Inequalities on coverage of prenatal assistance in Brazil: a nationwide study

Ciencia e Saude Coletiva

article

Flores, Thaynã Ramos¹  Neves, Rosália Garcia²  Mielke, Grégore Iven¹  Bertoldi, Andréa Dâmaso¹  Nunes, Bruno Pereira³ 

[1] Universidade Federal de Pelotas;3ª Coordenadoria Regional de Saúde;UFPel

关键词: Maternal Health;    Healthcare Disparities;    Quality Indicators;    Brazil;    Cross-Sectional Studies;   

DOI  :  10.1590/1413-81232021262.26792019

学科分类：社会科学、人文和艺术（综合）

来源: Associacao Brasileira de Pos - Graduacao em Saude Coletiva

【 摘 要 】

This article aims to evaluate the coverage and inequalities in prenatal assistance. Data from the Brazilian National Health Survey cross-sectional study in 2013. Prenatal assistance assessed through indicators: counseling, guidance received, procedures, and exams performed during the pregnancy. An asset index constructed, the Slope Index of Inequality (SII) and Concentration Index (CIX) were used to measure. About 90% received counseling on healthy eating, not smoking and drinking, 80% not to use dye/hair straightening, and all the advice. Approximately 70% received guidance on delivery and signs of risk and 83.4% for breastfeeding and 60% all the guidelines. About 80% had the measure of pressure and weight checked, the measure of the abdomen and the auscultation of the heart of the baby, only 36.7% had their breasts examined e 33.4% all procedures performed. More than 90% held for HIV and urine and 77.9% for syphilis, 81.4% of women have carried out all the exams and 21.7% all the indicators. No significant absolute differences (SII) found. CIX evidenced in counseling for healthy eating and guidance for breastfeeding. There were no marked inequalities in prenatal assistance.

【 授权许可】

CC BY