Saúde materno infantil: dados do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica

Abstract

This study had the objective to analyze the epidemiological profile of maternal and child health in the 21 cities of the 4th Regional Health Coordination, based on the data generated in the 2nd Cycle of the Program for Improving Access and Quality of Primary Care (PMAQ-AB). An observational cross-sectional epidemiological study was performed as an evaluation tool, the external evaluation data of the PMAQ-AB, modules I and II. Statistical analysis of the data was performed using the Statistical Program for Social Sciences (SPSS) software version 20.0, where absolute and relative frequency analyzes were performed. Participated in the external evaluation, 61 Health Units, 66 teams.It was observed that 11% of the health units offer the alternative time to attend to the users, 58.3% have a child pressure device, 62.5% have a child stethoscope and 73.8% offer a vaccination regularly. 92.4% of the teams refer to pre-natal consultations and 89.4% of children up to two years. The teams monitor their pregnant women through by the maternity reference (27.3%). Have a computerized system in relation to the date of probable parturition (13.6%), and receive information from the municipal health secretary (15.2%), as well as other information monitoring forms (45.5%) and 21.2% reported not performing this monitoring. 89,4% of the teams refer to using the health booklet for the child support, and 69.7% evaluate and monitor the rates of breastfeeding and healthy complementary feeding. The offer of educational actions and health promotion for family planning is 74.2% and for pregnant and postpartum women (breastfeeding) is 87.1%. The teams are increasingly meeting the demands of maternal and child health. However, there are still important organizational barriers to access, flows are poorly arranged in some cities and the integration of primary health care into the network is still in its infancy.