Efeito da Estratégia Saúde da Família na vigilância de óbitos infantis

Santana, Marta; Aquino, Rosana; Medina, María Guadalupe

doi:10.1590/s0034-89102011005000081

Cited by 17 publications

(15 citation statements)

References 23 publications

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“…9 A committee to monitor mortality data a has been recently created to improve and regulate the flow of information. Commissions were also set up to investigate infant deaths in various municipalities, 14 contributing to improvements in data recording.…”

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confidence: 99%

Correcao de informacoes vitais: estimacao da mortalidade infantil, Brasil, 2000-2009

Frias¹,

Szwarcwald²,

Souza³

et al. 2013

Rev. Saude Publica

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OBJECTIVE:To propose a simplified method of correcting vital information and estimating the coefficient of infant mortality in Brazil. METHODS:Vital data in the information systems on mortality and live births were corrected using correction factors, estimated based on events not reported to the Brazilian Ministry of Health and obtained by active search. This simplified method for correcting vital information for the period 2000-2009 for Brazil and its federal units establishes the level of adequacy of information on deaths and live births by calculating the overall coefficient of mortality standardized by age and the ratio between reported and expected live births, respectively, in each Brazilian municipality. By applying correction factors to the number of deaths and live births reported in each county, the vital statistics were corrected, making it possible to estimate the coefficient of infant mortality. RESULTS:The highest correction factors were related to infant deaths, reaching values higher than 7 for municipalities with very precarious mortality information. For deaths and live births, the correction factors exhibit a decreasing gradient as indicators of adequacy of the vital information improve. For the year 2008, the vital information corrected by the simplified method per state were similar to those obtained in the research of active search. Both the birth rate and the infant mortality rate decreased in the period in all Brazilian regions. In the Northeast, the annual rate of decline was 6.0%, the highest in Brazil (4.7%). CONCLUSIONS:The active search of deaths and births allowed correction factors to be calculated by level of adequacy of mortality information and live births. The simplified method proposed here allowed vital information to be corrected per state for the period 2000-2009 and the progress of the coefficient of infant mortality in Brazil, its regions and states to be assessed.

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mentioning

confidence: 99%

Correcao de informacoes vitais: estimacao da mortalidade infantil, Brasil, 2000-2009

Frias¹,

Szwarcwald²,

Souza³

et al. 2013

Rev. Saude Publica

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“…These are worrying problems, given that in the consultations the child has been suffering very serious consequences, interfering directly in their healthy growth. 17 Given the analysis of the data obtained in this integrative review, some difficulties were found in the application of IMCI, either in the structural aspect of the primary care network or because of lack of knowledge of the nurse in the protocol development. But, even with restrictions, it does not exempt the nurse from developing integrated child care.…”

Section: Resultsmentioning

confidence: 99%

Atenção integrada às doenças prevalentes na infância: prática do enfermeiro

Simião

Sousa

Silva

et al. 2017

Rev enferm UFPE on line.

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Simião CKS, Sousa DLB de, Silva AST da et al.Integrated management of childhood illness... English/Portuguese J Nurs UFPE on line., Recife, 11(Suppl. 12):5382-90, Dec., 2017 5382 ISSN: 1981-8963 ISSN: 1981-8963 https://doi.org/10.5205/1981-8963-v11i12a230448p5382-5390-2017 INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS: NURSES' PRACTICE ABSTRACTObjective: to identify in the national literature difficulties faced by nurses in putting in practice the Integrated Management of Childhood Illness. Method: integrative review. Data were collected from the Lilacs, Medline, SciELO Virtual Library databases; 13 articles met the inclusion criteria; and the Descriptors to guide the research were: Family Health Strategy, Nursing, Child Health, Growth and Development; Child mortality; Mortality Indicators. Results: the research found difficulties encountered by Family Health Strategy nurses in the application of Integrated Management of Childhood Illness, either on the structural aspect of the primary care network or due to the lack of knowledge in protocol development. Conclusion: it was relevant to focus nurses' practice on the Handbook of Integrated Management of Childhood Illness in favor of the care and development of child health, indicating that the application of this practice has not been practiced yet by all professionals in view of factors such as barriers in their work sector and lack of professional training. Descriptors: Family Health Strategy; Nursing; Child Health; Growth and Development; Child Mortality; Morbidity and Mortality Indicators. RESUMOObjetivo: identificar na literatura nacional dificuldades enfrentadas pelo enfermeiro na prática do manual Atenção Integrada às Doenças Prevalentes na Infância. Método: revisão integrativa, com dados coletados nas bases de dados Lilacs, Medline e Biblioteca Virtual SciELO. 13 artigos atenderam aos critérios de inclusão e os Descritores para nortear a pesquisa foram: Estratégia Saúde da Família; Enfermagem; Saúde da Criança; Crescimento e Desenvolvimento; Mortalidade Infantil; Indicadores de Mortalidade. Resultados: a pesquisa constatou dificuldades encontradas pelos enfermeiros mediante sua prática na Estratégia Saúde da Família na aplicação à Atenção Integrada às Doenças Prevalentes na Infância, seja no aspecto de estrutura da rede de atenção primária, seja por parte da falta de conhecimento no desenvolvimento do protocolo. Conclusão: foi de relevância enfocar a prática do enfermeiro ao manual da Atenção Integrada às Doenças Prevalentes na Infância para favorecer cuidados e desenvolvimento à saúde da criança, indicando que a aplicação desta prática ainda não é exercida por todos os profissionais, tendo em vista fatores que envolvem desde barreiras no setor de trabalho até falta de capacitação profissional. Descritores: Estratégia Saúde da Família; Enfermagem; Saúde da Criança; Crescimento e Desenvolvimento; Mortalidade Infantil; Indicadores de Mortalidade. RESUMENObjetivo: identificar en la literatura nacional dificultades enfrentadas por el enfermero en la práctica d...

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“…The proactive search made it possible to identify problems in the implementation of vital information systems at the municipality level, to propose interventions to reduce local irregularities, and to develop a method to correct vital statistics in the 2000s. The investigation of death conditions among infants and the routine use of active search procedures by local health services, as recommended by the current health surveillance policies, should be implemented in problematic municipalities [12,36] to continue the process of reducing infant mortality in Brazil and to support pragmatic and viable alternatives in different social contexts.…”

Section: Resultsmentioning

confidence: 99%

Correction of vital statistics based on a proactive search of deaths and live births: evidence from a study of the North and Northeast regions of Brazil

Szwarcwald

Frias

Júnior

et al. 2014

Popul Health Metrics

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BackgroundIn the last 20 years, Brazil has undergone dramatic changes in terms of socioeconomic development and health care. In the first decade of the 2000s, the Ministry of Health (MoH) developed a series of programs focused on reducing infant mortality, including the Family Health Program as a national policy for primary care. In this paper, we propose a method to correct underreporting of deaths and live births. After vital statistics are corrected, infant mortality trends are analyzed for the period 2000–2010 by macro-geographical region.MethodsA proactive search of live births and deaths was carried out in the Amazon and Northeast regions in 2010 to find vital events that occurred in 2008 and were not reported to the Ministry of Health. The probabilistic sample of 133 municipalities was stratified by adequacy of vital information reporting. For each municipality, the adequacy analysis was based on the reported age-standardized mortality rate per 1,000 population and the ratio between reported and estimated live births. Correction factors were estimated by strata based on additional vital events found in the proactive search. The procedure was generalized to correct municipal vital statistics for the period 2000–2010.ResultsIn the proactive search, 35% of non-reported deaths were found within the health system (hospitals and other health establishments), but 28% were found in non-official sources, like illegal cemeteries. In areas of extreme poverty and unreliable vital information, the estimated completeness of infant death reporting was only 33%. After correction of vital information, the estimated infant mortality rate decreased from 26.1 in 2000 to 16.0 in 2010, with an annual rate of decrease of 4.7%, greater than the required rate to achieve the Millennium Development Goal. Among Brazilian regions, the Northeast showed the largest decrease, from 38.4 to 20.1 per 1,000 live births.ConclusionsThe proactive search for vital events was shown to be a good strategy both in terms of understanding local irregularities and for correcting vital statistics. The methodology could be applied in other countries to routinely assess the pattern and extent of birth and death under-registration in order to improve the utility of these data to inform health policies.

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Efeito da Estratégia Saúde da Família na vigilância de óbitos infantis

Cited by 17 publications

References 23 publications

Correcao de informacoes vitais: estimacao da mortalidade infantil, Brasil, 2000-2009

Correcao de informacoes vitais: estimacao da mortalidade infantil, Brasil, 2000-2009

Atenção integrada às doenças prevalentes na infância: prática do enfermeiro

Correction of vital statistics based on a proactive search of deaths and live births: evidence from a study of the North and Northeast regions of Brazil

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