title: [Quality of prenatal services in primary healthcare in Brazil: indicators and social inequalities].
abstract: The aim of this study was to describe quality indicators for prenatal care in Brazil as part of the Program for the Improvement of Access and Quality (PMAQ-AB). The study analyzed number of prenatal visits, vaccination status, prescription of ferrous sulfate, physical examination, orientation, and laboratory tests, based on which a summary quality indicator was constructed. Data were collected in 2012-2013 during interviews conducted by External Evaluators of the PMAQ-AB, with 6,125 users who had done their last prenatal follow-up in Family Health units. During prenatal follow-up, 89% reported six or more visits, more than 95% received a tetanus booster and prescription of ferrous sulfate, 24% reported having received all the procedures in the physical examination, 60% received all the orientation, and 69% had all the recommended laboratory tests. Only 15% of interviewees had received adequate prenatal care, including all the recommended measures, and there was a significantly higher proportion of "complete" care in pregnant women that were older, with higher income, in the Southeast region of Brazil, in municipalities with more than 300,000 inhabitants, and in those with (HDI) in the upper quartile. There are persist social and individual inequalities that can be targeted by measures to upgrade the teams' work processes.
authors.affiliation: Faculdade de Medicina, Universidade Federal de Pelotas, Pelotas, Brasil.
authors.forename: Elaine
authors.initials: E
authors.lastname: Tomasi
authors.affiliation: Faculdade de Medicina, Universidade Federal de Pelotas, Pelotas, Brasil.
authors.forename: Pedro Agner Aguiar
authors.initials: PA
authors.lastname: Fernandes
authors.affiliation: Faculdade de Medicina, Universidade Federal de Pelotas, Pelotas, Brasil.
authors.forename: Talita
authors.initials: T
authors.lastname: Fischer
authors.affiliation: Escola Superior de Educação Física, Universidade Federal de Pelotas, Pelotas, Brasil.
authors.forename: Fernando Carlos Vinholes
authors.initials: FC
authors.lastname: Siqueira
authors.affiliation: Faculdade de Medicina, Universidade Federal de Pelotas, Pelotas, Brasil.
authors.forename: Denise Silva da
authors.initials: DS
authors.lastname: Silveira
authors.affiliation: Faculdade de Enfermagem, Universidade Federal de Pelotas, Pelotas, Brasil.
authors.forename: Elaine
authors.initials: E
authors.lastname: Thumé
authors.affiliation: Faculdade de Enfermagem, Universidade Federal de Pelotas, Pelotas, Brasil.
authors.forename: Suele Manjourany Silva
authors.initials: SM
authors.lastname: Duro
authors.affiliation: Programa de Pós-graduação em Ciências da Saúde, Universidade Federal do Rio Grande, Rio Grande, Brasil.
authors.forename: Mirelle de Oliveira
authors.initials: MO
authors.lastname: Saes
authors.affiliation: Faculdade de Enfermagem, Universidade Federal de Pelotas, Pelotas, Brasil.
authors.forename: Bruno Pereira
authors.initials: BP
authors.lastname: Nunes
authors.affiliation: Faculdade de Medicina, Universidade Federal de Pelotas, Pelotas, Brasil.
authors.forename: Anaclaudia Gastal
authors.initials: AG
authors.lastname: Fassa
authors.affiliation: Faculdade de Medicina, Universidade Federal de Pelotas, Pelotas, Brasil.
authors.forename: Luiz Augusto
authors.initials: LA
authors.lastname: Facchini
mesh_terms: D000293:Adolescent; D000328:Adult; D001938:Brazil; D005260:Female; D006297:Health Services Accessibility / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D008875:Middle Aged; D011247:Pregnancy; D011295:Prenatal Care / Q000592:standards*; D011320:Primary Health Care / Q000592:standards*; D011787:Quality of Health Care; D012959:Socioeconomic Factors; D055815:Young Adult