Cuidado pré-natal e puerperal na rede atenção básica à saúde do estado de Goiás
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2016-03-31
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Universidade Federal de Goiás
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Introduction: to overcome the challenges that affect the quality of services offered by Primary Care, the Ministry of Health proposes several initiatives focused on training, among them is the National Programme for Improving Access and Quality of Primary Care - PMAQ-AB. By relating the effectiveness and quality of prenatal and postpartum care to the maternal mortality rate above the overall target and expanding the coverage of prenatal care, delivery and postpartum care, it is observed that the actions taken in those areas of attention still constitute a challenge for health policies for women. Objective: this study aimed to analyze the actions and services of primary care as ordering network of prenatal care and puerperal in the state of Goias. Methodology: This is a cross-sectional, multicenter study, linked to the second evaluation cycle PMAQ-AB to the state of Goias. This was a clipping national database
variables related to sociodemographic characteristics of users of services, prenatal care natal to welcoming to pregnant and postpartum care, given the indicators agreed by primary care teams and municipal managers to the strategic area of women's health. The analysis was done by micro health. Results: the survey covered 975 services of Primary Care, with 1180 health teams and 884 users. Most services are Basic Health Units (842; 86.4%) and most health teams proffer prenatal care (1143: 96.9%) and puerperal (1059: 89.7%). As for existence of printed material used in prenatal care, it was found that most health facilities in all the regions, always available to book the pregnant woman. The increased availability has been identified in the micro Northeast I (100%) and the lowest on the Railroad (73.3%). There was the regular supply of prevalence of vaccine in health services in AB, in the regions Serra da Mesa and West II supply happens in all study participants health services (100%), the lowest bid is in the micro Southwest I (58 , 9%). Of female participants, 637 (72.1%) received prenatal consultation in the last pregnancy, and almost all health micro predominated six or more visits. The most common procedures were checking the uterine height (570; 89.5%), and measurement of blood pressure (96.9%). Examination of the mouth and breasts was reported by 252 (39.6%) participants. The procedure was performed less collection preventive screening of cervical cancer (162; 25.4%). group participated and / or educational activities during prenatal only 221 (34.7%) of women. Of the women with children under two years (n = 884), 316 (35.7%) underwent childbirth review consultation (puerperal consultation). Conclusions: care services Basic prenatal and postpartum health of micro-regions of the State of Goiás presented, in most cases, adequate infrastructure as the information management resources, biopharmaceuticals and laboratory support, with the exception of rapid tests. There was uniformity of actions and services that involve prenatal care and postpartum, most of the micro-regions, and access one of the factors favorable to their use. The gaps were highlighted in the participation of women in educational activities during prenatal and conducting puerperal consultation.
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FERNANDES, B. C. Cuidado pré-natal e puerperal na rede atenção básica à saúde do estado de Goiás. 2016. 118 f. Dissertação (Mestrado Profissional em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2016.