[Evaluation of the care to the pregnant woman's health in the context of the Family Health Program].
The importance of health systems and services evaluation has been evidenced in several discussions on policies for health and practices in services. Thus, this study was carried out to analyze the primary care to the pregnant women by the Family Health Program (PSF) in the municipality of Teixeiras, Minas Gerais State. According to the propositions by Donabedian (1990) who relates the dimensions of structure, process and result, a specific score system was used to analyze these dimensions and their respective attributes, classifying the program into the incipient, intermediate and advanced sceneries, if the following were obtained: from 0.0 to 33.3%, 33.4% to 66.6, 66.7, and 100.00%, respectively. In summary, such dimensions resulted into a intermediate scenery (52.2%) for PSF characterized by an attention to the fragmented pregnant woman's health, although presenting some progresses concerning the organization of attention toward this group. Although progresses in implantation of PSF, the scenario reveals the program still presents strong characteristic marks of the hegemonic model centered on procedures and biomedical attention.
da Costa
Glauce Dias
GD
Departamento de Nutrição e Saúde, Universidade Federal de Viçosa, Viçosa, MG, 36570-000. glaucedias@yahoo.com.br
Cotta
Rosângela Minardi Mitre
RM
Reis
José Roberto
JR
Siqueira-Batista
Rodrigo
R
Gomes
Andréia Patrícia
AP
Franceschini
Sylvia do Carmo Castro
Sdo C
D000328:Adult; D001938:Brazil; D005192:Family Health; D005260:Female; D006801:Humans; D010043:Outcome and Process Assessment, Health Care; D011247:Pregnancy; D011295:Prenatal Care / Q000592:standards*; D015397:Program Evaluation; D014932:Women's Health Services / Q000592:standards*; D055815:Young Adult