Captação de óbitos não informados ao Ministério da Saúde: pesquisa de busca ativa de óbitos em municípios brasileiros

Abstract

Introduction:The proactive search of deaths is a strategy for capturing events that were not informed to the Mortality Information System of Ministry of Health. Its importance to reduce underreporting of deaths and to evaluate the operation of the information system is widely known. Objective: To describe the methodology and main findings of the Proactive Search of Deaths, 2013, establishing the contribution of different information sources. Methods: The research was carried out in 79 Brazilian municipalities. We investigated several official and unofficial sources of information about deaths of municipality residents. Every information source investigated and all cases found in each source were typed in an on-line panel. The second stage of the research was the confirmation of cases to verify information of year and residence and to complete missing information. For all confirmed cases, we estimated the completeness of death registration and correction factors according to the adequacy level of mortality information. Results: We found 2,265 deaths that were not informed to the Mortality Information System. From those, 49.3% were found in unofficial sources, cemeteries and funeral homes. In some rural municipalities, precarious burial conditions were found in cemeteries in the middle of the forest and no registration of the deceased. Correction factors were inversely associated to the adequacy level of mortality information. Conclusion: The findings confirm the association between level of information adequacy and completeness of death registration, and indicate that the application of the proactive search is an effective method to capture deaths not informed to the Ministry of Health.

Sistema de Informação sobre Nascidos Vivos: análise e influência do contexto da organização de saúde municipal na implantação, 2012-2013

“…Os municípios-caso foram selecionados a partir de indicadores usados para identificar municípios com diferentes níveis de adequação da informação vital para o triênio 2009-2011 e comparar distintos contextos e sua relação com o grau de implantação. Esses indicadores foram: a Razão entre Nascidos Vivos informados e esperados, que expressa a cobertura do Sinasc, e o Desvio Médio Relativo da Taxa de Natalidade, que representa a regularidade das informações 3,15 Os 16 .…”

Investigation of garbage code deaths to improve the quality of cause-of-death in Brazil: results from a pilot study

“…30.3% were investigated and 65.5% were reclassified to a more informative cause 5 . Despite the national reduction in this indicator, regional discrepancies remain, being lower in the South and South-East regions and higher in Northern regions 6 .…”

O desenvolvimento de um modelo de intervenção na captação de óbitos no município de Jutaí/AM/Brasil / The development of an intervention model in capturing deaths in the city of Jutaí / AM / Brazil

“…Em 1976 foi introduzido o Sistema de Informações sobre Mortalidade (SIM) no Brasil, com base na declaração de óbito. A partir de 1996, as informações passaram a ser concedidas, por município, por sistemas informacionais, possibilitando identificar irregularidades locais 1 . Foram disponibilizados métodos para avaliação das informações vitais por município, utilizando-se indicadores construídos a partir dos dados para avaliar a cobertura e a regularidade das informações 1 .…”