Programa Mãe Paulistana
Country of Operation
ApproachMonitoring standards Regulating Performance Government health insurance Financing Care Consumer education Changing Behavior Health services network Organizing Delivery
Target income level
- Bottom 20%
- Lower-middle income (20-40%)
- Middle-income (40-60%)
- Maternal, newborn and child health
SummaryPrograma Mãe Paulistana, developed and implemented by the government of the city of São Paulo, provides comprehensive care for pregnant women, including free pre-natal care, exams, ultrasounds, medicine, transportation to appointments, 1 year follow ups on the child and family planning.
The Network for the Protection of Mother Paulistana is a municipal program of health, established in 2006, dedicated to mother and child health. The program aims to assist the mother during the pregnancy cycle, from pre-natal consultations (at least seven), through childbirth and the postpartum period until the first year of the child's life.
Key program components
The program's services cover residents in the city of São Paulo. Future mothers are screened for diseases to ID high-risk pregnancies, and to ensure that every mother receives at least 6 pre-natal visits. Each woman is issued cards that track their number of visits and developments in their pregnancy, as well as an ID for free public transportation.
The program offers counseling services on mother's rights, health, and breastfeeding. High-risk mothers are screened closely by healthcare practitioners, who call them in case of missed appointments. If the mother successfully attends all programmed pre-natal exams, they receive a bag with clothes for the baby at the hospital.
The program has an inventory of all available delivery beds in the city (2,000) and work to steer women to the nearest available facilities. Every woman in the program receives a visit from an outreach worker while they are in the hospital after delivery. Babies are tested for any disability or conditions. Follow up with the child goes throughout their first year of age. At the end of the program all women are surveyed to determine satisfaction and screen the performance of their doctors.
Since its inception in March 2006, 445,426 pregnant women have participated in the program, and 461,582 babies have been delivered in the program's hospital network. There are in average 10,000 births/month and 100,000 pregnant women in the system at any given time. The numbers of patients completing all 6 pre-natal visits has gone from 10% to 80%. Transmission of syphilis and maternal mortality due to hypertension has decreased. Child visits within the first 15 days of birth have gone from 15% to 82%.
This program serves 100,000 patients per month.