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      Avaliação da adequação da assistência pré-natal na rede SUS do Município do Rio de Janeiro, Brasil Translated title: Adequacy of prenatal care in the National Health System in the city of Rio de Janeiro, Brazil

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          Abstract

          A persistência de desfechos perinatais negativos no Município do Rio de Janeiro, Brasil, sugere problemas na qualidade da assistência pré-natal. A última investigação realizada nessa cidade mostrou adequação de apenas 38% dessa assistência. O objetivo deste estudo é avaliar a adequação da assistência pré-natal na rede do SUS do Município do Rio de Janeiro. Foi realizado um estudo transversal, em 2007-2008, por meio de entrevistas com 2.422 gestantes em atendimento nos serviços de pré-natal de baixo risco. Para avaliação da adequação da assistência, foi utilizado o índice PHPN, com as recomendações do Programa de Humanização do Pré-natal e Nascimento, do Ministério da Saúde, e um índice PHPN ampliado, em que foram acrescentados procedimentos clinico-obstétricos, prescrição de sulfato ferroso suplementar e ações educativas. Foi encontrada adequação de 38,5% para o PHPN e 33,3% para o PHPN ampliado. Estratégias de ampliação da captação precoce das gestantes e melhor utilização dos contatos com os serviços para a realização de ações de atenção à saúde são prioritárias para a reversão desse quadro.

          Translated abstract

          The persistence of negative perinatal outcomes in Rio de Janeiro suggests problems in the quality of prenatal care. The most recent study in the city showed that only 38% of prenatal care was adequate. This study aimed to evaluate the adequacy of prenatal care under the Brazilian Unified National Health System in the city of Rio de Janeiro. A cross-sectional study in 2007-2008 interviewed 2,422 women receiving prenatal care for low-risk pregnancy. Evaluation of care used the PHPN index, based on guidelines from the Program for Humanization of Prenatal Care and Childbirth (Brazilian Ministry of Health) and an expanded PHPN index, which included clinical-obstetric procedures, prescription of supplementary ferrous sulfate, and educational activities. According to the PHPN index, 38.5% of prenatal care was adequate, as compared to 33.3% based on the expanded PHPN index. Strategies to expand early entry of pregnant women into prenatal care and better use of their contact with the health services in order to promote healthcare measures are essential to correct this situation.

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          An evaluation of the Kessner Adequacy of Prenatal Care Index and a proposed Adequacy of Prenatal Care Utilization Index.

          The assessment of the adequacy of prenatal care utilization is heavily shaped by the way in which utilization is measured. Although it is widely used, the current major index of utilization, the Kessner/Institute of Medicine Index, has not been subjected to systematic examination. This paper provides such an examination. Data from the 1980 National Natality Survey are used to disaggregate the components of the Kessner Index for detailed analysis. An alternative two-part index, the Adequacy of Prenatal Care Utilization Index, is proposed that combines independent assessments of the timing of prenatal care initiation and the frequency of visits received after initiation. The Kessner Index is seriously flawed. It is heavily weighted toward timing of prenatal care initiation does not distinguish timing of initiation from poor subsequent utilization, inaccurately measures utilization for full- or post-term pregnancies, and lacks sufficient documentation for consistent computer programming. The Adequacy of Prenatal Care Utilization Index offers a more accurate and comprehensive set of measures of prenatal care utilization than the Kessner Index.
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            How effective is antenatal care in preventing maternal mortality and serious morbidity? An overview of the evidence

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              • Record: found
              • Abstract: not found
              • Article: not found

              Logic models: a tool for telling your programs performance story

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                Author and article information

                Journal
                csp
                Cadernos de Saúde Pública
                Cad. Saúde Pública
                Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz (Rio de Janeiro, RJ, Brazil )
                0102-311X
                1678-4464
                March 2012
                : 28
                : 3
                : 425-437
                Affiliations
                [02] Lisboa orgnameUniversidade Nova de Lisboa orgdiv1Instituto de Higiene e Medicina Tropical Portugal
                [03] Rio de Janeiro orgnameFundação Oswaldo Cruz orgdiv1Instituto Fernandes Figueira Brazil
                [01] Rio de Janeiro Rio de Janeiro orgnameFundação Oswaldo Cruz orgdiv1Instituto de Pesquisa Clínica Evandro Chagas Brazil
                [04] Rio de Janeiro Rio de Janeiro orgnameFundação Oswaldo Cruz orgdiv1Escola Nacional de Saúde Pública Sérgio Arouca Brazil
                Article
                S0102-311X2012000300003 S0102-311X(12)02800303
                10.1590/S0102-311X2012000300003
                22415175
                456a3a4e-48b1-47ad-8bb1-f41843e58d88

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 18 July 2011
                : 11 September 2011
                : 20 October 2011
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 38, Pages: 13
                Product

                SciELO Public Health

                Self URI: Texto completo somente em PDF (PT)
                Categories
                Artigo

                Saúde Materno-Infantil,Unified Health System,Maternal and Child Health,Program Evaluation,Prenatal Care,Sistema Único de Saúde,Cuidado Pré-Natal,Avaliação de Programas e Projetos de Saúde

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