RESUMO

This was a descriptive, exploratory, documental study of trends that aimed to analyze process indicators in the Program for Humanization of Prenatal Care and Childbirth in Ceará State, Brazil, from 2001 to 2006. The authors analyzed data from 312,507 pregnant women. In 2001, the year the program was implemented in the State, the system tabulated data for three of the seven process indicators; beginning in 2002, all indicators were tabulated. Total enrollment of pregnant women was the only indicator that increased every year until 2006, while the other indicators increased from 2002 until 2005, but declined from 2005 to 2006. When combining the completion of six prenatal visits with a postpartum visit, routine laboratory tests, or both, the percentages declined. Tetanus immunization reached the highest percentage in 2002 (68.34%), decreasing to 60.86% in 2006. The combination of six prenatal visits, a postpartum visit, laboratory tests, tetanus immunization, and HIV test was the indicator with the lowest percentage for the State (15.67%), although it was higher than the national average. Even considering flaws in the use of the Prenatal Care Information System, it is unacceptable that prenatal care still lacks complete coverage for such basic elements as routine laboratory tests and tetanus immunization.

Assuntos

RESUMO

This was a descriptive, exploratory, documental study of trends that aimed to analyze process indicators in the Program for Humanization of Prenatal Care and Childbirth in Ceará State, Brazil, from 2001 to 2006. The authors analyzed data from 312,507 pregnant women. In 2001, the year the program was implemented in the State, the system tabulated data for three of the seven process indicators; beginning in 2002, all indicators were tabulated. Total enrollment of pregnant women was the only indicator that increased every year until 2006, while the other indicators increased from 2002 until 2005, but declined from 2005 to 2006. When combining the completion of six prenatal visits with a postpartum visit, routine laboratory tests, or both, the percentages declined. Tetanus immunization reached the highest percentage in 2002 (68.34 percent), decreasing to 60.86 percent in 2006. The combination of six prenatal visits, a postpartum visit, laboratory tests, tetanus immunization, and HIV test was the indicator with the lowest percentage for the State (15.67 percent), although it was higher than the national average. Even considering flaws in the use of the Prenatal Care Information System, it is unacceptable that prenatal care still lacks complete coverage for such basic elements as routine laboratory tests and tetanus immunization.

Estudo documental, de tendência, descritivo-exploratório. Teve por objetivo analisar indicadores de processo do Programa de Humanização no Pré-natal e Nascimento (PHPN) no Ceará, Brasil, de 2001 a 2006. Foram analisados dados de 312.507 gestantes. Em 2001, ano da implantação do programa no estado, o sistema contabilizou dados de três dos sete indicadores. A partir de 2002 todos os indicadores foram computados. Cadastro de gestantes foi o único indicador ascendente até 2006, os demais apresentaram aumento de 2002 até 2005, porém decaíram de 2005 para 2006. À medida em que ter pelo menos seis consultas foi associada à consulta puerperal, exames laboratoriais, ou a ambos, as porcentagens declinaram. A imunização alcançou maior porcentagem em 2002 (68,34 por cento), reduzindo para 60,86 por cento em 2006. Ter realizado seis consultas, consulta de puerpério, exames laboratoriais, vacina antitetânica e teste anti-HIV foi indicador de menor alcance em todos os anos, porém com média de 15,67 por cento, superior à média nacional. Apesar das falhas no uso do SisPreNatal, destacamos como inaceitável que o pré-natal ainda padeça de garantias tão básicas como exames laboratoriais mínimos e vacinação antitetânica, por exemplos.

Assuntos