[Perception of prenatal care among clients of the Brazilian National Health System (SUS): a comparative study].
This was a comparative cross-sectional study among public prenatal care users in conventional outpatient health services and family health services, aimed at assessing perception and quality differences between the two models of health services organization according to Ministry of Health guidelines. A total of 203 pregnant women from 22 municipalities in five regions of the country were interviewed while waiting for prenatal consultation. Besides soliciting the women's opinions, we checked for possible advantages in innovative family care services in issues like access and commitment. Data revealed approval by users for key aspects related to care and consultation in both types of public facilities and suggest consistent primary care policies. Low coverage in dentistry (18.9%), gynecological preventive tests (39.6%), and HIV tests (52.6%) indicates policy obstacles. Comparatively, family health services received significantly greater approval by women on issues like quality of the last visit (p = 0.0432), maternity hospital access (p = 0.0106), vaccination schedules (p = 0.0023), drug delivery (p = 0.0053), blood glucose tests (p = 0.0309), nursing visit (p = 0.0469), and home visits (p < 0.0001).
Ribeiro
José Mendes
JM
Departamento de Ciências Sociais, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil. ribeiro@ensp.fiocruz.br
Costa
Nílson do Rosário
Ndo R
Pinto
Luiz Felipe da Silva
LF
Silva
Pedro Luiz Barros
PL
D003430:Cross-Sectional Studies; D003695:Delivery of Health Care / Q000592:standards*; D005192:Family Health; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D009313:National Health Programs / Q000592:standards*; D017060:Patient Satisfaction; D011247:Pregnancy; D011295:Prenatal Care / Q000592:standards*