Fig 1.
Brazil political-geographic map showing its federative units (states), and the location of the participating centers of REBRACO.
States colored according to the incidence rate of confirmed cases of COVID-19 per thousand people until July 31, 2020 [2, 12, 13]. Fig 1 was adapted from a map contained in the Brazilian public domain database–Portal Domínio Público (http://www.dominiopublico.gov.br).
Table 1.
Characteristics of included maternities in the REBRACO study (n = 16), participating members of the local Emergency Action Committees (EAC) and information on COVID-19 infection and some healthcare indicators.
Fig 2.
Characteristics of the tests for COVID-19 available in the REBRACO centers.
Fig 3.
COVID-19 pandemic progression in Brazil concomitant with the implementation of the contingency and management (C&M) protocols in each REBRACO center.
Horizontal bars represent the interval from C&M implementation and the first confirmed COVID-19 case in each center; blue indicates C&M implementation prior to the first case reported and magenta represents indicates C&M implementation after the first case. The black square in each bar indicates the first case recorded at each center. The star represents the initial date of COVID-19 universal screening at center 1. Turquoise curve represents the cumulative number of confirmed cases in Brazil until July 31, 2020. Vertical dashed line marks the first confirmed case registered in Brazil [2, 13].
Table 2.
Changes on infrastructure and human resources due to COVID-19 pandemic in the REBRACO maternities (n = 16).
Table 3.
Training health professionals in the REBRACO maternities (n = 16).
Fig 4.
Framework of the conflicts, experiences and response actions on the preparedness and implementations of actions to fight the pandemic according to the health managers.
The middle layer shows the conflicts and the outer layer demonstrates the main actions performed by the health managers and institutions to tackle the main conflicts.