Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fiocruz. Av. Rui Barbosa 716, Flamengo. 22250-020 Rio de Janeiro RJ Brasil.
Programa de Pós-Graduação em Ciências e Tecnologias em Saúde, Faculdade de Ceilândia. Brasília DF Brasil.
Cien Saude Colet. 2021 Mar;26(3):931-940. doi: 10.1590/1413-81232021263.25782020. Epub 2020 Aug 7.
This paper describes and analyzes the process of providing feedback on the results of the second evaluation cycle of good practices of delivery and birth care in maternity hospitals linked to the Rede Cegonha, a Ministry of Health strategy implemented in 2011 to improve obstetric and neonatal healthcare and management. This is a qualitative study based on the documentary analysis of 27 reports from the states and the Federal District referring to the feedback workshops with 1.641 participants, 40% of whom were professionals and managers of the maternity hospitals evaluated, 25% of state representatives, 20% of municipal health secretariats and 15% of federal representatives. Around 46% of maternity hospitals' action plans in 11 states were received from January to August 2019. The results show the challenge of incorporating the monitoring and evaluation processes in these maternity hospitals' daily lives due to structural issues in institutional culture. This situation interferes with the local systematic analysis of information and the implementation of national evaluation cycles with the swift and continuous feedback of the results since access to secondary national data is non-existent in good delivery care practices.
本文描述和分析了在与卫生部的 Rede Cegonha 策略相关联的产科医院中提供第二次良好分娩和护理实践评估周期结果反馈的过程。该策略于 2011 年实施，旨在改善产科和新生儿保健和管理。这是一项基于文件分析的定性研究，分析了来自各州和联邦区的 27 份报告，这些报告涉及 1641 名参与者的反馈研讨会，其中 40％是评估产科医院的专业人员和管理人员，25％是州代表，20％是市级卫生部门，15％是联邦代表。在 2019 年 1 月至 8 月期间，收到了来自 11 个州的约 46％的产科医院行动计划。结果表明，由于机构文化中的结构性问题，将监测和评估过程纳入这些产科医院的日常生活具有挑战性。这种情况干扰了对信息的本地系统分析，以及由于在良好分娩护理实践中无法获得二级国家数据，因此无法快速和持续地反馈结果，从而影响了国家评估周期的实施。
