0175/2020 - Redução das iniquidades sociais no acesso às tecnologias apropriadas ao parto na Rede Cegonha Reduction of social inequities in access to appropriate technologies for labour and birth care in the Stork Network.
Este artigo compara os achados da Avaliação da Rede Cegonha (ARC), estudo avaliativo sobre o programa Rede Cegonha (RC), com o Nascer no Brasil (NB), inquérito nacional sobre parto e nascimento, realizado em 2011-12, antes do início da implementação da RC. A ARC foi conduzida em 2017, em 606 maternidades envolvidas na RC e o NB incluiu uma amostra com representatividade nacional de 266 hospitais. Na análise atual, incluímos os 136 hospitais do SUS que participaram de ambos os estudos, totalizando 3.790 e 12.227 puérperas, respectivamente. Realizamos as comparações de boas práticas e intervenções no manejo do trabalho de parto e parto utilizando o teste qui-quadrado para amostras independentes. A prevalência das boas práticas foi, em média, 150% maior na ARC que no NB, com maior aumento relativo nas regiões menos desenvolvidas, para mulheres mais velhas, pardas e pretas e menos escolarizadas. Com relação às intervenções, houve redução média de 30% entre o NB e a ARC, com maior redução relativa nas regiões menos desenvolvidas e nas mulheres menos escolarizadas. Houve melhoria significativa no cenário da atenção ao trabalho de parto e parto, com redução de iniquidades regionais, de nível de instrução e raciais no acesso às tecnologias apropriadas, sugerindoque a intervenção da RC foi efetiva.
Palavras-chave:
Assistência ao parto; Assistência Perinatal; Saúde Materna; Política de Saúde.
Abstract:
This paper compares the findings of the Stork Network Assessment (SNA), an evaluative study of the Stork Network (SN) program, with Birth in Brazil (BB), a national enquiry into labour and birth, conducted in 2011-12, before the implementation of the SN. SNA was conducted in 2017, in 606 hospitals involved in the SN and BB included 266 hospitals, with national representativity. In the current analysis, we included the 136 public hospitals that participated in both studies, totaling 3,790 and 12,227 puerperal women, respectively. We performed the comparisons of best practices and interventions by means of Chi-square test for independent samples. Prevalence of best practices averaged 150% higher in SNA than in BB, with a higher relative increase in the least developed regions, in older women, in brown and black women and in less educated women. Regarding interventions, there was an average reduction of 30% between NB and ARC, with a greater relative reduction in the least developed regions and in less educated women. There was a significant improvement in labor and birth care, with reduction in regional, educational and racial inequalities in access to appropriate technologies, suggestingthat the SN program was effective.
Keywords:
Delivery care; Perinatal Care; Maternal Health; Health Policy.
Reduction of social inequities in access to appropriate technologies for labour and birth care in the Stork Network.
Resumo (abstract):
This paper compares the findings of the Stork Network Assessment (SNA), an evaluative study of the Stork Network (SN) program, with Birth in Brazil (BB), a national enquiry into labour and birth, conducted in 2011-12, before the implementation of the SN. SNA was conducted in 2017, in 606 hospitals involved in the SN and BB included 266 hospitals, with national representativity. In the current analysis, we included the 136 public hospitals that participated in both studies, totaling 3,790 and 12,227 puerperal women, respectively. We performed the comparisons of best practices and interventions by means of Chi-square test for independent samples. Prevalence of best practices averaged 150% higher in SNA than in BB, with a higher relative increase in the least developed regions, in older women, in brown and black women and in less educated women. Regarding interventions, there was an average reduction of 30% between NB and ARC, with a greater relative reduction in the least developed regions and in less educated women. There was a significant improvement in labor and birth care, with reduction in regional, educational and racial inequalities in access to appropriate technologies, suggestingthat the SN program was effective.
Palavras-chave (keywords):
Delivery care; Perinatal Care; Maternal Health; Health Policy.
Leal, M.C, Esteves-Pereira, A.P, Vilela, M.E.A, Alves, M.T.S.S.B, Neri, M.A, Queiroz, R.C.S., Santos, Y.R.P, Silva, A.A.M. Redução das iniquidades sociais no acesso às tecnologias apropriadas ao parto na Rede Cegonha. Cien Saude Colet [periódico na internet] (2020/Jul). [Citado em 05/11/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/reducao-das-iniquidades-sociais-no-acesso-as-tecnologias-apropriadas-ao-parto-na-rede-cegonha/17657?id=17657
