Pré-natal do parceiro: estratégia para adesão na Atenção Primária à Saúde

Abstract

Pregnancy is a unique moment in the life of a woman, her partner, and her family, reinforcing the importance of including men in prenatal care. In this context, this study aimed to develop an implementation and adherence protocol for Partner Prenatal Care in Primary Health Care. This is a methodological research study, guided by the Practical Model for Technology Development, conducted in Basic Health Units in Saboeiro/Ceará, with professionals from the Family Health Strategy and partners of pregnant women. Four data collection instruments were used: a form for integrative review, a questionnaire for healthcare professionals, a semi-structured interview with partners, and a content validation instrument applied to expert judges. Qualitative data analysis was conducted using content analysis, while protocol validation was performed using the Content Validity Index, adopting a cutoff point of ≥ 0.78. The results showed that, although there are national guidelines that promote the inclusion of the partner in prenatal care, challenges persist related to low participation, sociocultural barriers, weaknesses in reception, and limitations in the organization of services in Primary Health Care. On the other hand, relevant strategies for its implementation were identified, such as the reorganization of the work process, educational actions, flexibility in care, and qualification of the teams. It was also possible to construct and validate a protocol for the implementation and adherence to prenatal care for the partner, which presented high levels of content validity, demonstrating clarity, relevance, and applicability. Furthermore, this Technical Technological Product was developed based on scientific evidence, the experiences of professionals in the Family Health Strategy, and the perceptions of the pregnant women's partners; the protocol was structured in a participatory manner and validated by expert judges, demonstrating technical and methodological adequacy. The protocol proposes the organization and standardization of actions aimed at including the partner in the prenatal care of pregnant women within the scope of Primary Health Care. It concludes that the developed protocol constitutes an assistance technology capable of supporting the organization of services, expanding the partner's participation in prenatal care, and improving the quality of care offered, contributing to more inclusive, equitable, and humanized practices within Primary Health Care. However, a limitation is noted in that it was developed in only one municipality in Ceará, which does not necessarily represent the reality of the other municipalities in the state. It is suggested that other strategies on the subject could be developed to contribute to the inclusion of the partner in prenatal care, promote health, improve health indicators, and guarantee comprehensive, inclusive, and humanized care. It is recommended that studies be conducted to evaluate the application of the protocol in different contexts of Primary Health Care, in order to analyze its effectiveness, feasibility, and impact on partner adherence to prenatal care. This Master's Thesis is part of the Professional Master's Program in Family Health at the Federal University of Cariri, within the research line of Comprehensive Care for Life Cycles and Vulnerable Groups.