Evaluation of the effectiveness of the intervention to improve the Brazilian Mortality Information System in Pernambuco, Brazil: a quasi-experimental study

• Autor(a) principal: de Queiroz Figueirôa, Barbara
• Data de Publicação: 2024
• Outros Autores: Israel Cabral de Lira, Pedro, Carmen de Moraes Vanderlei, Lygia, Arruda Vidal, Suely, Germano de Frias, Paulo
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Cadernos de Saúde Pública
• Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8469
• topic: Registros de Mortalidade; Sistemas de Informação em Saúde; Avaliação em Saúde; Estatísticas Vitais; Registros de Mortalidad; Sistemas de Información en Salud; Evaluación en Salud; Estadísticas Vitales; Mortality Registries; Health Information Systems; Health Evaluation; Vital Statistics

This study evaluated the influence of the variation in the implementation of the Brazilian Mortality Information System (SIM) on the results, before and after the intervention to improve the system in Pernambuco, Brazil. The SIM logical model and matrix of indicators and assessment were described, primary data were collected from the 184 municipalities and secondary data were collected from the system database. The degree of implementation (DI) was obtained from the indicators of structure and process, and then related to result indicators, based on the model. The intervention was directed at the shortcomings identified, and developed using strategic stages. The percentage of annual variation of the DI and the results before and after the intervention were calculated. The SIM was classified as partially implemented in the pre- (70.6%) and post-intervention (73.1%) evaluations, with increments in all components. The Health Regions followed the same classification of the state level, except for XII (80.3%), regarding implemented score after the intervention. The coverage of the system; deaths with a defined underlying cause; monthly transfer; and timely submission of data were above 90% in both evaluations. There was an improvement in the completeness of infant Death Certificates and in the timely recording of notifiable events. Strengthening the management and operationalization of the SIM with interventions applied to data registration can improve the system’s results.