Sub-dimension Physical structure |
Administrative and support environments |
Adequate physical structure with reception, sanitary (normal and adapted), purge, garbage dump, waiting room for 15 to 75 people (depending on the number of FHT). |
Adequate: 7 structures and adequate team number; intermediate: between 4 and 6 environments; inadequate: with more than 5 teams, or less than 3 structures. |
Structural characteristics |
Structural features with air circulation (windows, exhaust fans), lighting and privacy in the offices. |
Adequate: with all the characteristics; Inadequate: without at least one of the structural characteristics. |
Accessibility: wheelchair user or with difficulty of locomotion |
Suitable structural features: support bars, entrance walkway in good condition, doors adapted for wheelchair, access ramp, handrail, adapted troughs, regular floor, firm and non-slip. |
Adequate: with all items; Inadequate: all other situations. |
Accessibility: visual or auditory difficulty |
Suitable structural features: texts or figures, characters or figures in relief, braille and auditory resources. |
Adequate: with all items; intermediate: with at least one of the resources; inadequate: all other situations. |
External signaling |
External identification visible as a plaque on the facade, suitable external totem or other form of signaling. |
Adequate: with at least one form of external identification; inadequate: without any form of external identification. |
Material resources |
Computer equipment and internet access |
Computer equipment (computer, printer, stabilizer) with internet access, under conditions of use. |
Adequate: with all the equipment in conditions of use and access to the internet; inadequate: all other situations. |
Audiovisual equipment |
Existence of television and sound box in conditions of use. |
Adequate: with television and sound box; inadequate: without one of the equipment. |
Vehicle |
Existence of vehicle that meets the needs of the team |
Adequate: with vehicle that meets the needs; intermediate: does not meet the needs; inadequate: without vehicle. |
Human Resources |
Team coordinator |
Have a coordinator in the team for the management of the health unit. |
Adequate: with coordinator; inadequate: without coordinator. |
Reference protocols and flows |
Documents with references and flows |
Have a defined flow for serological tests for syphilis, anti-HIV, glucose, urine culture or urine summary (type 1), ultrasonography (USG) and place of delivery, with proof. |
Adequate: with documents containing references and flows related to prenatal care; intermediate: only for the calls of users of the team territory; inadequate: all other situations. |
Managerial dimension: Structure attributes
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Criterion
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Pattern
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Categorization of criteria
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Opening Hours |
Operation of the unit |
The health unit should operate in two shifts and at lunch time (12 a.m. to 2 p.m.). |
Adequate: work in two shifts and at lunch time; inadequate: all other situations. |
Regulatory Center |
Regulatory center |
Regulatory Center (RC) available with referral for specialized appointment marking, examinations and beds. |
Adequate: with link to RC for appointment of specialized consultation, examinations and beds; intermediate: only with RC; inadequate: all other situations. |
Information system |
Feeding of the SisPreNatal |
SisPreNatal regularly fed by health professionals, with proof. |
Adequate: regularly feeds SisPreNatal and proves it; inadequate: does not power the system or does not prove it. |
Permanent education |
Actions of permanent education |
Existence of permanent education actions in the municipality and that has guaranteed the participation of the team in the last year in at least one of the actions. |
Adequate: with permanent education actions in the municipality and has participated in at least one in the last year; intermediate: without participation in the actions; inadequate: all other situations. |
Care dimension: Structure attributes
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Criterion
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Pattern
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Categorization of criteria
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Physical structure |
Clinical assistance environments |
Physical structure suitable to the number of teams with: pharmacy, nursing or doctor's office, dental office (If FHT with Oral Health (OH), meeting/education rooms, procedures, vaccine, nebulization and dressing |
Adequate: with 7 rooms suitable to the team number; intermediate: with 4 to 6 rooms; inadequate: with more than 5 FHT, or less than 3 rooms, or with OH without a dental office. |
Material resources |
Instrumental |
Have: adult pressure device, adult scale of 150 kg or 200 kg, adult stethoscope, light focus and table for gynecological (or clinical) examination, sonar or stethoscope of pine, under conditions of use. |
Adequate: dispose of all instruments in conditions of use; intermediate: >04 to <05 instrumental; and inadequate: <03 instrumental. |
Equipment at the pharmacy |
Have a specific refrigerator and air-conditioning for pharmacy |
Adequate: which have a refrigerator and air-conditioning in the pharmacy; inadequate: without one of the equipment. |
Equipment in the vaccine room |
Provide room-specific refrigerator and air-conditioning |
Adequate: own refrigerator and air conditioning in the vaccine room; inadequate: without at least one of the equipment. |
Inputs: general population |
Input sufficiency: tongue depressor; disposable needles; bandages; measuring tape; PPE - gloves, goggles, masks, aprons, burrows; speculum; serum equipment; disposable syringes; hard containers for sharps disposal; gauze; plastic bottle with lid; tape/micropore tape and others; and thermal boxes for vaccines. |
Adequate: with all inputs; intermediate: with 8 to 13 inputs; inadequate: with less than 7 inputs. |
Inputs: women's health |
Sufficiency of inputs directed to WH: reagent strips of capillary glycaemia measurement; glass blade with matte side; blade holder; blade fastener; ayres spatula |
Adequate: with all the inputs; intermediate: with 3 inputs; inadequate: with less than 2 inputs. |
Essential medicines |
Sufficiency of medicines by groups: analgesics, antipyretics, antidiabetics, antibacterial, antihypertensive, antiparasitic, anti-asthmatics, antacids, antiemetics, vitamins, multivitamins, minerals, contraceptives and sex hormones. |
Adequate: with all groups of medicines; intermediate: with 4 to 8 groups of medicines; inadequate with only 3 groups. |
Controlle30 d medicines |
Sufficiency of medicines controlled at the BHU or dispensed at the central level by the municipality |
Adequate: with at least one of the medicines controlled at the BHU or dispensed by the municipality; inadequate: without controlled or non-dispensed medicine at central level. |
Quick test |
Existence of rapid tests syphilis, HIV, pregnancy |
Adequate: with all quick tests; inadequate: without one of the tests. |
Vaccines for pregnant women |
Sufficiency of dT, seasonal influenza and hepatitis B vaccines |
Adequate: with all the vaccines in BHU; inadequate: without one of the vaccines. |
Human Resources |
Basic care team |
Primary care team consisting of: 1 doctor, 1 nurse, 1 dental surgeon (if with OH), 1 technician. or aux. of nursing,> 4 CHW (Community Health Agents), 1 technician or aux. in OH (if with OH). |
Adequate: with all professionals; inadequate: with at least one of the professionals or < CHW. |
Functioning of BHU |
Operation of the unit |
Work in two shifts and have the services available: medical consultation, nursing, dental, vaccination, reception and dispensing of medicines. |
Adequate: works in two shifts, with all the services; inadequate: all other situations |
Instrument of registry and protocol |
Material printed on the unit |
Have: pregnant booklet, vaccination card, files: B-GES of the Primary Care Information System (Siab), PNC and referral. |
Adequate: with all record instruments; inadequate: without at least one of the instruments. |
Record |
Record with legible, identifiable handwriting, with diagnostic hypothesis, requested exams and proof. |
Adequate: that complies with the requirements and verifies them; inadequate: without complying with one of the requirements or dos not prove them. |
Electronic record |
Have an electronic medical record integrated with the other points of the attention network, with proof. |
Adequate: with electronic medical record, integrated and proven; intermediate: with medical record, but not integrated; inadequate: no electronic medical record or unproven. |
Protocol: prenatal and essential exams. |
Protocols with definition for prenatal care and essential tests (fasting blood glucose, serology for syphilis, HIV, hepatitis B and urine culture or urine summary type 1) |
Adequate: with all protocols; intermediate: with 4 to 5 protocols; inadequate: with less than three protocols. |
Protocols: welcoming spontaneous demand |
Protocols with definition for the reception of spontaneous demand and urgency, which considers the early capture of pregnant women and the most frequent complaints. |
Adequate: with all protocols (3); intermediate: with 2 protocols; inadequate: with only 1 or no protocol |
Protocol: home visit |
Protocols with definition of priority situations to carry out a home visit, with proof. |
Adequate: with protocol and proof; inadequate: without protocol and without proof |
Care dimension: Process attributes
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Criterion
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Pattern
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Categorization of criteria
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Home visit |
Home care |
Home care performed by a doctor or nurse with survey/mapping of the users, organization of the agenda, risk assessment and vulnerability for HV periodicity, and scheduling the visits of the CHW according to the priorities of the team. |
Adequate: meets all conditions Inadequate: all other situations. |
Capture of pregnant and puerperal women |
Active search of pregnant women who are absent from prenatal care (by CHW), and fetal discharge from the visit of a team member or CHW. |
Adequate: meets all conditions Inadequate: does not perform at least one of the actions. |
Reception |
Reception |
Reception on five or more days per week, in two shifts, with risk evaluation and vulnerability, performed by a higher level professional, and depending on the risk identified the response is defined. |
Adequate: meets all conditions Inadequate: all other situations. |
Laboratory tests |
Accomplishment, collection and receipt of exams |
Collect material for laboratory tests, performs syphilis tests; toxoplasmosis; anti-HIV, and hepatitis B, as well as urine culture or urine summary, hemoglobin and hematocrit, glucose test, with proof, and receive the results in a timely manner. |
Adequate: meets all conditions Inadequate: all other situations. |
Waiting time for specialized care |
Guarantee for pregnant women at high risk: specialized waiting time of up to 15 days (gynecology and obstetrical consultations) and up to 30 days of USG exams, diagnosis of HIV and syphilis. |
Adequate: meets all conditions Inadequate: all other situations. |
Vaccine |
Vaccine situation |
Provide basic calendar vaccines, with proven and prenatal guidance on the importance of tetanus vaccine. |
Adequate: meets all conditions Inadequate: all other situations. |
Record |
Use of the booklet and record |
Use the pregnant woman's booklet with proof and have records of: responsible professional, dental consultation, collection of cytopathological examination, up to date vaccination and number of high-risk pregnant women in the territory. |
Adequate: meets all conditions Inadequate: all other situations. |
Schedule and offer of actions |
Schedule and offer of actions |
Schedule consultations and actions and for prenatal and for users who are part of priority programs or groups, who need continued care, with proof. |
Adequate: meets all conditions Inadequate: all other situations. |
Organization of the agenda and promotion of health |
Organize an agenda for the offer of health promotion in the community and educational actions directed to pregnant and puerperal women (breastfeeding), with proof. |
Adequate: complies with all actions and proves; inadequate: all other situations |
Organization, offer and risk classification |
Organize the offer of service and referral of consultations and examinations of pregnant women based on the evaluation and classification of risk and vulnerability, with proof. |
Adequate: complies with all actions and proves; inadequate: does not meet the criteria or does not prove it. |
Consultation |
Consultation puerperium |
Carry out consultation with nurse or doctor on any day and time of the week for puerperal care of up to ten days, with proof |
Adequate: complies with all actions and proves; inadequate: does not comply with actions or does not prove it. |
Referral of users |
Scheduling of the consultation at the specialized level after attending the BHU: patient leaves with the scheduled appointment, consultation marked by the BHU and the date is informed later to the patient. |
Adequate: guarantees appointment of the consultation or the patient leaves with scheduled appointment; Inadequate: all other situations. |