Access to prenatal care: assessment of the adequacy of different indices

Cadernos de Saúde Pública

Edson Theodoro Dos Santos Neto²  Adauto Emmerich Oliveira²  Eliana Zandonade¹  Maria Do Carmo Leal¹ 

[1] ,Universidade Federal do Espírito Santo Departamento de Medicina Social Vitória,Brasil

关键词: Maternal and Child Health;    Health Evaluation;    Maternal-Child Health Services;    Health Services Accessibility;    Saúde Materno-Infantil;    Avaliação em Saúde;    Serviços de Saúde Materno-Infantil;    Acesso aos Serviços de Saúde;    Salud Materno-Infantil;    Evaluación em Salud;    Servicios de Salud Materno-Infantil;    Accesibilidad a los Servicios de Salud;   

DOI  :  10.1590/0102-311X00125612

来源: SciELO

【 摘 要 】

This study aimed to compare the evaluation of adequate access to prenatal care according to different indices. Data to construct the indices were obtained from 1,006 patient interviews, prenatal cards, and medical charts for postpartum women who had been admitted for childbirth at maternity hospitals in Greater Metropolitan Vitória, Espírito Santo State, Brazil, from April to September 2010. The various indices for the evaluation of prenatal care were compared to the Kotelchuck index (1994) as the standard reference. Prevalence rates for adequacy were calculated, as were agreement, sensitivity, specificity, predictive values, accuracy, and likelihood ratios. The Takeda index showed the highest prevalence of adequacy (55.8%). The highest agreement was between the indices proposed by Villar et al. and Rosen et al. (adjusted kappa = 0.84). The study concludes that the Carvalho & Novaes index and the Brazilian Ministry of Health index are relevant for assessing adequate access to prenatal care.

【 授权许可】

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