Active health Ombudsman service

Evaluation of the Quality of Delivery and Birth Care

Bibliographic Data

ID16780451
AuthorsKarlo Jozefo Quadros de Almeida (0000-0001-7468-9451, Escola Superior de Ciências da Saúde), Francis Nakle de Roure (Secretaria de Estado de Educação do Distrito Federal), Roberto José Bittencourt (0000-0002-6482-5840, Escola Superior de Ciências da Saúde), Regina Maria Dias Buani dos Santos (Fundação Estadual de Produção e Pesquisa em Saúde), Fernanda Viana Bittencourt (0000-0002-7862-1419, Fundação Estadual de Produção e Pesquisa em Saúde), Leila Bernarda Bernarda Donato Gottems (Escola Superior de Ciências da Saúde), Fabrício Ferreira Amorim (0000-0003-0929-5733, Escola Superior de Ciências da Saúde), Fábio Ferreira Amorim
Year2018
Volume52
Pages76
Publication date2018-08-06
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueRevista de Saúde Pública (JOURNAL)
Journal identifiersISSN: 0034-8910 • E-ISSN: 0034-8910
PublisherUniversidade de Sao Paulo, Agencia USP de Gestao da Informacao Academica (AGUIA) (PUBLISHER)
DOI10.11606/s1518-8787.2018052017291
PMID30066816
OpenAlexW2885983555
LanguageEN
Citations received1
References cited19

OBJECTIVE: To evaluate the active health Ombudsman service as an instrument to evaluate the quality of delivery and birth care in the Cegonha Network of the Federal District of Brazil. METHODS: This is a cross-sectional study of the telephone survey type carried out with 1,007 mothers with deliveries between October 15, 2013 and November 19, 2013 in the twelve public maternity hospitals that make up the Cegonha Network of the Federal District of Brazil. The instrument has 25 multiple choice or Likert scale questions, including sociodemographic data and acceptability evaluation in five domains: accessibility, relationship between the patient and health professionals, conditions of the structure of the service, information to the patient, and equity and opinion of the patient. We have studied qualitative or categorical variables according to the frequency and distribution of proportions. We have used the score transformed into a scale from zero to 100 for the analysis of the Likert-type scale questions. Results have been expressed as mean and standard deviation. RESULTS: Access to prenatal appointments was evaluated as good or excellent by 86.1% of the participants and laboratory tests was evaluated as good or excellent by 85.2% of them. The access to imaging tests was evaluations as good or excellent by 45.7% of the women; 79.5% of the interviewees had their delivery in the maternity hospital where they sought initial care and 18.3% received a home visit by a community health agent after discharge. Most women reported that newborns were placed skin-to-skin immediately after birth, 48.9% had a companion at the time of the delivery, 76.3% were advised about the first appointment of the newborn, and 94.8% were advised on breastfeeding in the maternity hospital. Regarding the evaluation of health professionals, 85.9% of the women considered reception and cordiality as good or excellent at the prenatal care and 94.8% considered it as good or excellent at the maternity hospital. CONCLUSIONS: The active health Ombudsman service has contributed to evaluate the quality of public management by allowing the incorporation of the perspective of users of the health service in the evaluation of the acceptability of the Cegonha Network in the Federal District of Brazil

Family medicine · Geography · Likert scale · Scale (ratio) · Service (business) · Service delivery framework · Global Maternal and Child Health · Maternal and Neonatal Healthcare · Maternal and Perinatal Health Interventions · Medicine · Nursing · Psychology

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