Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. R. Leopoldo Bulhões 1480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2024 Oct;29(10):e03462023. doi: 10.1590/1413-812320242910.03462023. Epub 2023 Oct 8.
Primary healthcare is the main gateway and priority for healthcare management in Brazil. However, there are significant challenges in the quality of care, particularly for those most vulnerable, especially maternal and infant healthcare. This fact is exacerbated by regional inequalities, which have historically left the North and Northeast regions at a relative disadvantage. The study involves an analysis of the resources available for maternal and infant healthcare in the state of Roraima, the North region, and Brazil as a whole in 2012, 2014, and 2017, using data from Module I of the National Program for the Improvement of Access and Quality of Primary Care (PMAQ-AB). There was a significant improvement in physical infrastructure indicators (e.g., ventilation and air conditioning) as well as improvement in the distribution of supplies and equipment needed for maternal and infant care between 2014 and 2017. However, the availability of medicines and the number of human resources and hours worked diminished. The study offers a crucial longitudinal analysis, comparing the situation in Roraima and Brazil, whose findings could contribute to the development of programs and public policymaking for reproductive rights and maternal and infant health.
初级医疗保健是巴西医疗保健管理的主要门户和优先事项。然而，医疗质量存在重大挑战，特别是对那些最脆弱的人群，特别是孕产妇和婴儿保健。这一事实因地区不平等而加剧，历史上导致北部和东北部地区相对处于劣势。本研究分析了 2012 年、2014 年和 2017 年罗赖马州、巴西北部地区和巴西整体的孕产妇和婴儿保健资源，使用了国家改善初级保健准入和质量计划（PMAQ-AB）模块 I 的数据。在 2014 年至 2017 年间，物质基础设施指标（如通风和空调）以及孕产妇和婴儿保健所需用品和设备的分配得到了显著改善。然而，药品的供应以及人力资源和工作时间却减少了。该研究提供了一项重要的纵向分析，比较了罗赖马州和巴西的情况，其结果可能有助于制定生殖权利和孕产妇与婴儿健康方面的方案和公共政策。
