Social determinants as a way to promote health in prenatal care: perception of primary care professionals
DOI:
https://doi.org/10.5902/2179769264518Keywords:
Health Promotion, Social Determinants of Health, Primary Health Care, Prenatal care, Patient Care TeamAbstract
Objective: to understand the perception of primary care professionals about the influence of social determinants in promoting the health of pregnant women in prenatal care. Method: qualitative study, participant action type, based on Paulo Freire's Research Itinerary, developed through Thematic Investigation, Codification and Decoding and Critical Unveiling, which consists of data analysis. Two Culture Circles were held in a Health Unit, between July and October 2019, with 18 health professionals. Results: two themes were investigated: one reflects the determinants involved in prenatal care, and the other discusses prenatal care and determinants as a way to promote health. They revealed the relevance of knowing the determinants involved in the daily lives of pregnant women and which should be considered in full. Conclusion: there are multiple barriers faced by pregnant women in prenatal care, and it is necessary to strengthen these women with health-promoting care and linked to social determinants.Downloads
References
Heidemann ITSB, Alonso da Costa MFBN, Hermida PMV, Marçal CCB, Antonini FO, Cypriano CC. Health promotion practices in primary care groups. Glob Health Promot. 2019;26(1):25-32. doi: 10.1177/1757975918763142
Farias JM, Minghelli LC, Soratto J. Promoção da saúde: discursos e concepções na atenção primária à saúde. Cad Saúde Colet. 2020 set;28(3):381-9. doi: 10.1590/1414-462x202028030351
World Health Organization (WHO). Health Promotion [Internet]. Ottawa (CA): WHO; 1986 [cited 2021 Jan 17]. Available from: https://www.who.int/healthpromotion/conferences/previous/ottawa/en/
World Health Organization (WHO). Closing the gap in a generation: health equity through action on the social determinants of health [Internet]. Geneva: WHO, Comission on Social Determinants of Health; 2008 [cited 2020 Nov 17]. Available from: https://www.who.int/social_determinants/final_report/csdh_finalreport_2008.pdf
Malta DC, Reis AAC, Jaime PC, Morais Neto OL, Silva MMA, Akerman M. Brazil’s Unified Health System and the National Health Promotion Policy: prospects, results, progress and challenges in times of crisis. Ciênc Saúde Colet. 2018;23(6):1799-809. doi: 10.1590/1413-81232018236.04782018
Schmitt PM, Tomazzetti BM, Hermes L, Hoffmann IC, Braz MM, Martelo NV. A revelação de puérperas na assistência pré-natal em estratégias de saúde da família. Rev Saúde Pesqui. 2018;11(1):129-37. doi: 10.17765/1983-1870.2018v11n1p129-137
Livramento DVP, Backes MTS, Damiani PR, Castillo LDR, Backes DS, Simão AMS. Perceptions of pregnant women about prenatal care in primary health care. Rev Gaúcha Enferm. 2019;40:e20180211. doi: 10.1590/1983-1447.2019.20180211
Santiago CMC, Sousa CNS, Nóbrega LLR, Sales LKO, Morais FRR. Prenatal care and practices developed by the health team: integrative review. Rev Pesq Cuid Fundam. 2017;9(1):279-88. doi: 10.9789/2175-5361.2017.v9i1.279-288
Blakeney EL, Herting JR, Bekemeier B, Zierler BK. Social determinants of health and disparities in prenatal care utilization during the Great Recession period 2005-2010. BMC Pregnancy Childbirth. 2019;19: 390. doi: 10.1186/s12884-019-2486-1
Rocha CRG, Heidemann IHSB, Rumor PCF, Antonini FO, Durand MK, Magagnin AB, et al. Social determinants of health in prenatal nursing consultation. Rev Enferm UFPE On Line. 2019;13:e241571. doi: 10.5205/1981-8963.2019.241571
Felcher CDO, Ferreira ALA, Folmer V. Da pesquisa-ação à pesquisa participante: discussões a partir de uma investigação desenvolvida no Facebook [Internet]. 2017 [acesso em 2021 jan 10];12(7):1-18. Disponível em: https://if.ufmt.br/eenci/artigos/Artigo_ID419/v12_n7_a2017.pdf
Freire P. Pedagogia do oprimido. 60ª ed. Rio de Janeiro: Paz e Terra; 2016.
Heidemann ITSB, Dalmolin IS, Rumor PCF, Cypriano CC, Costa MFBNA, Durand MK. Reflections on Paulo Freire’s research itinerary: contributions to health. Texto Contexto Enferm. 2017;26(4):e0680017. doi: 10.1590/0104-07072017000680017
Heidemann ITSB, Cypriano CC, Gastaldo D, Jackson S, Rocha CG, Fagundes E. Estudo comparativo de práticas de promoção da saúde na atenção primária em Florianópolis, Santa Catarina, Brasil e Toronto, Ontário, Canadá. Cad Saúde Pública. 2018;34(4):e00214516. doi: 10.1590/0102-311x00214516
Barbieri W, Peres SV, Pereira CB, Peres Neto J, Sousa MLR, Cortellazzi KL. Fatores sociodemográficos associados ao grau de conhecimento em saúde bucal de gestantes. Einstein. 2018;16(1):eAO4079. doi: 10.1590/S1679-45082018AO4079
Gaíva MAM, Palmeira EWM, Mufato LF. Women's perception of prenatal and delivery care in cases of neonatal death. Esc Anna Nery. 2017;21(4):e20170018. doi: 10.1590/2177-9465-ean-2017-0018
Tinoco TF, Acioli S, Mercedes Neto, Silva LA. Mortalidade materna e a prática educativa na atenção primária à saúde. Nursing [Internet]. 2018 [acesso em 2020 nov 18];21(247):2535-41. Disponível em: http://www.revistanursing.com.br/revistas/247/pg89.pdf
Costa FA. Mulher, trabalho e família: os impactos do trabalho na subjetividade da mulher e em suas relações familiares. Pretextos [Internet]. 2018 [acesso em 2020 nov 18];3(6):434-52. Disponível em: http://periodicos.pucminas.br/index.php/pretextos/article/view/15986
Santos RCAN, Silva RM, Queiroz MVO, Jorge HMF, Brilhante AVM. Realities and perspectives of adolescent mothers in their first pregnancy. Rev Bras Enferm. 2018;71(1):65-72. doi: 10.1590/0034-7167-2016-0444
Silva LA, Alves VH, Rodrigues DP, Vieira BDG, Marchiori GRS, Santos MV. The humanization of prenatal care under the pregnant women’s perspective. Rev Pesq Cuid Fundam. 2018;10(4):1014-9. doi: 10.9789/2175-5361.2018.v10i4.1014-1019
Souza EVA, Bassler TC, Taveira AG. Health education in the empowerment of the pregnant woman. Rev Enferm UFPE On Line [Internet]. 2019 [cited 2021 Apr 20];13(5):1527-31. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/238437
Rowlands G, Shaw A, Jaswal S, Smith S, Harpham T. Health literacy and the social determinants of health: a qualitative model from adult learners. Health Promot Int. 2017;32(1):130-8. doi: 10.1093/heapro/dav093
Romagnolo AN, Costa AO, Souza NL, Somera VCO, Benincasa M. A família como fator de risco e de proteção na gestação, parto e pós-parto. Semin Ciênc Soc Hum. 2017;38(2):133-46. doi: 10.5433/1679-0383.2017v38n2p133
Belém JM, Pereira EV, Rebouças VCF, Borges JWP, Pinheiro AKB, Quirino GS. Aspectos teóricos, metodológicos e analíticos de pesquisas etnográficas em enfermagem obstétrica: revisão integrativa. Rev Esc Enferm USP. 2020;54:e03547. doi: 10.1590/s1980-220x2018034203547
Carrapato P, Correia P, Garcia B. Determinante da saúde no Brasil: a procura da equidade na saúde. Saúde Soc. 2017;26(3):676-89. doi: 10.1590/S0104-12902017170304
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.