAGEM/CCBS |
publisher.none.fl_str_mv |
Universidade Federal do Maranhão |
dc.source.none.fl_str_mv |
reponame:Biblioteca Digital de Teses e Dissertações da UFMA instname:Universidade Federal do Maranhão (UFMA) instacron:UFMA |
instname_str |
Universidade Federal do Maranhão (UFMA) |
instacron_str |
UFMA |
institution |
UFMA |
reponame_str |
Biblioteca Digital de Teses e Dissertações da UFMA |
collection |
Biblioteca Digital de Teses e Dissertações da UFMA |
bitstream.url.fl_str_mv |
http://tedebc.ufma.br:8080/bitstream/tede/4325/2/JohnLennondaSilvaSantos.pdf http://tedebc.ufma.br:8080/bitstream/tede/4325/1/license.txt |
bitstream.checksum.fl_str_mv |
9f27424a1e78a9d5dabaf059dceae080 97eeade1fce43278e63fe063657f8083 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 |
repository.name.fl_str_mv |
Biblioteca Digital de Teses e Dissertações da UFMA - Universidade Federal do Maranhão (UFMA) |
repository.mail.fl_str_mv |
repositorio@ufma.br||repositorio@ufma.br |
_version_ |
1809926183954939904 |