Análise da organização da Rede Cegonha na região de saúde Araguaia Xingu - MT

Abstract

Introduction: The Stork Network has been establishing itself as a strategy for organizing all points of care for women and children under 24 months of age in the municipalities, with the aim of implementing the care network, ensuring the right to reproductive planning and humanized care during pregnancy, as well as ensuring children's right to safe birth, growth and development, in a healthy way, thus reducing morbidity and mortality in this population. This organization must be described in the management, organization and planning instruments accompanied by the evaluation of the specific indicators of the Stork Network. Objective: To analyze the organization of the stork network in the Araguaia Xingu - MT health region, from 2012 to 2018. Method: This was a quantitative and qualitative research, focusing on the evaluation, organization and coordination of the stork network in the health region Araguaia Xingu in the State of Mato Grosso. The research comprised at least two parts: 1) investigation about the structuring and organization of the stork network and how the agreed organizational indicators of the stork network influenced managers in this organization; 2) study in the region, with documental survey and use of the results of the interviews of the research “Regional management: PHC and health care network (HCN) in the regions of the state of Mato Grosso”. Results and discussion: the results found showed: good primary care coverage; incipient coverage of cervical exams in the period studied; adequate but suboptimal prenatal care coverage; decreasing maternal deaths; high rate of teenage pregnancy; absence of a target in the region for newborns with low birth weight; absence of agreed goal in the region for puerperal consultation and absence of registration in the information system at PCIS covering the period of study; high number of cases of congenital syphilis; decrease in the number of normal births; maternal, infant and fetal deaths not adequately investigated; high vaccine coverage, except for the MMR vaccine and the way of agreeing on the vaccine indicator, leading to a reduction in the responsibility of management with its coverage; high infant mortality. Information from the region showed that assistance to pregnant women, births and children younger than 24 months is based on the guidelines of the SN and PBHP and that in this region, despite carrying out such actions, the municipalities still encounter many difficulties in making these actions feasible. recommendations and in which the results of the indicators in the historical series were not entirely positive. There was little discussion in the collegiate bodies and in the management reports, and the planning of the indicators was little discussed in the MHP. Final Considerations: It can be said that in the Araguaia Xingu health region, efforts were made to promote the implementation of the stork network and guarantee this proposed model of health care for women and children. However, the structural limits of the region and mainly the care gaps in the scope of services, including also private services, represented an obstacle. Added to the region's efforts, financial support from AQIP, the Requalifica UBS program, programs and equipment amendments, In-Service Teaching Integration Commission in permanent health education, professionals hired over time, the organization of the Intermunicipal Health Consortium, but there is also a need for the region to take ownership of its governance in the Regional Interagency Commission and more robust analyzes in the construction of its care networks, especially the Cegonha Network, updated to MCCN - Mother and Child Care Network.