Atenção básica ao pré-natal e puerpério no estado de Goiás
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Data
2015-02-27
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Universidade Federal de Goiás
Resumo
The Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica-
National Programm of Improvement to Acess and Quality of Basic Attention- (PMAQAB),
proposed as an evaluation tool of organizational performance by the Ministry of
Health (MOH), is nowadays, an evaluation strategy of accessment and usage of
these services by the user. The objective of this study is to analyze the actions of
Primary Care services to prenatal and postpartum Health in Goiás State. This is a
descriptive cross-sectional study, recut of MS´ national research what made the
evaluation to Basic Attention to Health in the country, linked to the first cycle of
PMAQ-AB/2012 evaluation.The data collection in the national bank of research,
referring to Goiás State, was held in 2014, from the selection of plenty prenatal care
and postpartum treatment, answered by health professionals and users of these
services. The survey covered 1.216 Primary Care services, from the 246 cities in
Goiás State, who answered to the Census PMAQ-AB /2012. From these services,
712 has participated in the survey with 677 health teams who went through the
external evaluation process. Thus, 677 professionals and 368 users of these services
had participated in the analysis of this research. The most part of these services are
Health Centers/Basic Health Units (517; 72,7 %) and those offer prenatal and
postpartum (562; 83%). The 368 service users had presented the average age of
25,6 years, age group between 18 and 49 years; 98,4 % said to know reading and
writing ; 49,7% said be a mixage of race ; 84,5% live with a partner; 53,3% have
family income between one to two minimum salaries. In relation to accessment and
organization of the services, 87% of users considered satisfactory the opening hours
for the service; 90,2% reported that the appointments occurred in order of arrival;
61,2% rated the service as good host; 20,7% managed to immediate care by
gynecological problem; 360 (97,8%) women had prenatal care in their last
pregnancy, with the majority held in the unit where he was interviewed (234; 63,6%),
between six and nine consultations (226; 61,4%) with medical professionals (214;
91,5%) and nurses (151; 64,5%); Most urine tests performed (229; 97,9%), HIV/AIDS
(228; 97,4%) Syphilis (221; 94,4%), glucose (195; 83,3%) and ultrasound (218;
93,2%), with a waiting time to seven days (55 to 63%); 147 (62,8%) did not
participate in educational activities; 198 (53,8%) underwent outpatient consultation
labor review, most (78,8%) with the doctor and small portion in the household (5%) of
community-agent business (32,3%). The services of Basic attention to prenatal and
postbirth in Goiás State, has presented an adequated infrastructure related to
information management resources, drugs, biopharmaceuticals and laboratory
support. However, the organizations of the work process raises challenges for health
professionals and assume efforts to managers of services to better accommodate the
spontaneous demand of scheduling appointments, eliminate institutional barriers to
access, promote more inclusive and comprehensive care to pregnant women and
puerperty women to guarantee qualified and humanized obstetric care.
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SODRÉ, R. L. R. Atenção básica ao pré-natal e puerpério no estado de Goiás. 2015. 101 f. Dissertação (Mestrado Profissional em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2015.