Abstract
Objectiveevaluate prenatal care for adolescents in health units, in accordance with the attributes of Primary Health Care (PHC) guidelines.Methodquantitative study conducted with health professionals, using the Primary Care Assessment Tool-Brazil to assess the presence and extent of PHC attributes.Resultsfor all the participating units, the attribute Access scored ≤6.6; the attributes Longitudinality, Coordination (integration of care), Coordination (information systems) and Integrality scored ≥6.6, and the Essential Score ≤6.6. Comparing basic units with family health units, the attribute scores were equally distributed; Accessibility scored ≤6.6, the others attributes scored ≥6.6; however, in the basic units, the Essential Score was ≤6.6 and, in the family health units, ≥6.6.Conclusionexpanding the coverage of family health units and the training of professionals can be considered strategies to qualify health care.
Highlights
In Brazil, in 2007, 71% of live-borns were children of women aged between 15-29 years; live-borns of women aged between 15-19 years accounted for about 20% of all births(1)
20 (55.6%) professionals work at Basic Health Units (BHU), 13 (36.1%) at Family Health Units (FHU) and 3 (8.3%) at School-Based Health Center (SBHC)
Regarding Primary Health Care (PHC) attributes, we present the score of attributes and the essential score of 11 health units participating in the research (BHU, SBHC, FHU)
Summary
In Brazil, in 2007, 71% of live-borns were children of women aged between 15-29 years; live-borns of women aged between 15-19 years accounted for about 20% of all births(1). It can be observed that, in 20002009, the number of adolescents giving birth dropped 34.6%, probably reflecting family planning policies promoted by health professionals(2). Other risks exist, including: 1) social situation; 2) lack of information; and 3) emotional unreadiness. All of these can cause difficulties in the puerperal pregnancy cycle and in the care for the newborn and the mother(4). In this sense, Primary Health Care (PHC) can be defined as: set of values, principles, sustainability, intersectoriality and social participation. The more a health service is geared towards developing this set of attributes, the more it becomes capable of providing comprehensive community care from the biopsychosocial point of view(6)
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