0033/2020 - Inequalities on coverage of prenatal assistance in Brazil: A nationwide study. Inequalities on coverage of prenatal assistance in Brazil: A nationwide study.
Objetivo: Avaliar a cobertura e as desigualdades na assistência pré-natal. Métodos: Dados do estudo transversal da Pesquisa Nacional de Saúde do Brasil em 2013. Assistência pré-natal foi avaliada por meio de indicadores: aconselhamento, orientações recebidas, procedimentos e exames realizados durante a gravidez. Para mensuração das possíveis desigualdades foram utilizados dois índices: Slope Index (SII) e o Concentration Index (CIX). Resultados: Cerca de 90% receberam aconselhamento sobre alimentação saudável, não fumar e beber, 80% para não usar alisamento de tintura/cabelo e todos os aconselhamentos. Aproximadamente 70% receberam orientações sobre parto e sinais de risco e 83,4% para amamentação e 60% todas as orientações. Cerca de 80% tiveram a medida de pressão e peso verificada, a medida da barriga (fundo do útero) e a ausculta do coração do bebê, apenas 36,7% tiveram os seios examinados e 33,4% todos os procedimentos realizados. Mais de 90% fizeram exame para HIV e urina e 77,9% para sífilis, 81,4% das mulheres realizaram todos os exames e 21,7% todos os indicadores. Não foram encontradas diferenças absolutas significativas (SII). Com o CIX observou-se diferença para aconselhamento para alimentação saudável (0,022) e orientações para amamentação (0,013). Conclusão: Não houve desigualdades acentuadas na assistência pré-natal, embora a cobertura de alguns indicadores ainda
Palavras-chave:
Saúde Materna; Disparidades em saúde; Indicadores de qualidade, Brasil; Estudos Transversais.
Abstract:
Purpose: To evaluate the coverage and inequalities in prenatal assistance. Methods: Datathe Brazilian National Health Survey cross-sectional study in 2013. Prenatal assistance assessed through indicators: counseling, guidance received, procedures, and exams performed during the pregnancy. An asset index constructed, the slope index of inequality (SII) and concentration index (CIX) were used to measure disparities. Results: About 90% received counseling on healthy eating, not smoking and drinking, 80% not to use dye/hair straightening, and all the advice. Approximately 70% received guidance on delivery and signs of risk and 83.4% for breastfeeding and 60% all the guidelines. About 80% had the measure of pressure and weight checked, the measure of the abdomen and the auscultation of the heart of the baby, only 36.7% had their breasts examined e 33.4% all procedures performed. More than 90% held for HIV and urine and 77.9% for syphilis, 81.4% of women have carried out all the exams and 21.7% all the indicators. No significant absolute differences (SII) found. CIX evidenced in counseling for healthy eating (0.022) and guidance for breastfeeding (0.013). Conclusions: There were no marked inequalities in prenatal assistance, although the coverage of some indicators is not yet universal.
Inequalities on coverage of prenatal assistance in Brazil: A nationwide study.
Resumo (abstract):
Purpose: To evaluate the coverage and inequalities in prenatal assistance. Methods: Datathe Brazilian National Health Survey cross-sectional study in 2013. Prenatal assistance assessed through indicators: counseling, guidance received, procedures, and exams performed during the pregnancy. An asset index constructed, the slope index of inequality (SII) and concentration index (CIX) were used to measure disparities. Results: About 90% received counseling on healthy eating, not smoking and drinking, 80% not to use dye/hair straightening, and all the advice. Approximately 70% received guidance on delivery and signs of risk and 83.4% for breastfeeding and 60% all the guidelines. About 80% had the measure of pressure and weight checked, the measure of the abdomen and the auscultation of the heart of the baby, only 36.7% had their breasts examined e 33.4% all procedures performed. More than 90% held for HIV and urine and 77.9% for syphilis, 81.4% of women have carried out all the exams and 21.7% all the indicators. No significant absolute differences (SII) found. CIX evidenced in counseling for healthy eating (0.022) and guidance for breastfeeding (0.013). Conclusions: There were no marked inequalities in prenatal assistance, although the coverage of some indicators is not yet universal.
Flores, T.R, Neves, R.G, Mielke, G.I, Bertoldi, A.D, Nunes, B.P. Inequalities on coverage of prenatal assistance in Brazil: A nationwide study.. Cien Saude Colet [periódico na internet] (2020/fev). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/inequalities-on-coverage-of-prenatal-assistance-in-brazil-a-nationwide-study/17515?id=17515
