Avaliação da completitude, da consistência e da duplicidade de registros de violências do Sinan em Recife, Pernambuco, 2009-2012

Abstract

Métodos: foi realizado estudo descritivo; a qualidade da base de dados do Sinan foi avaliada quanto à completitude e consistência de 35 variáveis e não duplicidade de registros; aplicou-se o teste do qui-quadrado para tendência linear (p<0,05) para avaliação da completitude e consistência. Resultados: no período 2009-2012, houve aumento de 283,9% no número de notificações, as médias percentuais de completitude, de consistência e de duplicidade foram, respectivamente, de 70,3%, 98,5% e 0,2%; houve redução de 53,9% na completitude e aumento de 66,7% na consistência das variáveis; o percentual de duplicidade foi de 0,5% em 2012, e inexistente em 2009. Conclusão: as médias percentuais de completitude, consistência e duplicidade foram consideradas, respectivamente, regular, excelente e aceitável.

Análise da completitude das notificações de violência perpetradas contra crianças

“…23 The variables Municipality, Neighborhood, Address and Place of occurrence of the section Data of the Occurrence had 'Bad' completeness. Similar results have been found in other studies that evaluated the VIVA, 12,15 as well as analyses of data on deaths from external causes. 21 The home has been pointed out as the main place where violent episodes occur at all ages, followed by public streets.…”

“…In this case, it is inferred that the flawed filling resulted from lack of knowledge of the professionals about the protection network. 12 Referrals were made to the Protection and Assistance Instances (40.0%), Reference Centers (25.8%) and Police stations (18.9%), with a small number of referrals carried out in order to maintain and ensure the continuity of care for these victims, as revealed in the study conducted in Feira de Santana (BA). 24 The variable of the Outcome of the case had 'Bad' completeness, corroborating the MOH publication that showed that 24.8% of the records had no information on the outcome of the cases.…”

“…This variable is fundamental for obtaining information for epidemiological purposes, as well as for promoting a correct diagnosis of the health situation resulting from violence at the regional and national levels, facilitating the taking of measures to face this aggravation. 12 The present analysis of completeness made it possible to diagnose some gaps in the quality of the information, which can result in imprecision or bias in the characterization of the cases of violence against children in Pernambuco. This reflects the need for constant qualification of professionals for the diagnosis and the notification of the cases, in addition to raising awareness on the importance of completing the INR.…”

“…This result corroborates a study in which this variable presented a decrease in its completion. 12 Studies have revealed that in cases of child abuse, especially when involving sexual abuse, the perpetrator is usually someone familiar or known by the child. Considering this, a broader debate regarding the social and family environment is important, and family and community awareness and involvement are fundamental for effective prevention and protection actions and programs, in view of the high vulnerability of this population.…”

“…30 The completion of this variable is important because studies show the relationship between alcohol use and violent behaviors against various age groups. 12 A nationwide study with 21,199 children victims of violence showed that 11.9% of the aggressors were under the influence of alcohol at the moment of the aggression.…”