Effectiveness of Family Health Strategy on child's health indicators in São Paulo State

Detalhes bibliográficos
Autor(a) principal: Venancio,Sonia Isoyama
Data de Publicação: 2016
Outros Autores: Rosa,Tereza Etsuko da Costa, Sanches,Maria Teresa Cera, Shigeno,Elza Yoshie, Souza,José Maria Pacheco
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira de Saúde Materno Infantil (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292016000300271
Resumo: Abstract Objectives: to evaluate the effectiveness of Family Health Strategy (FHS) on child's health indicators in São Paulo State. Methods: longitudinal ecological study involving all the towns in São Paulo State from 1998 to 2009. The outcomes were the coefficients of infant mortality and its components and the rate for pneumonia and diarrhea hospitalizations. The main independent variable was "FHS coverage"; the covariates considered the context of sociodemographic and the health system. Negative binomial regression models of fixed effects and STRATA 11.1 statistical program were used. Results: FHS coverage above 50% showed a protective effect in relation to the postneonatal mortality (RR: 0.93; CI 95%: 0.87-1.00) and coverage up to 50% (RR 0.88 CI95% 0.82-0.99) or above 50% (RR: 0.87; CI95%: 0.82-0.92) were protective factors for pneumonia hospitalizations. Conclusions: the effectiveness of FHS on the outcomes related to child's health may vary according to local and regional contexts.
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spelling Effectiveness of Family Health Strategy on child's health indicators in São Paulo StatePrimary health careFamily health strategyChild's healthHealth assessmentUnified health systemAbstract Objectives: to evaluate the effectiveness of Family Health Strategy (FHS) on child's health indicators in São Paulo State. Methods: longitudinal ecological study involving all the towns in São Paulo State from 1998 to 2009. The outcomes were the coefficients of infant mortality and its components and the rate for pneumonia and diarrhea hospitalizations. The main independent variable was "FHS coverage"; the covariates considered the context of sociodemographic and the health system. Negative binomial regression models of fixed effects and STRATA 11.1 statistical program were used. Results: FHS coverage above 50% showed a protective effect in relation to the postneonatal mortality (RR: 0.93; CI 95%: 0.87-1.00) and coverage up to 50% (RR 0.88 CI95% 0.82-0.99) or above 50% (RR: 0.87; CI95%: 0.82-0.92) were protective factors for pneumonia hospitalizations. Conclusions: the effectiveness of FHS on the outcomes related to child's health may vary according to local and regional contexts.Instituto de Medicina Integral Prof. Fernando Figueira2016-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292016000300271Revista Brasileira de Saúde Materno Infantil v.16 n.3 2016reponame:Revista Brasileira de Saúde Materno Infantil (Online)instname:Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)instacron:IMIPFF10.1590/1806-93042016000300004info:eu-repo/semantics/openAccessVenancio,Sonia IsoyamaRosa,Tereza Etsuko da CostaSanches,Maria Teresa CeraShigeno,Elza YoshieSouza,José Maria Pachecoeng2016-10-20T00:00:00Zoai:scielo:S1519-38292016000300271Revistahttp://www.scielo.br/rbsmihttps://old.scielo.br/oai/scielo-oai.php||revista@imip.org.br1806-93041519-3829opendoar:2016-10-20T00:00Revista Brasileira de Saúde Materno Infantil (Online) - Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)false
dc.title.none.fl_str_mv Effectiveness of Family Health Strategy on child's health indicators in São Paulo State
title Effectiveness of Family Health Strategy on child's health indicators in São Paulo State
spellingShingle Effectiveness of Family Health Strategy on child's health indicators in São Paulo State
Venancio,Sonia Isoyama
Primary health care
Family health strategy
Child's health
Health assessment
Unified health system
title_short Effectiveness of Family Health Strategy on child's health indicators in São Paulo State
title_full Effectiveness of Family Health Strategy on child's health indicators in São Paulo State
title_fullStr Effectiveness of Family Health Strategy on child's health indicators in São Paulo State
title_full_unstemmed Effectiveness of Family Health Strategy on child's health indicators in São Paulo State
title_sort Effectiveness of Family Health Strategy on child's health indicators in São Paulo State
author Venancio,Sonia Isoyama
author_facet Venancio,Sonia Isoyama
Rosa,Tereza Etsuko da Costa
Sanches,Maria Teresa Cera
Shigeno,Elza Yoshie
Souza,José Maria Pacheco
author_role author
author2 Rosa,Tereza Etsuko da Costa
Sanches,Maria Teresa Cera
Shigeno,Elza Yoshie
Souza,José Maria Pacheco
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Venancio,Sonia Isoyama
Rosa,Tereza Etsuko da Costa
Sanches,Maria Teresa Cera
Shigeno,Elza Yoshie
Souza,José Maria Pacheco
dc.subject.por.fl_str_mv Primary health care
Family health strategy
Child's health
Health assessment
Unified health system
topic Primary health care
Family health strategy
Child's health
Health assessment
Unified health system
description Abstract Objectives: to evaluate the effectiveness of Family Health Strategy (FHS) on child's health indicators in São Paulo State. Methods: longitudinal ecological study involving all the towns in São Paulo State from 1998 to 2009. The outcomes were the coefficients of infant mortality and its components and the rate for pneumonia and diarrhea hospitalizations. The main independent variable was "FHS coverage"; the covariates considered the context of sociodemographic and the health system. Negative binomial regression models of fixed effects and STRATA 11.1 statistical program were used. Results: FHS coverage above 50% showed a protective effect in relation to the postneonatal mortality (RR: 0.93; CI 95%: 0.87-1.00) and coverage up to 50% (RR 0.88 CI95% 0.82-0.99) or above 50% (RR: 0.87; CI95%: 0.82-0.92) were protective factors for pneumonia hospitalizations. Conclusions: the effectiveness of FHS on the outcomes related to child's health may vary according to local and regional contexts.
publishDate 2016
dc.date.none.fl_str_mv 2016-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292016000300271
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292016000300271
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1806-93042016000300004
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Instituto de Medicina Integral Prof. Fernando Figueira
publisher.none.fl_str_mv Instituto de Medicina Integral Prof. Fernando Figueira
dc.source.none.fl_str_mv Revista Brasileira de Saúde Materno Infantil v.16 n.3 2016
reponame:Revista Brasileira de Saúde Materno Infantil (Online)
instname:Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)
instacron:IMIPFF
instname_str Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)
instacron_str IMIPFF
institution IMIPFF
reponame_str Revista Brasileira de Saúde Materno Infantil (Online)
collection Revista Brasileira de Saúde Materno Infantil (Online)
repository.name.fl_str_mv Revista Brasileira de Saúde Materno Infantil (Online) - Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)
repository.mail.fl_str_mv ||revista@imip.org.br
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