Banca de DEFESA: DANDARA RAYSSA SILVA DE SOUZA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : DANDARA RAYSSA SILVA DE SOUZA
DATE: 19/06/2020
TIME: 09:00
LOCAL: SAÚDE MATERNA NO BRASIL: ESTUDO ECOLÓGICO DE AVALIAÇÃO DA IMPLANTAÇÃO DA REDE CEGONHA
TITLE:

MATERNAL HEALTH IN BRAZIL: ECOLOGICAL STUDY TO EVALUATE THE IMPLEMENTATION OF THE STORK NETWORK

 

KEY WORDS:

Maternal Health. Maternal Mortality. Health Status Indicators. Health Services. Public Health. Public Policy.

 

PAGES: 87
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Maternal health is an area of high interest for public health, its main indicator is the maternal mortality coefficient, with high rates being characteristic of underdeveloped countries like Brazil, but which can be avoided most of the time through actions such as quality prenatal care and adequate delivery and postpartum care. In this perspective, several policies were instituted to promote improvements for maternal health, the most recent being the stork network, established in 2011. Thus, the general objective of this work is to assess maternal health before and after the implementation of the Stork Network in Brazil. To achieve this objective, it was proposed to carry out a quantitative study of the mixed ecological type, with an analytical character, on maternal health before and after the implementation of the stork network in Brazil, using the municipalities, the intermediate regions of urban coordination, federation units and regions; considering as variables the coefficient of maternal mortality, adherence to the stork network, nine socioeconomic and demographic indicators, three indicators of the quality of maternal health and the coverage of primary care; all data that composed the variables were obtained from secondary sources of public access. For data treatment and analysis, the software Microsoft Office Excel, Statistical Package for the Social Science (SPSS) and Geoda were used, where tables, graphs, maps and statistical tests were carried out for analysis under the perspective of descriptive statistical and statistics inferential, including spatial analysis. The results demonstrate that there was an increase in the average of the maternal mortality coefficient from 5.99 to 6.28 per 10,000 live births, from the period before to the period after the implementation of the stork network, with the highest coefficients occurring in the northern and southern regions. Northeast, as well as the worst socioeconomic and demographic indicators. 61.15% of the municipalities in Brazil joined the stork network until the last year studied, with the highest percentages recorded in the northern region. The correlation between maternal mortality and the variables human development index, households with running water, life expectancy at birth, aging rate and schooling increased from the first to the second period. The distribution of maternal mortality averages in relation to adherence to the stork network demonstrates that in recent years, the average maternal mortality has become lower among the municipalities that have joined the stork network than among those that have not joined. The spatial correlation of adherence to the stork network with maternal mortality reveals significant high-high and low-high clusters located in the north, northeast and midwest regions, and low-low and high-low clusters located in the southeast regions and south. Maternal health indicators reveal that after joining the stork network, there was a constant increase in the breastfeeding coefficient, the number of prenatal consultations and the percentage of pregnant women who started prenatal care in the first trimester of pregnancy. The dispersion of the percentage of adherence to the stork network with the percentage of coverage of primary care reveals that both increased concomitantly in the second period analyzed. It can be concluded that the stork network has been gradually implemented in the municipalities of Brazil from 2012 to 2017, reaching 61% in the last year, considering it important to pay attention to the constant incentive to this adherence, aiming at uniformity in health care processes maternal and child. The increase in maternal mortality after the implementation of the stork network, can be attributed to greater exposure to risk factors and changes in the lifestyle of women today, as well as to the improvement in the notification process of maternal deaths in recent years. In addition, there was a potential long-term effect of lower maternal mortality in the municipalities that joined the stork network.

BANKING MEMBERS:
Presidente - 1879353 - FABIA BARBOSA DE ANDRADE
Externa ao Programa - 2583642 - FLAVIA CHRISTIANE DE AZEVEDO MACHADO
Externo à Instituição - CINTIA BEZERRA ALMEIDA COSTA - UFPB