ArticleBMC health services research2019
Access to public health services and integral care for women during the puerperal gravid period period in Ceará, Brazil.
Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Global, regional, and national levels of maternal mortality, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021.BMC pregnancy and childbirth · 2025Article
- Predictors of inadequacy of prenatal tests of postpartum women: a cross-sectional study.Revista brasileira de enfermagem · 2025Article
- Users' Perceptions of Access to and Quality of Unified Health System Services in Brazil: A Cross-Sectional Study and Implications to Healthcare Management Challenges.International journal of environmental research and public health · 2024Article
- Strengths and weaknesses in the high-risk baby care network.Revista da Escola de Enfermagem da U S P · 2023Article
- Prenatal assessment of high-risk pregnancies in primary and specialized outpatient care: a mixed study.Revista brasileira de enfermagem · 2023Article
- Determinants of Lack of Access to Treatment for Women Diagnosed with Breast Cancer in Brazil.International journal of environmental research and public health · 2022Article
- Adolescent pregnancies and adherence to puerperal consultation.Revista latino-americana de enfermagem · 2022Article
- Maternal HIV and syphilis are not syndemic in Brazil: Hot spot analysis of the two epidemics.PloS one · 2021Article
- Access to care during labor and delivery and safety to maternal health.Revista latino-americana de enfermagem · 2020Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOver time, the Brazilian health system, a growing country, has been developing to ensure good accessibility to health goods and services. This development is focusing on the principle of universality of access and completeness of health care. In this context, we aimed to evaluate the completeness of care and universality of access for women in their pregnancy and puerperal period in Ceará, Brazil.
methodsA descriptive, cross-sectional study based on a quantitative approach, using information collected from the database of the regulation system of the state of Ceará and data from the Prenatal Monitoring System. The research population comprised of 1701 women who delivered a baby in an obstetric reference unit in the Health Macro-Region of Cariri, Ceará, Brazil from January to December 2015.
resultsThere was a high rate of cesarean delivery (49.7%) and a high waiting time for access to high-risk delivery (32.6%) and neonatal intensive care unit (72.9%). There was also a low percentage (41.1%) of pregnant women undergoing an adequate number of prenatal consultations, dental care (20%), educational activities (15%), visits to the maternity ward (0.1%), laboratory tests of the third trimester (29.2%) and puerperal consultation (37.9%).
conclusionsIt was concluded that the Maternal and Child Health Policy, especially the Rede Cegonha, which is still under development, does not ensure access and completeness of care for women during the prenatal, delivery, and puerperal periods, thus violating their reproductive rights. The results of this study allow a critical analysis by the academia and health managers in search of strategies to improve the services of Rede Cegonha in Brazil.
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