Name: Vivian Kecy Vieira Maia
Type: MSc dissertation
Publication date: 06/04/2016
Advisor:

Namesort descending Role
Cândida Caniçali Primo Co-advisor *
Eliane de Fátima Almeida Lima Advisor *

Examining board:

Namesort descending Role
Cândida Caniçali Primo Co advisor *
Eliane de Fátima Almeida Lima Advisor *
Franciéle Marabotti Costa Leite Internal Examiner *
Maria Helena Costa Amorim Internal Alternate *
Maria Helena do Nascimento Souza External Alternate *

Summary: Introduction: An Information System is characterized as a set of organized
procedures that has the aim of delivering information between people, departments and institutions, and it becomes significant to know its quality. The pre-natal clinical form also serves as data source for entering information in the Pre-natal Monitoring System (SISPRENATAL) of the Health Department, and it allows evaluating the process indicators for the Prenatal and Birth Humanization (PHPN) and the Rede Cegonha Programs. Objectives: To evaluate the quality of a pre-natal information system; to analyse the process indicators of the Prenatal and Birth Humanization and Rede Cegonha Programs from the Pre-natal information system; and to update the information system for the pre-natal visits. Methods: This is a descriptive epidemiologic study that analyses the secondary data of the prenatal information system. The population of the research is all pregnant women who did the prenatal
screening at the Basic Healthcare Units and at the Specialties Municipal Centre of the Municipality of Vitoria (ES), and who had their visits registered in the Rede Bem Estar (RBE) clinical form, with the first prenatal visit between January, 1st, 2013, and December, 31st, 2014; and who have finished prenatal care until October, 2014. To evaluate the quality of the data of the Prenatal Clinical Form, the criteria of accessibility, methodological clarity, opportunity, and completeness, as defined by the Economic Commission for Latin America and the Caribbean (ECLAC) were used.
Completeness was evaluated following the incompleteness criteria proposed by
Romero and Cunha, and scores for evaluation as Excellent, Good, Regular, Poor, and Very Poor were attributed. Prenatal care indicators were analysed after the evaluation of the completeness of the prenatal clinical form at the RBE. This analysis used the PHPN's, the Rede Cegonha's, and the Department of Health's Low Risk Prenatal Care Technical Manual's process indicators. After analysis, prenatal assistance was divided in four levels of quality, in the categories of Adequate, Inadequate and Intermediary, according to the minimum level of procedures each pregnant woman received. Results: Most results for incompleteness presented a Poor or Very Poor quality score. The fields with Excellent or Good incompleteness score are related to the mandatory fulfilment items. The result of the process indicators presented the classification of the adequacy of the prenatal care quality as being adequate for 15.09% in level 1; 11.47% in level 2; 3.32% in level 3; and 0.16%
in level 4. Conclusion: Constant management supervision interventions are needed to improve the recording of the Prenatal Clinical Form of the RBE, and the professionals need to be made aware about the need for the adequate registry of the care given to the pregnant users. The PHPN/Rede Cegonha is a reference policy in the whole of Brazil. Nonetheless, the municipalities need to get organized in order to effectively implement this policy as a duty of the State, and a right of the citizen. The updated Prenatal Clinical Form can provide better prenatal care quality, especially in regard to the Nursing visit.

Keywords: Prenatal Care, Health Assessment of Healthcare Quality.

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