Admissions due to primary health care sensitive conditions from 1999 to 2009 among children < 5 years old were analyzed for municipalities in Pernambuco State, Brazil. Using data from the Brazilian Unified National Health System's Hospital Information System, a negative binomial regression was applied to estimate rate ratio (RR) and 95%CI for the effect on primary health care sensitive condition rates (admissions/10,000 inhabitants) of the Family Health Program (FHP) coverage (%), some demographic variables and living conditions. Hospitalizations due to primary health care sensitive conditions represented 44.1% of 861,628 admissions and the rate declined from 557.6 to 318.9 (-42.8%), a reduction three times greater than the rate due to all other causes. Increased FHP coverage was protective against primary health care sensitive conditions (RR = 0.94; 95%CI: 0.89-0.99). A decline in hospitalizations due to primary health care sensitive conditions indicated improvements in health status and may be associated with the consolidation of primary health care. Studies on access and quality of primary health care in relation to child morbidity and hospitalizations are needed.

| The aim of this study was to describe the health status of men in the State of Bahia, aged 20 to 59 years, considering hospital admissions in 2000 and 2010. Method: Cross-sectional epidemiological study, descriptive, time series with secondary data and retrospective hospital admission of men in the state of Bahia from 2000 to 2010. The data used were extracted from the SIH / SUS and the data about the population are from IBGE. Results: This study intends to point out the main health problems of male population to be faced by managers and users in different levels of SUS program. Higher hospitalizations rates due to external causes in Bahia in SUS hospital network in 2010 was observed in male population aged 20 to 59 years old than in 2000, even though variations in infectious and parasitic diseases and neoplasms are more prevalent than external causes in same population. There was also an increase in hospital admissions for infectious diseases, mental disorders and musculoskeletal diseases. Conclusions: Lower frequency of men to primary care services makes this population group deprived of adequate protection to preserve their health, providing unnecessary procedures that could be avoided if the search for attention had occurred in a timely manner. There is a need to create care networks for men, as well as to qualify health professionals in basic care and a greater awareness by State and Municipal managers to this issue. Os dados utilizados foram extraídos do SIH/SUS e os sobre a população são do IBGE. Resultados: Este estudo pretende apontar os principais problemas de saúde da população masculina a serem enfrentados pelos gestores e usuários nos diversos níveis do SUS. Observa-se na faixa etária de 20 a 59 anos, na população masculina, o predomínio acentuado de internações em 2010 por causas externas, na Bahia, na rede hospitalar do SUS, no comparativo com o ano de 2000, embora as variações das doenças infectoparasitárias e neoplasias, no mesmo período, sejam mais elevadas que as causas externas. Há também crescimento das internações hospitalares por doenças infectoparasitárias, transtornos mentais e doenças osteomusculares. Conclusões: A menor frequência dos homens aos serviços de atenção primária faz com que esse grupo populacional fique privado da proteção adequada à preservação de sua saúde, propiciando o uso de procedimentos desnecessários que poderiam ser evitados, caso a procura pela atenção houvesse ocorrido em momento oportuno. Há necessidade de serem criadas redes de atendimento aos homens, além da qualificação dos profissionais de saúde da atenção básica e uma maior sensibilização por parte dos gestores Estaduais e Municipais.Palavras-chave: Saúde do homem. Taxa de internações hospitalares. Saúde Pública.Submetido em