Processos facilitadores e barreiras de acesso do pré-natal odontológico

Abstract

The aim was to identify factors that influence successful prenatal dental care (PNO). This is a case study with a quantitative and qualitative approach involving PHC professionals involved in PNO in a municipality in Minas Gerais. A questionnaire was administered on interprofessional collaboration, and a focus group was held on PNO, work process, and flow of care. Statistical analysis was carried out using SPSS and Thematic Content Analysis. Of the population of health professionals involved with PNO, 37.5% took part in the study (n=18): community health workers, doctors, dentists, oral health assistants, nurses, and nursing technicians. The average age of the participants was 42.9(±10.4) years, and the majority were women (80%), non-staff (70%) and had been working in PHC for more than 10 years (50%). It was found that there is a defined flow for carrying out the PNO, with identification of pregnant women by the health agents, consultation with the nurse/physician, and referral for dental consultation, with collaborative work being essential, with each professional having their own responsibility. Reasons were given as to why PNO is important, as well as barriers such as myths, lack of knowledge among pregnant women, and lack of training for professionals. The PHC financing program was identified as a facilitator for increasing access and raising funds. The results suggest that the PNO is a complex issue, with many factors interfering and that Previne Brasil is a facilitator for its operation.