Services on Demand
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Cadernos de Saúde Pública
On-line version ISSN 1678-4464Print version ISSN 0102-311X
SANTOS NETO, Edson Theodoro dos et al. Prenatal patient cards and quality of prenatal care in public health services in Greater Metropolitan Vitória, Espírito Santo State, Brazil. Cad. Saúde Pública [online]. 2012, vol.28, n.9, pp.1650-1662. ISSN 1678-4464. http://dx.doi.org/10.1590/S0102-311X2012000900005.
This study aimed to assess the completeness of prenatal care information on the patients' prenatal care cards, according to coverage by various public health services: Family Health Strategy (FHS), Community-Based Health Workers' Program (CBHWP), and traditional Primary Care Units (PCU) in Greater Metropolitan Vitória, Espírito Santo State, Brazil. In a cross-sectional study, 1,006 prenatal cards were randomly selected from postpartum women at maternity hospitals in the metropolitan area. Completeness of the cards was assessed according to the criteria proposed by Romero & Cunha, which measure the quality on a scale from excellent (< 5% incomplete cards) to very bad (> 50% incomplete cards). In general, completion of information on the cards was bad (> 20% incomplete), but cards were filled out better in the FHS than in the CBHWP and PCU, especially for tetanus vaccination (p = 0.016) and gestational weight (p = 0.039). In conclusion, the quality of prenatal care in the public health system in Greater Metropolitan Vitória fails to meet the Brazilian national guidelines for maternal and child health.
Keywords : Maternal and Child Health; Prenatal Care; Health Evaluation; Quality of Health Care; Health Public Policy.