Criteria for choosing primary health care facilities for prenatal care, Brazil
Autor(a) principal: | |
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Data de Publicação: | 2000 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/25088 |
Resumo: | OBJECTIVE: To describe the prenatal care delivered to a representative sample of mothers, identifying the health care facility they attended and to explore the reasons that led them to choose that specific health facility. METHOD: A cross-sectional study was conducted at four maternity hospitals in Pelotas, in Southern Brazil, from March to April 1997. A total of 401 mothers were interviewed at the hospital, immediately after delivery. RESULTS: The majority of mothers (51%) were followed up at a primary health care facility (PHCF). The main reported reason for choosing a PHCF was its geographic accessibility (46.8%). For 85% of the mothers, the nearest health service was a PHCF. However, 52.2% of them did not attend the consultations at this setting mainly because of a supposed low quality care (37.4%). Except for immunization with tetanus toxoids, all other usual prenatal care procedures recommended by the local health ministry, including promotion of breastfeeding, were performed less frequently at the PHCF than in other health care settings. CONCLUSION: Given the high coverage of the public prenatal care program, efforts should be made to improve the quality of care delivered to pregnant women, mainly by encouraging health professionals, especially doctors, to follow the established guidelines. |
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Criteria for choosing primary health care facilities for prenatal care, Brazil Critérios de escolha de postos de saúde para acompanhamento pré-natal em Pelotas, RS Health centers^i2^sutilizatPrimary health carePrenatal careHealth services accessibilityHealth care evaluation mechanismsQuality of health careEducationcontinuingCentros de saúde^i1^sutilizaCuidados primários de saúdeCuidado pré-natalAcesso aos serviços de saúdeQualidade dos cuidados de saúdeEducação continuadaMecanismos de avaliação da assistência à saúde OBJECTIVE: To describe the prenatal care delivered to a representative sample of mothers, identifying the health care facility they attended and to explore the reasons that led them to choose that specific health facility. METHOD: A cross-sectional study was conducted at four maternity hospitals in Pelotas, in Southern Brazil, from March to April 1997. A total of 401 mothers were interviewed at the hospital, immediately after delivery. RESULTS: The majority of mothers (51%) were followed up at a primary health care facility (PHCF). The main reported reason for choosing a PHCF was its geographic accessibility (46.8%). For 85% of the mothers, the nearest health service was a PHCF. However, 52.2% of them did not attend the consultations at this setting mainly because of a supposed low quality care (37.4%). Except for immunization with tetanus toxoids, all other usual prenatal care procedures recommended by the local health ministry, including promotion of breastfeeding, were performed less frequently at the PHCF than in other health care settings. CONCLUSION: Given the high coverage of the public prenatal care program, efforts should be made to improve the quality of care delivered to pregnant women, mainly by encouraging health professionals, especially doctors, to follow the established guidelines. OBJETIVO: Caracterizar o cuidado pré-natal em uma amostra representativa de mães, identificando o serviço de saúde onde estas realizaram o acompanhamento da gestação e os motivos que as levaram a escolher este local. MÉTODOS: Estudo transversal, realizado nos meses de março e abril de 1997, nas quatro principais maternidades de Pelotas, RS, através de entrevista a 401 mães no pós-parto imediato. RESULTADOS: Fizeram acompanhamento pré-natal, em um posto de saúde 51% das mães, sendo a proximidade geográfica o critério mais freqüentemente referido para tal escolha (46,8%). Para 85% das mães, o serviço de saúde mais próximo de casa era um posto de saúde. No entanto, 52,2% dessas não utilizaram esse local para as consultas pré-natais alegando a má qualidade do atendimento (37,4%). Conforme referido pelas mães, entre os procedimentos de rotina do pré-natal recomendados pelo programa de saúde da rede pública, incluindo a promoção do aleitamento materno, apenas a imunização anti-tetânica foi realizada mais freqüentemente nos postos do que nos demais locais. CONCLUSÕES: Tendo em vista a expressiva utilização da rede pública para o acompanhamento pré-natal, necessitam ser implementados investimentos em educação continuada dos profissionais, com ênfase no cumprimento de normas técnicas pré-estabelecidas. Universidade de São Paulo. Faculdade de Saúde Pública2000-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/2508810.1590/S0034-89102000000600007Revista de Saúde Pública; Vol. 34 No. 6 (2000); 603-609 Revista de Saúde Pública; Vol. 34 Núm. 6 (2000); 603-609 Revista de Saúde Pública; v. 34 n. 6 (2000); 603-609 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/25088/26915Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessSantos, Iná SBaroni, Roberto CarlosMinotto, IvaneteKlumb, Ana Guerda2012-05-29T18:49:55Zoai:revistas.usp.br:article/25088Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-05-29T18:49:55Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Criteria for choosing primary health care facilities for prenatal care, Brazil Critérios de escolha de postos de saúde para acompanhamento pré-natal em Pelotas, RS |
title |
Criteria for choosing primary health care facilities for prenatal care, Brazil |
spellingShingle |
Criteria for choosing primary health care facilities for prenatal care, Brazil Santos, Iná S Health centers^i2^sutilizat Primary health care Prenatal care Health services accessibility Health care evaluation mechanisms Quality of health care Education continuing Centros de saúde^i1^sutiliza Cuidados primários de saúde Cuidado pré-natal Acesso aos serviços de saúde Qualidade dos cuidados de saúde Educação continuada Mecanismos de avaliação da assistência à saúde |
title_short |
Criteria for choosing primary health care facilities for prenatal care, Brazil |
title_full |
Criteria for choosing primary health care facilities for prenatal care, Brazil |
title_fullStr |
Criteria for choosing primary health care facilities for prenatal care, Brazil |
title_full_unstemmed |
Criteria for choosing primary health care facilities for prenatal care, Brazil |
title_sort |
Criteria for choosing primary health care facilities for prenatal care, Brazil |
author |
Santos, Iná S |
author_facet |
Santos, Iná S Baroni, Roberto Carlos Minotto, Ivanete Klumb, Ana Guerda |
author_role |
author |
author2 |
Baroni, Roberto Carlos Minotto, Ivanete Klumb, Ana Guerda |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Santos, Iná S Baroni, Roberto Carlos Minotto, Ivanete Klumb, Ana Guerda |
dc.subject.por.fl_str_mv |
Health centers^i2^sutilizat Primary health care Prenatal care Health services accessibility Health care evaluation mechanisms Quality of health care Education continuing Centros de saúde^i1^sutiliza Cuidados primários de saúde Cuidado pré-natal Acesso aos serviços de saúde Qualidade dos cuidados de saúde Educação continuada Mecanismos de avaliação da assistência à saúde |
topic |
Health centers^i2^sutilizat Primary health care Prenatal care Health services accessibility Health care evaluation mechanisms Quality of health care Education continuing Centros de saúde^i1^sutiliza Cuidados primários de saúde Cuidado pré-natal Acesso aos serviços de saúde Qualidade dos cuidados de saúde Educação continuada Mecanismos de avaliação da assistência à saúde |
description |
OBJECTIVE: To describe the prenatal care delivered to a representative sample of mothers, identifying the health care facility they attended and to explore the reasons that led them to choose that specific health facility. METHOD: A cross-sectional study was conducted at four maternity hospitals in Pelotas, in Southern Brazil, from March to April 1997. A total of 401 mothers were interviewed at the hospital, immediately after delivery. RESULTS: The majority of mothers (51%) were followed up at a primary health care facility (PHCF). The main reported reason for choosing a PHCF was its geographic accessibility (46.8%). For 85% of the mothers, the nearest health service was a PHCF. However, 52.2% of them did not attend the consultations at this setting mainly because of a supposed low quality care (37.4%). Except for immunization with tetanus toxoids, all other usual prenatal care procedures recommended by the local health ministry, including promotion of breastfeeding, were performed less frequently at the PHCF than in other health care settings. CONCLUSION: Given the high coverage of the public prenatal care program, efforts should be made to improve the quality of care delivered to pregnant women, mainly by encouraging health professionals, especially doctors, to follow the established guidelines. |
publishDate |
2000 |
dc.date.none.fl_str_mv |
2000-12-01 |
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://www.revistas.usp.br/rsp/article/view/25088 10.1590/S0034-89102000000600007 |
url |
https://www.revistas.usp.br/rsp/article/view/25088 |
identifier_str_mv |
10.1590/S0034-89102000000600007 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/25088/26915 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 34 No. 6 (2000); 603-609 Revista de Saúde Pública; Vol. 34 Núm. 6 (2000); 603-609 Revista de Saúde Pública; v. 34 n. 6 (2000); 603-609 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
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1800221779865632768 |