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Cadernos de Saúde Pública

versão impressa ISSN 0102-311Xversão On-line ISSN 1678-4464

Resumo

GUIMARAES, Wilderi Sidney Gonçalves; PARENTE, Rosana Cristina Pereira; GUIMARAES, Thayanne Louzada Ferreira  e  GARNELO, Luiza. Access to prenatal care and quality of care in the Family Health Strategy: infrastructure, care, and management. Cad. Saúde Pública [online]. 2018, vol.34, n.5, e00110417.  Epub 10-Maio-2018. ISSN 0102-311X.  https://doi.org/10.1590/0102-311x00110417.

This study focuses on access to prenatal care and quality of care in the Family Health Strategy in Brazil as a whole and in the North region, through evaluation of infrastructure characteristics in the health units, management, and supply of care provided by the teams, from the perspective of regional and state inequalities. A cross-sectional evaluative and normative study was performed, drawing on the external evaluation component of the second round of the Program for Improvement of Access and Quality of Primary Care, in 2013-2014. The results revealed the inadequacy of the primary healthcare network’s infrastructure for prenatal care, low adequacy of clinical actions for quality of care, and the teams’ low management capacity to guarantee access and quality of care. In the distribution according to geopolitical regions, the findings pertaining to the units’ infrastructure indicate a direct relationship between the infrastructure’s adequacy and social contexts with higher municipal human development indices and income. For the clinical actions in patient care, the teams in all the regions scored low on adequacy, with slightly better results in the North and South regions of the country. There were important differences between the states of the North, and the states with higher mean income and human development scored higher on adequacy. The results indicate important organizational difficulties in both access and quality of care provided by the health teams, in addition to visible insufficiency in management activities aimed to improve access and quality of prenatal care.

Palavras-chave : Primary Health Care; Prenatal Care; Health Evaluation; Health Inequalities.

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