Cesar Juraci A, Sutil Andréa T, Santos Gabriela B dos, Cunha Carolina F, Mendoza-Sassi Raúl A
Divisão de População & Saúde, Universidade Federal do Rio Grande, Rio Grande, Brasil.
Cad Saude Publica. 2012 Nov;28(11):2106-14. doi: 10.1590/s0102-311x2012001100010.
This study aimed to evaluate public and private prenatal care for women in Rio Grande, Rio Grande do Sul State, Brazil. Women who gave birth at the two local maternity hospitals from January 1 to December 31, 2010, answered a standardized questionnaire. The interview sites in the public sector were primary health care units with and without the Family Health Strategy (FHS) and outpatient clinics; the private sector included clinics operated by health plans and private physicians' offices. The chi-square test was used to compare proportions. The response rate was 97.2% (2,395 out of 2,464). Among the 23 target variables and indicators, seven showed a clear advantage for mothers who had received prenatal care under the FHS and six for health plan clinics and private offices. Four variables showed virtually universal coverage at all five study sites. Prenatal care showed better coverage for pregnant women treated in the private sector. Pregnant women treated under the FHS showed similar coverage to that in the private sector.
本研究旨在评估巴西南里奥格兰德州里奥格兰德市妇女的公共和私人产前护理情况。2010年1月1日至12月31日期间在当地两家妇产医院分娩的妇女回答了一份标准化问卷。公共部门的访谈地点包括有和没有家庭健康战略(FHS)的初级卫生保健单位以及门诊诊所;私营部门包括由健康计划运营的诊所和私人医生办公室。采用卡方检验比较比例。回复率为97.2%(2464人中的2395人)。在23个目标变量和指标中,有7个对接受FHS产前护理的母亲显示出明显优势,有6个对健康计划诊所和私人办公室显示出优势。4个变量在所有5个研究地点几乎都有普遍覆盖。产前护理在私营部门治疗的孕妇中覆盖率更高。接受FHS治疗的孕妇覆盖率与私营部门相似。