“…For this, data from database of the SIOPS was used, available on the Ministry of Health website (DATASUS -SUS database). On these systems, information of the different levels of the government are registered and stored, being also the only source of data with detailed information at the municipal level (Medeiros, Albuquerque, Diniz, Alencar, & Tavares, 2014). However, it is important to note that among the 94 municipalities analysed the Homogeneous Group 2 of the IDSUS, Itaperuna (city in the state of Rio de Janeiro) did not declare data for 2011 period, and consequently it was removed from the analysis.…”