Prenatal care access in Brazil: analysis of the National Health Research data

• Autor(a) principal: Nunes, Aryelly Dayane da Silva
• Data de Publicação: 2017
• Outros Autores: Amador, Ana Edimilda, Dantas, Ana Patrícia de Queiroz Medeiros, Azevedo, Ulicélia Nascimento de, Barbosa, Isabelle Ribeiro
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Revista Brasileira em Promoção da Saúde
• Texto Completo: https://ojs.unifor.br/RBPS/article/view/6158
• topic: Prenatal care; Women's Health; Access to Health Services; Evaluation of health programs and projects; Atención Prenatal; Salud de la Mujer; Accesibilidad a los Servicios de Salud; Evaluación de Programas y Proyectos de Salud.; Cuidado Pré-Natal; Saúde da Mulher; Acesso aos Serviços de Saúde; Avaliação de programas e projetos de saúde.

Objective: To analyze the access to prenatal care in Brazil based on data from the 2013 National Health Survey (Pesquisa Nacional de Saúde - PNS). Methods: Cross-sectional study with descriptive analysis of the 2013 PNS data, retrieved from DATASUS between December 2016 and January 2017. Respondents to the survey were women aged 18 to 49 years who gave birth between 01/01/2012 and 07/27/2013. Prenatal coverage was defined by the proportion of women who responded positively to the question: "The last time you were pregnant, did you get prenatal care?" Data on prenatal care, age, skin color, education, counseling, receiving the prenatal care card, consultations held, and childbirth assistance by region or federation unit were collected from December 2016 to January 2017. Results: There was a high coverage of prenatal follow-up (97.4% 95% CI 96.5-98.4), with delivery of the prenatal card (95.3% 95% CI 93.6-97.0) and initiation under 13 gestational weeks (83.7% 95% CI 80.7-86.6), but a low proportion of pregnant women with all counseling (69.2% CI 95% 65.5-72.9) and syphilis tests (64.6% 95% CI 61.0-68.7). Among the pregnant women who underwent prenatal care, 69.33% indicated that all consultations were made through the Unified Health System. The North and Northeast Regions presented a higher proportion of vaginal delivery, but a lower number of prenatal consultations per pregnant woman. Conclusions: Despite the high coverage of prenatal care in Brazil, the indicators show that there are still inadequacies in the access to the service.