Congenital syphilis as an indicator of assessing the prenatal care in the city of Olinda.

Abstract

This study aimed to evaluate the quality of care for pre-natal in the city of Olinda, using as an indicator congenital syphilis (SC). This is a descriptive study of quantitative and cross-section. As sources of data, were used as tokens of notification and epidemiological investigation of cases SC, available in the National System of Agravos of Notification (SINAN), the years 2005, 2006 and 2007, as well as a questionnaire, containing questions open and closed, which served to interview the nurses of the Family Health Units and 2 professionals of epidemiological surveillance. Data were entered into Excel and analysed in SPSS 13. SC 234 cases were recorded. The largest proportion of SC concerns among women older than 20 years, with less than 8 years of study and 73.9% of them held the prenatal care. Both women (74.9%) and their partners (65%) were inadequately treated. 46 nurses (85.2%) answered the questionnaire. Most were female, the average age, years of trained and time in the unit were respectively 37, 11 and 4 years. More than half (54.3%) of professionals reported that there were difficulties in conducting the examinations, and half (50%) of them said Tuesday difficulties in receiving the results. 36.9% of the group had no control of the healing of the women with positive VDRL, during prenatal and the majority (78.26%) had trouble achieving the treatment of the partners of pregnant women. The council presents a profile of quality of prenatal care poor. Investment is needed in professional training, improving the infrastructure of the network, the communication between different departments, and working conditions. However, the resolution of problems such as SC and other offenses to the health implies the adoption of structural policies and actions involving other sectors focus of public policies, such as education and labour.