| Human resources |
ESF population coverage |
“The difficulty that we often find here is human resources, right? Sometimes we don’t have a doctor, a professional who left for health reasons and doesn’t have a replacement, right?” (Dentist A) |
| Material resources |
Availability of medicines and immunobiologicals, availability to take tests, procedure registration in the e-SUS AB, and educational activities |
“The Men’s Health coordination sent [Partner's Prenatal Guide for Health Professionals and Men's Health Guide for ACS]...at the moment it didn't have much!” (Nurse B) |
| Process Dimension |
| Management, Planning, and Development |
Including men in the Prenatal Care routine |
“...in prenatal care with the woman in my area, I always advise to have the husband come to the appointment if he can.” (ACS A1) “...I myself completely forget about the PNH! I end up focusing more on the woman! I even forget to pass this information on to her.” (ACS C1) “And the times they show up, it’s because the pregnant woman has syphilis, so she needs to come for treatment too. When she shows up, right? In this case, it is because she has some disease, so you need to treat both the pregnant woman and the partner.” (Doctor F) |
| Municipal management support |
“Men’s Health needs to be strengthened! I think this is paramount! It is the most important thing, […] besides publicizing more, guiding professionals, being a strengthened strategy. Because many times we don’t even remember her.” (Nurse E) |
| Using clinical and technical protocols |
“The first thing is to get to know this PNH booklet, because it was really never presented to me! The first time I am hearing about this booklet is through you!” (Doctor B) |
| Developing practices during the COVID-19 pandemic |
“Even though they were at home [referring to COVID-19], if they were, I don’t know either… but the same prenatal care continued, and just women come most of the time. Men adhere very little to it!” (Nurse D) “...With COVID, all these things took a back seat.” (Nurse B) |
| Outcome Dimension |
| Access |
Accessibility |
“…it’s very rare for the husband to accompany her, because sometimes it’s also work... work hours! This also hinders PNH adherence.” (ACS C3) “Arriving at the health unit without being sick is a waste of time for him! It’s cultural!” (Nurse F) |
| Availability of the men’s prenatal care strategy |
“I think this is something that needed to be seen like this... on a national scale! I think it gains more visibility and they will really look for it. And companies will make it easy!” (Dentist D) |
| Therapeutic relationship |
Relationship, longitudinality, and comprehensive care |
“...You have the experience of bonding with the team, right? Coming to childcare with the child when the mother is working, and he was on a break from work and came. So, there’s that bond with the team. It was the most positive experience I had... him continuing with the bond through the PNP!” (Nurse F) |
| Resoluteness |
Adherence to health activities |
“And if you ask him to come to the PNH... then it really is no use. He says, ‘Am I pregnant?’ [laughs]” (Nurse E) “…But it’s interesting, and they like it when they come. So much so that they don’t come just once, right? They always come with them! Those who come are interested, share, and women say that they are fine at home and that they support, you know? It’s pretty cool!” (Nurse D) |