Banca de QUALIFICAÇÃO: CAMILA DAYZE PEREIRA SANTOS

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
DISCENTE : CAMILA DAYZE PEREIRA SANTOS
DATA : 26/06/2018
HORA: 09:00
LOCAL: Sala 2 - Departamento de Nutrição - UFRN
TÍTULO:

Temporal distribution of Infant Mortality in a capital of Northeastern Brazil, 2006-2013: reflections on the quality of Primary Health Care.

PALAVRAS-CHAVES:

Infant Mortality; Causes of death; Primary Health Care; Quality of Health Care.

PÁGINAS: 54
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
SUBÁREA: Epidemiologia
RESUMO:

The objective of this study was to analyze the temporal distribution of the occurrence of infant deaths, the biossociodemographic factors related to infant mortality, and the quality of care in Primary Health Care in a capital city of Northeastern Brazil between 2006 and 2013, before and after the Pact for the Reduction of Infant Mortality in the Northeast and Legal Amazon (PMRI). It is a cross-sectional study, of a historical series, and analyzed 1,167 infant deaths, obtained from the Mortality Information System. The basic cause of death and avoidance were classified by means of the International Classification of Diseases. The coefficients of infant mortality (CMI), neonatal and post-neonatal mortality were calculated for each year of the period evaluated and the joinpoint method was used to calculate the Annual Percentage Variation (APC) of the three coefficients. The biosociodemographic variables were analyzed: sex, schooling, Pregnancy type, delivery type, number of offspring, hospital type and birth weight. To avaluate the association of these variables and the occurrence of infant death in the neonatal and post-neonatal period, the prevalence ratio (PR) and the 95% confidence interval were calculated. To evaluate the quality of care in primary health care, data from the Program for Improving Access and Quality of Primary Care (PMAQ-AB) were used for the year 2013, which evaluated the offer of actions to promote the health of pregnant women and the child from the indicators of the primary care teams of the municipality. The CMI reduced -10.85% (95% CI -12.9 to -8.8) with a greater reduction in the neonatal component -12.6% (95% CI -15.6 to -9.5) and a less expressive reduction in post-neonatal component -6.2% (95% CI -7.7 to -4.6) each year, being the main cause of deaths, conditions originating in the perinatal period. Of the total child deaths, more than 60% were considered preventable. Of the biosociodemographic variables analyzed, only the number of live children had an association, evidencing that the children of mothers who had no live children had a higher risk of death in the period from 2006 to 2009 (OR = 1.33, 95% CI 1.20 -1.47) and from 2010 to 2013 (PR = 2.9, 95% CI 1.13-1.51). Very low birth weight was associated with the risk of death due to preventable causes in the neonatal period in the two periods analyzed (PR = 1.23, 95% CI 1.09-1.40) and (PR = 1.53, 95% CI % 1.20-1.93). Regarding the quality of prenatal care, some indicators were found that may have a negative impact on the infant mortality rate: against maternity leave (7.4%); existence of a system that alerts to the probable date of birth (10.2%); (34.7%) and the early collection of pregnant women and intercurrences during pregnancy (45.3%). It was concluded that there was a significant decrease in infant mortality in the period analyzed after the PMRI with the greatest decrease in the neonatal component, but no similar reduction in post-neonatal mortality was observed. There is still a high occurrence of deaths due to preventable causes and failures in Primary Health Care assistance observed by the low supply of some agreed maternal and child health indicators.

MEMBROS DA BANCA:
Presidente - 2149611 - CLELIA DE OLIVEIRA LYRA
Interno - 3926907 - DYEGO LEANDRO BEZERRA DE SOUZA
Interno - 1879353 - FABIA BARBOSA DE ANDRADE