Cadernos de Saúde Pública
On-line version ISSN 1678-4464
Print version ISSN 0102-311X
ANVERSA, Elenir Terezinha Rizzetti; BASTOS, Gisele Alsina Nader; NUNES, Luciana Neves and DAL PIZZOL, Tatiane da Silva. Quality of prenatal care: traditional primary care and Family Health Strategy units in a city in southern Brazil. Cad. Saúde Pública [online]. 2012, vol.28, n.4, pp.789-800. ISSN 1678-4464. http://dx.doi.org/10.1590/S0102-311X2012000400018.
Prenatal care in traditional primary care units (UBS) and Family Health Strategy units (ESF) was evaluated by a cross-sectional study from July 2009 to February 2010 in Santa Maria, Rio Grande do Sul State, Brazil. Seven hundred and ninety-five postpartum women who had received prenatal care in either of the two types of units were interviewed. Four quality levels were used: level 1 (Kessner index modified by Takeda); level 2, which adds clinical obstetric procedures to level 1; level 3, which adds laboratory tests to level 1; and level 4, which includes all the above parameters. Prenatal care in the Family Health Strategy was superior to that of traditional primary care at all levels, with statistically significant differences in levels 1 and 2. Pregnant women received more guidance and prenatal care was superior in the Family Health Strategy. The study favored the Family Health Strategy, but improvement is still needed in the performance of procedures and laboratory tests in order to enhance prenatal care and strengthen primary care.
Keywords : Prenatal Care; Quality of Health Care; Family Health; Primary Health Care.