Avaliação da qualidade da atenção primária à saúde para a rede cegonha

Abstract

The Health Care Networks have contributed to the integral vision of the individual and facilitate their journey in the various complexities of SUS; the Stork Network, was launched in 2011, but maternal and infant mortality, although falling, is still above ideal. The highlights in the scientific literature have shown that the best examples of health care are those that have an APS strengthened in their attributes, guiding the actions and services available in these systems, which present greater comprehensiveness, continuity of care and satisfaction of users. The quality of health care can be understood as a measure of the desired results of the services or the reach of the health needs of the users. The objective of this research is to evaluate the quality of Primary Health Care of Ibiapina / CE in the Stork Network. A quantitative study, carried out in the city of Ibiapina / CE, belonging to the 13th Health Region of Tianguá and the Sobral Macroregion. Participating nurses and users who had follow-up at prenatal APS in the city participated in the study. The collection of data and information was done through participant observation, questionnaire, semi-structured interviews and consultation to health information systems; to treat them, it was used the analysis by means of graphs for the quantitative data and tables and analysis of content for the qualitative ones. There was approval by the research ethics committee under the number 1.937.131. The structure showed the presence of a good number of items, but the fundamental ones to the performance in the network are still insufficient. The knowledge of the process resulted in the encounter of similar aspects, with activities that favor the attributes of first contact, longitudinality and cultural competence. The results analyzed demonstrate the satisfaction of the users in the prenatal follow-up, but they suggest that material and human resources are more present, as well as perceiving that more welcoming of all the teams present themselves relevant in the performance; the indicators show better results after 2011, the year of the installation of the Stork Network in the municipality. It was concluded that there is a need for strengthening especially in the attributes of coordination, integrality, family and community orientation to reach the quality of attention to pregnant women. Nevertheless, the attention networks model is an attempt to withdraw public policies from the submissive view of women to involve them in their care with autonomy and protagonism