Banca de QUALIFICAÇÃO: CRISTIANE DA SILVA RAMOS MARINHO

Uma banca de QUALIFICAÇÃO de DOUTORADO foi cadastrada pelo programa.
STUDENT : CRISTIANE DA SILVA RAMOS MARINHO
DATE: 26/02/2021
TIME: 09:30
LOCAL: Remoto
TITLE:

CHILD MORTALITY IN BRAZIL,  RIO GRANDE DO NORTE AND THE PUBLIC POLICIES.

KEY WORDS:

Child health. Mortality. Disparities in health levels. Public policy. Coronavirus infections.

PAGES: 110
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Saúde Pública
SUMMARY:

The mortality of children in Brazil showed a reduction considered in the last years, however, unevenly between the different regions and Brazilian states, due to the great and important national differences. A macro-regional analysis revealing the Northeast region of Brazil as the one that most reduced childhood mortality. The state of Rio Grande do Norte reached a reduction of more than 80% in child and the under-five mortality rate in the last four decades. It is emphasized that the monitoring of infant and childhood mortality rates makes it possible to develop preventive strategies aimed at reducing the risk of death through public policies related to children's health. This thesis aimed to analyze child and under-five mortality rates in Brazil and Rio Grande do Norte, their associated factors and their relationship with public policies. Three studies were developed: 1) ecological study using secondary data for Brazil according to Intermediate Urban Linkage Regions from 2001 to 2017. Analyses of tendencies were performed with joinpoint and multiple linear regression models. Low income (extreme poverty) in the children’s families and absence of maternal schooling were the variables most closely correlated with underfive mortality rate (r = 0.649, p < 0.001 and r = 0.640, p < 0.001, respectively); 2) a time-series ecological study for 1979 and 2018 was conducted with Rio Grande do Norte as the unit of analysis. The annual percentage change (APC) was calculated using the Joinpoint software. The study showed a significant downward trend between the years 1979 and 2005, AAPC = -6.12; 95% CI: -6.8 to -5.5, for the child mortality rate, and AAPC = -5.87; 95% CI: -6.6 to -5.1, for the children mortality rate of aged 1 to 4 years; 3) cross-sectional study in a secondary database of the Rio Grande do Norte during the year 2020. Pearson's Chi-Square test was performed for bivariate analyzes. Mortality due to COVID-19 in children was associated with the age group <5 years (p <0.001; PR: 8.661 95% CI 2.389-31.4) and the Region of Residence (p = 0.030; PR: 3.22 95% CI 1.056 -9,819). Public health and social policies have a direct and indirect influence on children's health and survival conditions in Brazil and Rio Grande do Norte, triggering reductions in mortality rates.

BANKING MEMBERS:
Interna - 2305247 - ISABELLE RIBEIRO BARBOSA MIRABAL
Interna - 421717 - MARIA ANGELA FERNANDES FERREIRA
Externa ao Programa - 1803907 - SILVANA ALVES PEREIRA