Abstract
to evaluate the quality of the pre-natal care delivered in primary care, comparing the traditional model and the Family Health Strategy. a service evaluation study, grounded in the public health policies. The data was obtained from interviews with managers, observation in the health centers, and analysis of patient records of pregnant women, selected at random. Differences in the indicators for structure and process were evaluated using the Chi-squared test, adopting p<0.05 as the critical value, calculation of the odds ratio, and confidence intervals of 95%. Similar structures were evidenced in both models of care. Synthesis indicators for the process created in the present study, and those indicated by the public policies, indicated that the situation is more favorable in Family Health Centers. Regarding the set of activities called for in pre-natal care, the performance was flawed in both models, although it was slightly better in the Family Health Centers. the results indicate the need for actions to improve pre-natal care in the two models of primary care evaluated in the municipality.
Highlights
Pre-natal care is one of the main constituents of the Unified Health Service’s (SUS) Primary Care Pact and there are formal indicators for its monitoring
The form in which it is carried out may be indicative of the quality of the health services[1] and, an assessment of it which considers whether it was undertaken in a center using the traditional model, or in a Family Health Center, can, evaluate the care model itself
In order to improve on this model, in 1994 the Ministry of Health (MS) proposed the Family Health Strategy (ESF), whose principal objective is to reorganize health care practice on new bases and replace the traditional model, integrally and continually prioritizing actions of prevention and actions for the promotion and recovery of people’s health
Summary
Pre-natal care is one of the main constituents of the Unified Health Service’s (SUS) Primary Care Pact and there are formal indicators for its monitoring. The form in which it is carried out may be indicative of the quality of the health services[1] and, an assessment of it which considers whether it was undertaken in a center using the traditional model, or in a Family Health Center, can, evaluate the care model itself. The health care carried out in the primary care centers which follow the traditional model is, in general, centered on the presence of specialists, each one of whom is responsible for problems related to the particular area where they work. With its work process often centered on the doctor, in the curative model of care, one can frequently observe, in addition to the overloading to which these professionals are often exposed, the compromising of preventive actions and health promotion actions, both of which are essential in pre-natal care[2]. It is hoped that health professionals and the population will build links of co-responsibility, facilitating the identification of and attendance to the community’s health problems[3]
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