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.'
affiliation: 'Tomasi, E (Corresponding Author), Univ Fed Pelotas, Fac Med, Dept Med
  Social, Ave Duque de Caxias 250, BR-96030001 Pelotas, RS, Brazil.

  Tomasi, Elaine; Aguiar Fernandes, Pedro Agner; Fischer, Talita; da Silveira, Denise
  Silva; Fassa, Anaclaudia Gastal; Facchini, Luiz Augusto, Univ Fed Pelotas, Fac Med,
  Pelotas, Brazil.

  Vinholes Siqueira, Fernando Carlos, Univ Fed Pelotas, Escola Super Educ Fis, Pelotas,
  Brazil.

  Thume, Elaine; Silva Duro, Suele Manjourany; Nunes, Bruno Pereira, Univ Fed Pelotas,
  Fac Enfermagem, Pelotas, Brazil.

  Saes, Mirelle de Oliveira, Univ Fed Rio Grande, Programa Posgrad Ciencias Saude,
  Rio Grande, Brazil.'
article-number: e00195815
author: Tomasi, Elaine and Aguiar Fernandes, Pedro Agner and Fischer, Talita and Vinholes
  Siqueira, Fernando Carlos and da Silveira, Denise Silva and Thume, Elaine and Silva
  Duro, Suele Manjourany and Saes, Mirelle de Oliveira and Nunes, Bruno Pereira and
  Fassa, Anaclaudia Gastal and Facchini, Luiz Augusto
author-email: tomasiet@gmail.com
author_list:
- family: Tomasi
  given: Elaine
- family: Aguiar Fernandes
  given: Pedro Agner
- family: Fischer
  given: Talita
- family: Vinholes Siqueira
  given: Fernando Carlos
- family: da Silveira
  given: Denise Silva
- family: Thume
  given: Elaine
- family: Silva Duro
  given: Suele Manjourany
- family: Saes
  given: Mirelle de Oliveira
- family: Nunes
  given: Bruno Pereira
- family: Fassa
  given: Anaclaudia Gastal
- family: Facchini
  given: Luiz Augusto
da: '2023-09-28'
doi: 10.1590/0102-311X00195815
eissn: 1678-4464
files: []
issn: 0102-311X
journal: CADERNOS DE SAUDE PUBLICA
keywords: 'Prenatal Care; Primary Health Care; Quality of health Care; Health

  Inequalities'
language: Portuguese
month: JAN
number: '3'
number-of-cited-references: '31'
orcid-numbers: 'Nunes, Bruno P/0000-0002-4496-4122

  Facchini, Luiz A/0000-0002-5746-5170

  Fassa, Anaclaudia G/0000-0001-6070-6214

  Thumé, Elaine/0000-0002-1169-8884

  Thumé, Elaine/0000-0002-1169-8884

  Saes, Mirelle de Oliveira/0000-0001-7225-1552'
papis_id: 6b86bf3f526ea046de77b7ce3871d602
ref: Tomasi2017qualityprenatal
researcherid-numbers: 'Nunes, Bruno P/E-3231-2014

  Facchini, Luiz A/A-2268-2009

  Tomasi, Elaine/AAH-2226-2021

  Saes, Mirelle/ABF-3820-2020

  Fassa, Anaclaudia G/I-5979-2015

  Thumé, Elaine/A-8252-2011

  Thumé, Elaine/ISU-8904-2023

  '
times-cited: '30'
title: 'Quality of prenatal services in primary healthcare in Brazil: indicators and
  social inequalities'
type: Article
unique-id: WOS:000469020600007
usage-count-last-180-days: '1'
usage-count-since-2013: '7'
volume: '33'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2017'