A cobertura nos indicadores do sisprenatal no municipio de Piratininga-MG: entre a realidade e a subnotificação

Abstract

This report describes, from the historical series from 2001 to 2009, the evolution of prenatal assistance in the town of Piranga, in the state of Minas Gerais. In order to do this we used the software developed by DATASUS, which aims to enable proper tracking of pregnant women included in the Program for Humanization of Pre-Natal and Childbirth (PHPN) of the National Health System, which is called SISPRENATAL. This software sets the minimum list of procedures for adequate pre-natal care, which allows the monitoring of pregnant women since the beginning of pregnancy until puerperium consultation. Secondary data analysis was the methodology chosen for this study, and it considered the available database in SISPRENATAL in the referred period. From the analysis of the main indicators generated by this database the results show that there was improvement in the indicators over the years, but it was still below the pre-defined targets settled by the Ministry of Health and the State of Minas Gerais. We can infer that in addition to assistance to pregnant women it is also necessary to improve data input to SISPRENATAL with a systematic evaluation of this information. Despite the difficulties identified as critical points, considerable progress can be highlighted, including the incorporation of technology in planning and programming family health teams. We can conclude that the development of health promotion, prevention and care for the health of pregnant women and newborns may contribute to the reduction of maternal, perinatal and neonatal morbidity and mortality rates, improving the access to the assistance and quality of pre-natal monitoring, and to childbirth, puerperium and neonatal care.