Services on Demand
Cadernos de Saúde Pública
Print version ISSN 0102-311X
On-line version ISSN 1678-4464
RIBEIRO, José Mendes; COSTA, Nílson do Rosário; PINTO, Luiz Felipe da Silva and SILVA, Pedro Luiz Barros. Perception of prenatal care among clients of the Brazilian National Health System (SUS): a comparative study. Cad. Saúde Pública [online]. 2004, vol.20, n.2, pp.534-545. ISSN 0102-311X. http://dx.doi.org/10.1590/S0102-311X2004000200022.
This was a comparative cross-sectional study among public prenatal care users in conventional outpatient health services and family health services, aimed at assessing perception and quality differences between the two models of health services organization according to Ministry of Health guidelines. A total of 203 pregnant women from 22 municipalities in five regions of the country were interviewed while waiting for prenatal consultation. Besides soliciting the women's opinions, we checked for possible advantages in innovative family care services in issues like access and commitment. Data revealed approval by users for key aspects related to care and consultation in both types of public facilities and suggest consistent primary care policies. Low coverage in dentistry (18.9%), gynecological preventive tests (39.6%), and HIV tests (52.6%) indicates policy obstacles. Comparatively, family health services received significantly greater approval by women on issues like quality of the last visit (p = 0.0432), maternity hospital access (p = 0.0106), vaccination schedules (p = 0.0023), drug delivery (p = 0.0053), blood glucose tests (p = 0.0309), nursing visit (p = 0.0469), and home visits (p < 0.0001).
Keywords : Primary Health Care; Family Health Program; Health Services.