Avaliação da assistência pré-natal na microrregião de São Mateus-ES

• Ano de defesa: 2013
• Autor(a) principal: Martinelli, Katrini Guidolini
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal do Espírito Santo; BR; Mestrado em Saúde Coletiva; Centro de Ciências da Saúde; UFES; Programa de Pós-Graduação em Saúde Coletiva
• Palavras-chave em Português: Health evaluation; Access to health services; Maternal and child health; Prenatal care; Humanization of care; Equity in access; Maternal health services; Health inequalities; Acesso aos serviços de saúde; Saúde materno-infantil; Avaliação em saúde; Humanização da assistência; Equidade no acesso; Serviços de saúde materna; Desigualdade em saúde; Mães - Saúde; Crianças - Saúde; Cuidado pré-natal; Saúde - Avaliação; Serviços de saúde - Acesso; Saúde Coletiva; 614
• Link de acesso: http://repositorio.ufes.br/handle/10/5683

Prenatal care is one of the factors that contributes to the persistence of adverse perinatal outcomes and maternal death at high levels. Thus, the evaluation of access and the process of prenatal care is of high importance in the detection of the issues who remain in the offered service. The objectives of this study are to evaluate the adequacy of the process of prenatal care according to the parameters of the Program for the Humanization of Prenatal and Birth plus procedures provided by Stork Network , as well as access to prenatal care, according to the dimensions of availability, acceptability and ability to pay, on the SUS of the region of São Mateus - ES. It is a cross-sectional study that selected 742 postpartum women in seven hospitals in the region chosen for the research. Data were collected through interviews and analysis of records from prenatal care and newborn records. Subsequently, these data were processed and subjected to chi-square test, the Fisher exact test and the nonparametric Spearman with p-value less than 5%. Although the SUS constitutionally guarantee universal access to health care, it is noted that there are still inequalities between pregnant women in accessing health services. Only 7.4% and 0.4% of the mothers received adequate prenatal care according to the parameters PHPN and Stork Network , respectively. It is recommended that the location of health facilities, transport resources and financing of health services are reorganized, the same way the prenatal care needs to be systematized, more humane and focused on attention to the most vulnerable women.