Maternal and child health care: adequacy index in public health services

ABSTRACT Objectives: to analyze the adequacy of maternal and child-care in prenatal care, childbirth and the puerperal period, in the public health service. Methods: longitudinal study carried out in a city in Paraná with 357 puerperal women in a public maternity ward, outpatient clinic for immediate puerperal return and home visit 42 days postpartum. Four care domains were grouped (1 - Prenatal, 2 - Maternity, 3 - Immediate puerperal return, 4 - Late puerperal return). Mean, median, standard deviation and coefficient of variance were calculated considering adequate assistance when ≥ 70%; and inadequate, inferior. Results: lowest suitability average in Domain 3 (39.37%) and highest for Domain 4 (74.82%); median of 50.00% at 3 and 76.90% at 4. The largest standard deviation, in Domain 3 (25.18%); and high coefficient of variance for 1 and 3. Conclusions: in maternal and child follow-up, rates close to adequate in maternity care and higher in late puerperal return, meanwhile prenatal and immediate puerperal return were below the recommended in the health care network.

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Bibliographic Details
Main Authors: Genovesi,Flávia Françoso, Canario,Márcia Aparecida dos Santos Silva, Godoy,Christine Bacarat de, Maciel,Sandra Mara, Cardelli,Alexandrina Aparecida Maciel, Ferrari,Rosângela Aparecida Pimenta
Format: Digital revista
Language:English
Published: Associação Brasileira de Enfermagem 2020
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672020001600154
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