Reflections on the quality of perinatal care in Brazil: perspectives in light of the Qualineo Strategy
DOI:
https://doi.org/10.26694/reufpi.v14i1.5009Keywords:
Perinatal Mortality, Infant Newborn, Perinatal Care, Maternal-Child Health Services, Prenatal CareAbstract
Objective: to reflect on the quality of perinatal care aimed at reducing neonatal mortality and its determining factors. Methods: this is a reflective study that adopted the Qualineo Strategy as its conceptual framework. The article is based on a discursive construction regarding factors that have a causal relationship with neonatal mortality and on a reflection about the strategies developed to reduce these deaths. Results: neonatal mortality is intrinsically related to maternal and fetal clinical conditions, reflecting the quality of care provided throughout the pregnancy-puerperal cycle. The Qualineo Strategy stands out for integrating and analyzing indicators that encompass prenatal care through neonatal hospitalization, enabling the identification of care gaps and guiding more assertive preventive interventions. This approach promotes an understanding of neonatal mortality as a multidimensional phenomenon, determined not only by biological factors but also by social, structural, and organizational conditions within health services, expanding the potential of the strategy as a tool for managing and improving the quality of care. Conclusion: neonatal mortality rates reflect the quality of maternal and child care in a country. Identifying factors associated with neonatal death contributes to the creation and strengthening of more assertive and targeted strategies toward the proposed goal.
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