Atenção pré-natal na estratégia de saúde da família: caracterização da estrutura de Santo Antônio de Jesus - BA

Abstract

The quality of prenatal care depends among other aspects of a proper infrastructure physical resources, human and financial, materials, multidisciplinary attendance, conduct and procedures that meet the needs of every pregnant woman. Thus it is necessary to evaluate the structure of family health units that are part of prenatal care. Thus this work aimed to verify the physical resources (premises, equipment and instruments) and humans available on public health network of the municipality of Santo Antônio de Jesus-Bahia for the prenatal consultation. This work deals with a cutout multicenter project entitled "analysis of the prenatal care in Bahian municipalities: Situation of Santo Antônio de Jesus, Islanders and Guanambi" and is characterized as a quantitative approach, was held in 20 family health Units (USF) that offered prenatal services, from February to may 2014 in the city of Santo Antônio de Jesus-Bahia. Statistical analysis of the observations was performed from the systematization of the data by the software SSPS (Statistical Package for the Social Sciences), 22.0 series and thus examined in the light of the current literature, gender perspective and completeness. The results showed that medical professional and nurse who leads the most attendances. Regarding the physical structure realizes that most units have 2 minimally equipped rooms for these women in the gravid-puerperal cycle. As regards the equipment recommended for the prenatal care in one of the units there was no sonar, and even precludes auscultation Pinard stethoscope cardiofetal. Survey collection already quote pathological found obstacles in some units, due to lack of gynaecological table, light, material quote pathological collection and speculate in this respect deficit thus indicating. It is considered to offer an adequate framework for prenatal care enables an integral assistance to users and minimizes the occurrence of damages derived from the non-early identification of risk factors. We conclude that for qualification of service there need for constant evaluation of health services involved in prenatal care through investment in the training and availability of human resources, responsible management of public resources for the acquisition, prediction and provision of equipment, materials and supplies as well as investment in construction of health units. All these strategies together collaborate to reduce maternal and neonatal mortality and improve maternal and child health indicators.