Antenatal care within Brazil’s Unified Health System
שמור ב:
| מחבר ראשי: | |
|---|---|
| Publication Date: | 2005 |
| מחברים אחרים: | , |
| פורמט: | Article |
| שפה: | eng |
| Source: | Repositório Institucional da UnB |
| Download full: | http://repositorio.unb.br/handle/10482/2456 |
סיכום: | 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. |
| _version_ | 1871442288381526016 |
|---|---|
| author | Costa, Ana Maria |
| author2 | Guilhem, Dirce Walter, Maria Inêz Machado Telles |
| author2_role | author author |
| author_browse | Costa, Ana Maria Guilhem, Dirce Walter, Maria Inêz Machado Telles |
| author_facet | Costa, Ana Maria Guilhem, Dirce Walter, Maria Inêz Machado Telles |
| author_role | author |
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| bitstream.url.fl_str_mv | http://repositorio2.unb.br/jspui/bitstream/10482/2456/1/ARTIGO_AntenatalCare.pdf http://repositorio2.unb.br/jspui/bitstream/10482/2456/2/license_url http://repositorio2.unb.br/jspui/bitstream/10482/2456/3/license_text http://repositorio2.unb.br/jspui/bitstream/10482/2456/4/license_rdf http://repositorio2.unb.br/jspui/bitstream/10482/2456/5/license.txt http://repositorio2.unb.br/jspui/bitstream/10482/2456/6/ARTIGO_AntenatalCare.pdf.txt |
| collection | Repositório Institucional da UnB |
| dc.contributor.author.fl_str_mv | Costa, Ana Maria Guilhem, Dirce Walter, Maria Inêz Machado Telles |
| dc.date.accessioned.fl_str_mv | 2009-12-03T13:49:20Z |
| dc.date.available.fl_str_mv | 2009-12-03T13:49:20Z |
| dc.date.issued.fl_str_mv | 2005 |
| dc.identifier.citation.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. |
| dc.identifier.uri.fl_str_mv | http://repositorio.unb.br/handle/10482/2456 |
| dc.language.iso.fl_str_mv | eng |
| dc.rights.driver.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.source.none.fl_str_mv | reponame:Repositório Institucional da UnB instname:Universidade de Brasília (UnB) instacron:UNB |
| dc.subject.keyword.en.fl_str_mv | Antenatal care Women’s health Unified Health System (SUS-Br) Maternal health services Pregnant women Program evaluation Quality of health care |
| dc.title.en.fl_str_mv | Antenatal care within Brazil’s Unified Health System |
| dc.type.driver.fl_str_mv | info:eu-repo/semantics/article |
| dc.type.status.fl_str_mv | info:eu-repo/semantics/publishedVersion |
| 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. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | UNB_406203fb6ef0d1ae8e9d7ba89ec00fc0 |
| 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. |
| instacron_str | UNB |
| institution | UNB |
| instname_str | Universidade de Brasília (UnB) |
| language | eng |
| network_acronym_str | UNB |
| network_name_str | Repositório Institucional da UnB |
| oai_identifier_str | oai:repositorio.unb.br:10482/2456 |
| publishDate | 2005 |
| publishDateSort | 2005 |
| reponame_str | Repositório Institucional da UnB |
| repository.mail.fl_str_mv | repositorio@unb.br |
| repository.name.fl_str_mv | Repositório Institucional da UnB - Universidade de Brasília (UnB) |
| repository_id_str | |
| spelling | Costa, Ana MariaGuilhem, DirceWalter, Maria Inêz Machado Telles2009-12-03T13:49:20Z2009-12-03T13:49:20Z2005COSTA, 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/10482/2456Objective 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.Antenatal care within Brazil’s Unified Health Systeminfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleAntenatal careWomen’s healthUnified Health System (SUS-Br)Maternal health servicesPregnant womenProgram evaluationQuality of health careBRAinfo:eu-repo/semantics/openAccessengreponame:Repositório Institucional da UnBinstname:Universidade de Brasília (UnB)instacron:UNBORIGINALARTIGO_AntenatalCare.pdfARTIGO_AntenatalCare.pdfapplication/pdf51201http://repositorio2.unb.br/jspui/bitstream/10482/2456/1/ARTIGO_AntenatalCare.pdf8080e380c13b19f7abc6e61665ddf2fcMD51open accessCC-LICENSElicense_urllicense_urltext/plain49http://repositorio2.unb.br/jspui/bitstream/10482/2456/2/license_urlfd26723f8d7edacdb29e3f03465c3b03MD52open accesslicense_textlicense_textapplication/octet-stream19796http://repositorio2.unb.br/jspui/bitstream/10482/2456/3/license_textfdfcda7eda6bbee2685363ca76182053MD53open accesslicense_rdflicense_rdfapplication/octet-stream12170http://repositorio2.unb.br/jspui/bitstream/10482/2456/4/license_rdf28c18d8d50ea5f68c8c3d89546d38e8dMD54open accessLICENSElicense.txtlicense.txttext/plain1857http://repositorio2.unb.br/jspui/bitstream/10482/2456/5/license.txt82dad76865665663f36c4a2bd42f77c4MD55open accessTEXTARTIGO_AntenatalCare.pdf.txtARTIGO_AntenatalCare.pdf.txtExtracted texttext/plain29454http://repositorio2.unb.br/jspui/bitstream/10482/2456/6/ARTIGO_AntenatalCare.pdf.txt763b7b60a245458455f6a8e265545de2MD56open access10482/24562023-05-23 21:05:37.675open accessoai:repositorio.unb.br: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ório InstitucionalPUBhttps://repositorio.unb.br/oai/requestrepositorio@unb.bropendoar:2023-05-24T00:05:37Repositório Institucional da UnB - Universidade de Brasília (UnB) |
| 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 |
| status_str | publishedVersion |
| title | 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_short | Antenatal care within Brazil’s Unified Health System |
| title_sort | Antenatal care within Brazil’s Unified Health System |
| topic | Antenatal care Women’s health Unified Health System (SUS-Br) Maternal health services Pregnant women Program evaluation Quality of health care |
| url | http://repositorio.unb.br/handle/10482/2456 |