Antenatal care within Brazil’s Unified Health System
Autor(a) principal: | |
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Data de Publicação: | 2005 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UnB |
Texto Completo: | http://repositorio.unb.br/handle/10482/2456 |
Resumo: | Objective To assess antenatal care in health care units, so as to obtain a baseline for future evaluation studies. Methods A self-applied inquiry was conducted among municipal health managers within a probabilistic stratified random sample of 627 municipalities which, through expansion technique, extended the analysis to 5,507 municipalities. Data was collected from October 2003 to April 2004. The survey appraised information about the priority granted by the managers to each modality of care, as well as data concerning characteristics of the assistance provided and the declared estimate of the demand being covered. The Chi-square test and Student’s t-test were performed in order to verify independence among the qualitative variables and mean differences, respectively. Results Almost half (43.8%; n=2,317) of the municipalities did not attend gestational risk; 81% (n=4,277) and 30.1% (n=1,592) reported that they attend over 75% of the demand for low and high risk antenatal respectively; 30.1% (n=1,592) attend over 75% of the demand for high risk care. Care for low risk (χ2=282,080; P<0.001 n=4,277) and for high risk pregnancies (χ2=267.924; P<0.001 n=5,280) were associated to geographic region, municipality’s size and management modality within the Unified Health System. The guarantee of vacancy for labour and birth was also associated to management modality. Conclusions There were gaps related to the provision and the quality of antenatal care within the Unified Health System. Municipal based health care extends the provision of antenatal care, but there are inequalities among regions and among municipalities according to demographic size. |
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Antenatal care within Brazil’s Unified Health SystemAntenatal careWomen’s healthUnified Health System (SUS-Br)Maternal health servicesPregnant womenProgram evaluationQuality of health careObjective To assess antenatal care in health care units, so as to obtain a baseline for future evaluation studies. Methods A self-applied inquiry was conducted among municipal health managers within a probabilistic stratified random sample of 627 municipalities which, through expansion technique, extended the analysis to 5,507 municipalities. Data was collected from October 2003 to April 2004. The survey appraised information about the priority granted by the managers to each modality of care, as well as data concerning characteristics of the assistance provided and the declared estimate of the demand being covered. The Chi-square test and Student’s t-test were performed in order to verify independence among the qualitative variables and mean differences, respectively. Results Almost half (43.8%; n=2,317) of the municipalities did not attend gestational risk; 81% (n=4,277) and 30.1% (n=1,592) reported that they attend over 75% of the demand for low and high risk antenatal respectively; 30.1% (n=1,592) attend over 75% of the demand for high risk care. Care for low risk (χ2=282,080; P<0.001 n=4,277) and for high risk pregnancies (χ2=267.924; P<0.001 n=5,280) were associated to geographic region, municipality’s size and management modality within the Unified Health System. The guarantee of vacancy for labour and birth was also associated to management modality. Conclusions There were gaps related to the provision and the quality of antenatal care within the Unified Health System. Municipal based health care extends the provision of antenatal care, but there are inequalities among regions and among municipalities according to demographic size.2009-12-03T13:49:20Z2009-12-03T13:49:20Z2005info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfCOSTA, Ana Maria; GUILHEM, Dirce; WALTER, Maria Inêz Machado Telles. Antenatal care within Brazil’s Unified Health System. Antenatal care within Brazil's Unified Health System (English edition. Online). Revista de Saúde Pública / Journal of Public Health, v. 39, p. 1-7, 2005. Disponível em: <http://www.scielo.br/pdf/rsp/v39n5/26297.pdf>. Acesso em: 1 dez. 2009.http://repositorio.unb.br/handle/10482/2456Costa, Ana MariaGuilhem, DirceWalter, Maria Inêz Machado Tellesinfo:eu-repo/semantics/openAccessengreponame:Repositório Institucional da UnBinstname:Universidade de Brasília (UnB)instacron:UNB2023-05-24T00:05:37Zoai:repositorio.unb.br:10482/2456Repositório InstitucionalPUBhttps://repositorio.unb.br/oai/requestrepositorio@unb.bropendoar:2023-05-24T00:05:37Repositório Institucional da UnB - Universidade de Brasília (UnB)false |
dc.title.none.fl_str_mv |
Antenatal care within Brazil’s Unified Health System |
title |
Antenatal care within Brazil’s Unified Health System |
spellingShingle |
Antenatal care within Brazil’s Unified Health System Costa, Ana Maria Antenatal care Women’s health Unified Health System (SUS-Br) Maternal health services Pregnant women Program evaluation Quality of health care |
title_short |
Antenatal care within Brazil’s Unified Health System |
title_full |
Antenatal care within Brazil’s Unified Health System |
title_fullStr |
Antenatal care within Brazil’s Unified Health System |
title_full_unstemmed |
Antenatal care within Brazil’s Unified Health System |
title_sort |
Antenatal care within Brazil’s Unified Health System |
author |
Costa, Ana Maria |
author_facet |
Costa, Ana Maria Guilhem, Dirce Walter, Maria Inêz Machado Telles |
author_role |
author |
author2 |
Guilhem, Dirce Walter, Maria Inêz Machado Telles |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Costa, Ana Maria Guilhem, Dirce Walter, Maria Inêz Machado Telles |
dc.subject.por.fl_str_mv |
Antenatal care Women’s health Unified Health System (SUS-Br) Maternal health services Pregnant women Program evaluation Quality of health care |
topic |
Antenatal care Women’s health Unified Health System (SUS-Br) Maternal health services Pregnant women Program evaluation Quality of health care |
description |
Objective To assess antenatal care in health care units, so as to obtain a baseline for future evaluation studies. Methods A self-applied inquiry was conducted among municipal health managers within a probabilistic stratified random sample of 627 municipalities which, through expansion technique, extended the analysis to 5,507 municipalities. Data was collected from October 2003 to April 2004. The survey appraised information about the priority granted by the managers to each modality of care, as well as data concerning characteristics of the assistance provided and the declared estimate of the demand being covered. The Chi-square test and Student’s t-test were performed in order to verify independence among the qualitative variables and mean differences, respectively. Results Almost half (43.8%; n=2,317) of the municipalities did not attend gestational risk; 81% (n=4,277) and 30.1% (n=1,592) reported that they attend over 75% of the demand for low and high risk antenatal respectively; 30.1% (n=1,592) attend over 75% of the demand for high risk care. Care for low risk (χ2=282,080; P<0.001 n=4,277) and for high risk pregnancies (χ2=267.924; P<0.001 n=5,280) were associated to geographic region, municipality’s size and management modality within the Unified Health System. The guarantee of vacancy for labour and birth was also associated to management modality. Conclusions There were gaps related to the provision and the quality of antenatal care within the Unified Health System. Municipal based health care extends the provision of antenatal care, but there are inequalities among regions and among municipalities according to demographic size. |
publishDate |
2005 |
dc.date.none.fl_str_mv |
2005 2009-12-03T13:49:20Z 2009-12-03T13:49:20Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
COSTA, Ana Maria; GUILHEM, Dirce; WALTER, Maria Inêz Machado Telles. Antenatal care within Brazil’s Unified Health System. Antenatal care within Brazil's Unified Health System (English edition. Online). Revista de Saúde Pública / Journal of Public Health, v. 39, p. 1-7, 2005. Disponível em: <http://www.scielo.br/pdf/rsp/v39n5/26297.pdf>. Acesso em: 1 dez. 2009. http://repositorio.unb.br/handle/10482/2456 |
identifier_str_mv |
COSTA, Ana Maria; GUILHEM, Dirce; WALTER, Maria Inêz Machado Telles. Antenatal care within Brazil’s Unified Health System. Antenatal care within Brazil's Unified Health System (English edition. Online). Revista de Saúde Pública / Journal of Public Health, v. 39, p. 1-7, 2005. Disponível em: <http://www.scielo.br/pdf/rsp/v39n5/26297.pdf>. Acesso em: 1 dez. 2009. |
url |
http://repositorio.unb.br/handle/10482/2456 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
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.source.none.fl_str_mv |
reponame:Repositório Institucional da UnB instname:Universidade de Brasília (UnB) instacron:UNB |
instname_str |
Universidade de Brasília (UnB) |
instacron_str |
UNB |
institution |
UNB |
reponame_str |
Repositório Institucional da UnB |
collection |
Repositório Institucional da UnB |
repository.name.fl_str_mv |
Repositório Institucional da UnB - Universidade de Brasília (UnB) |
repository.mail.fl_str_mv |
repositorio@unb.br |
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1810580856160387072 |