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Integrating evidence-based prenatal and postnatal care into primary health services: An experience report from a training program for sus professionals
 
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1
Universidade de São Paulo and Rehuna, Midwifery course, São Paulo, Brazil
 
2
University of Brasilia and Rehuna, Saúde Coletiva, Brasilia, Brazil
 
 
Eur J Midwifery 2026;10(Supplement 1):A169
 
ABSTRACT
PURPOSE:
This experience report describes a training initiative aimed at strengthening the quality of prenatal and postnatal care in Brazil’s primary health services, through the integration of World Health Organization (WHO) recommendations for a positive experience in pregnancy, birth and postpartum into clinical practice. The initiative targeted professionals from units certified by UNICEF’s Child-Friendly Primary Health Unit (UAPI) program.

DISCUSSION:
The Brazilian Network for Humanization of Childbirth - ReHuNa was selected by the UNICEF Brazilian Office and structured a one-day course on “Evidence-Based Prenatal and Postnatal (Maternal and Child) Care" according to WHO Recommendations for a positive experience and other updated evidence-based references including epidemiological data on vulnerable populations. After the classes held using Paulo Freire's teaching method, the participants were invited to propose how to individualize care according to different vulnerabilities (Indigenous, Black and Brown women, adolescents, people with disabilities, migrants and LBTQIAPN+ individuals capable of pregnancy and childbirth) and the result provided a rich perspective of humanized care emphasizing the importance of individualized, culturally sensitive, person-centered care that aims to promote a positive experience.

EVIDENCE WHERE RELEVANT:
Around 800 professionals of 7 capital cities participated. The course's evaluation by participants was 98.2% of Excellent and Good.The initiative fostered collaboration between ReHuNa (social movement and professional network for humanization of birth) university educators and health professionals working in the SUS. It highlights the need for ongoing professional development and collaborative networks to promote sustainable and inclusive midwifery care in primary health settings. The process involved participatory engagement with local communities to ensure cultural relevance and accessibility.

KEY MESSAGE:
This initiative illustrates the importance of integrating evidence-based education into public health systems to improve maternal and newborn outcomes. It highlights the need for continued professional development, intersectoral collaboration, and inclusive approaches to care that prioritize continuity, rights, and equity—particularly for historically underserved populations. Workforce - planning
eISSN:2585-2906
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