Evolution of the quality of prenatal care in the primary network of Brazil from 2012 to 2018: What can

The article describes the temporal evolution of prenatal quality indicators in the primary health care network in Brazil and investigates regional differences. This study used data from the external evaluation of Brazil's National Program for Improving Primary Care Access and Quality (PMAQ) wit...

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Bibliographic Details
Published in:PloS one 2022-01, Vol.17 (1), p.e0262217
Main Authors: Tomasi, Elaine, de Assis, Thales Moura, Muller, Paulo Guilherme, da Silveira, Denise Silva, Neves, Rosália Garcia, Fantinel, Everton, Thumé, Elaine, Facchini, Luiz Augusto
Format: Article
Language:English
Subjects:
Medical care
Prenatal care
Primary health care
Quality management
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Summary:The article describes the temporal evolution of prenatal quality indicators in the primary health care network in Brazil and investigates regional differences. This study used data from the external evaluation of Brazil's National Program for Improving Primary Care Access and Quality (PMAQ) with health teams participating in Cycles I, II and III of the Program, carried out respectively in 2012, 2013/14 and 2017/18. The number of visits, physical examination procedures, guidelines and request for laboratory tests were investigated. There was a positive evolution for tests-HIV, syphilis, blood glucose and ultrasound, and for all tests, guidance on feeding and weight gain of the baby and examination of the oral cavity. The indicators that performed the worst were: performance of tetanus vaccine, six or more visits, receiving guidance on exclusive breastfeeding and care for the newborn, and the procedures-all, measurement of uterine height, gynecological exam and cervix cancer prevention. These changes had a varied behavior between the regions of the country.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0262217