Child mortality: trend and changes after the implantation of the rede mãe paranaense program

Prezotto, Kelly Holanda; Oliveira, Lucas Ruella de; Oliveira, Rosana Rosseto de; Melo, Emiliana Cristina; Scholze, Alessandro Rolim; Fernandes, Carlos Alexandre Molena

doi:10.6018/eglobal.18.3.337311

Cited by 4 publications

(5 citation statements)

References 11 publications

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“…and 2014 4 and in the state of São Paulo. 15 This decline has also been observed worldwide, although many regional disparities still persist.…”

Section: Discussionmentioning

confidence: 97%

“…1 This indicator has been decreasing progressively in Brazil over the years, 2 but, despite the reduction, regional differences remain in relation to infant mortality. [3][4][5] Thus, the importance of reducing inequalities in mortality rates and achieving better levels of child survival is highlighted, through the accountability and commitment of health services to the population in its area of coverage. 1 In this context, the Family Health Program was created, in 1994, which gradually became the main strategy for changing the care model, as well as expanding the initial access to services of the Unified Health System (Sistema Único de Saúde -SUS).…”

Section: Introductionmentioning

confidence: 99%

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Infant Mortality and Family Health Strategy in the 3rd Health Regional of Paraná, From 2005 to 2016

Broday

Kluthcovsky

2022

Rev. paul. pediatr.

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Objective: To analyze the temporal trend in infant mortality and in populational coverage by the Family Health Strategy and associated factors with infant mortality in the municipalities of the 3rd Health Regional of Paraná, Southern Brazil. Methods: Ecological time series study, with data from the Mortality Information System (Sistema de Informação Sobre Mortalidade - SIM), the Live Birth Information System (Sistema de Informação Sobre Nascidos Vivos - SINASC) and the Support Room for Strategic Management (Sala de Apoio à Gestão Estratégica - SAGE), from 2005 to 2016. Trends were calculated using polynomial regression. The associated factors with infant mortality were maternal, perinatal and obstetric variables. The significance level adopted was 5%. Results: Between 2005 and 2016, there were 115,796 births and 1,575 deaths of children under 1 year of age. Considering the municipalities together, the populational coverage by the Family Health Strategy went from 43.8% in 2005 to 66.4% in 2016 and the infant mortality from 17.1/1,000 live births in 2005 to 10.7/1,000 live births in 2016. The trend over time of populational coverage by the Family Health Strategy was crescent and of infant mortality was decrescent, for most municipalities. The factors associated with greater chances of death in children under 1 year of age were preterm gestational age (Odds Ratio - OR=15.05; 95% confidence interval - 95CI% 13.54-16.72), low birth weight (OR=15.14; 95%CI 13.61-16.84), multiple gestation (OR=4.51; 95%CI 3.74-5.45) and mother with up to 7 years of study (OR=1.93; 95%CI 1.74-2.14). Conclusions: Crescent trend in coverage by the Family Health Strategy was accompanied by a decrescent trend in infant mortality. The results can be a source of information for the strengthening of mother-child health actions, considering local and regional specificities.

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“…and 2014 4 and in the state of São Paulo. 15 This decline has also been observed worldwide, although many regional disparities still persist.…”

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Infant Mortality and Family Health Strategy in the 3rd Health Regional of Paraná, From 2005 to 2016

Broday

Kluthcovsky

2022

Rev. paul. pediatr.

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“…This data allows us to infer that the greater the level of education, the greater the understanding of the importance of prenatal care for mother and baby. It is also worth mentioning that low education, isolated from other factors, increases the chances of neonatal death by 25%, according to a study that analyzed maternal education and age related to neonatal mortality ( 15 – 16 ) .…”

Section: Discussionmentioning

confidence: 99%

“…In this context, it is clear that teenage pregnancy represents a public health problem faced in most emerging countries. These teenagers are often exposed to unfavorable socioeconomic situations, such as low education, unpaid work, lack of opportunities and professional qualification, in addition to the absence of family support, making them vulnerable, which can contribute to the lack of behavior during prenatal care ( 16 ) .…”

Section: Discussionmentioning

confidence: 99%

Rede Cegonha: maternal characteristics and perinatal outcomes related to prenatal consultations at intermediate risk

Brito

Moroskoski

Shibukawa

et al. 2022

Rev. esc. enferm. USP

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Objective: to analyze the correlation between maternal characteristics and perinatal outcomes, with the number of prenatal consultations performed. Method: a cross-sectional study, carried out with 1,219 mothers and newborns stratified as intermediate risk according to the Programa Rede Mãe Paranaense, adaptation of the Rede Cegonha at the state level. Data were collected from the Birth Certificates. Spearman, Wilcoxon and Kruskal-Wallis tests were used to analyze the correlation between the variables of interest. Results: married women, with higher education, white and aged 30 years or older were the ones who most attended prenatal consultations. With regard to perinatal outcomes, children whose mothers had more frequent prenatal consultations had better Apgar and birth weight scores. High rates of cesarean delivery were identified before the onset of labor. Conclusion: maternal characteristics influence the process of adherence to prenatal care, impacting perinatal outcomes, indicating the relevance of these risk factors and the need to improve actions aimed at greater compliance with risk stratification and qualified and resolute care for pregnant women at intermediate risk.

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“…Eles também refletem o progresso econômico e a qualidade de vida da população, uma vez que ilustram a vulnerabilidade física e social das crianças desde seu nascimento (HOLANDA PREZOTTO et al, 2019). envolveu puérperas e seus recém-nascidos em contextos hospitalares.…”

Section: Introductionunclassified

Fatores De Risco Associados À Mortalidade Infantil No Brasil: Revisão Integrativa

Ferreira,

Nascimento,

Correia

et al. 2023

Rev. Foco

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Introdução: A taxa de mortalidade infantil é um dos indicadores comumente utilizados para avaliar as condições de vida presentes em uma sociedade. Em sua essência, essa taxa é calculada a partir do número de crianças que falecem antes de completar seu primeiro ano de vida, para cada mil nascimentos vivos. Objetivo: Identificar os elementos associados à mortalidade infantil no Brasil. Métodos: Constitui uma revisão integrativa da literatura, empregando métodos voltados para a identificação, seleção e síntese dos resultados provenientes de estudos correlacionados a uma área específica de conhecimento. Resultados e discussão: Os fatores de risco abrangem desde aspectos socioeconômicos, que demandam mudanças estruturais no desenvolvimento humano e social, até questões relacionadas ao cuidado pré-natal e as características da gestação e dos recém-nascidos, como gestações múltiplas, malformações congênitas, partos prematuros, baixo peso ao nascer e escore de Apgar inferior a 7 no quinto minuto. Conclusão: É crucial considerar esses achados ao desenvolver, atualizar ou aprimorar políticas públicas e estratégias de cuidados voltados para gestantes, visando à redução dos índices de mortalidade infantil. Por fim, ressalta-se a importância de análises mais detalhadas para compreender melhor os fatores de risco e as causas de óbito em prematuros e em bebês com malformações.

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Child mortality: trend and changes after the implantation of the rede mãe paranaense program

Cited by 4 publications

References 11 publications

Infant Mortality and Family Health Strategy in the 3rd Health Regional of Paraná, From 2005 to 2016

Infant Mortality and Family Health Strategy in the 3rd Health Regional of Paraná, From 2005 to 2016

Rede Cegonha: maternal characteristics and perinatal outcomes related to prenatal consultations at intermediate risk

Fatores De Risco Associados À Mortalidade Infantil No Brasil: Revisão Integrativa

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