With the proposal of establishing a care network that assures to the woman the right of reproductive planning and humanized care during pregnancy, delivery, and puerperium, the Ministry of Health created, in June of this year, the Rede Cegonha [Stork Network]. In 2011, the project began to be organized in the state of Rio de Janeiro by making meetings, forums, and workshops with municipal managers that started to know the network and were involved in the deepening of the discussions on the lines of mother-child care.
Rede Cegonha also aims to assure to the children the right of safe birth and healthy growth and development. The network, comprising four components – prenatal, delivery and birth, puerperium, and integral child health care and logistic system (health transport and regulation), has the forecast to be performed in five phases: adhesion and diagnosis, regional network design, contractualization of the attention points, qualification of components, and certification.
In Rio de Janeiro, Rede Cegonha establishment process started in August, 2011 by the Metropolitan Regions I (Rio de Janeiro, Belford Roxo, Duque de Caxias, Itaguaí, Japeri, Magé, Mesquita, Nilópolis, Nova Iguaçu, Queimados, São João de Meriti, and Seropédica) and II (Itaboraí, Maricá, Niterói, Rio Bonito, São Gonçalo, Silva Jardim, and Tanguá), which together concentrate about 11,814,001 inhabitants. The state was the pioneer in the country in constructing the Action Plans and has already concluded the second phase of the process by making meetings, forums, and workshops with managers of both regions’ municipalities.
The workshops, organized by members of the Subsecretaria de Atenção à Saúde e da Superintendência de Atenção Básica da SES [Sub-secretariat of Healthcare and the Superintendency of Basic Healthcare of SES] , took place in November, in Rio Bonito and Itaipava. Dedicated to municipal managers they relied on the participation of health secretaries, Healthcare practitioners, coordinators of the Women’s Health and Children’s Health Programs, Control and Evaluation, and Regulation.
In both events, which joined about 100 people each, it was organized work groups for discussions on the actions and activities agreed by the municipalities. The participants presented the works which they developed, in a plenum and later divided in groups by municipalities in order to map their lines of care and main problems. At the end of the workshops, these groups showed their lines of care and the proposals for Rede Cegonha consolidation in their regions.
In 2011, the Ministry of Health made available about R$ 15 million for bedscosting in Metropolitan Regions I and II. For 2012, the forecast of investments is R$ 300 million and is going to include also the beds costing. Some maternity hospitals of the state network specialized in serving high-risk pregnant women, are going to gain the Casa da Gestante, Bebê e Puerpério [Pregnant Woman, Baby, and Puerperium Home]. The space, which will have 20 beds each, will serve to house mothers whose babies are inpatients in neonatal ICUs or UIs, allowing to continue breastfeeding and proximity between mother and child. In addition, with the recent Fiotec’s support, Rede Cegonha will continue to expand to the other regions of the state.
Name: Rede Cegonha
Official Number: none
Period: 11/30/11 to 05/30/13
Unit: Instituto Fernandes Figueira (IFF)
Coordinator: Hamilton Ávila
Objective: support to Rede Cegonha establishment in Brazil
Fiotec - Foundation for Scientific and Technological Development in Health
Av. Brasil, 4036 - Prédio da Expansão - 10º And - Manguinhos
21040-361 – Rio de Janeiro – RJ - Brasil - How to go
Phone: (21) 2209-2600 - Fax: (21) 2209-2262/2664