Os descaminhos da notificação de gestação e maternidade na adolescência: desvios e possíveis ajustes

• Autor(a) principal: Silveira, André Fernando Tabarassi da
• Data de Publicação: 2022
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
• Texto Completo: https://repositorio.pucsp.br/jspui/handle/handle/25823
• topic: CNPQ::CIENCIAS DA SAUDE; Adolescência; Gravidez na adolescência; Sistemas de informação em saúde; Adolescence; Pregnancy in adolescence; Health information systems

Teenage pregnancy has been identified as a public health problem because it is related to greater gestational risks that can cause changes in the family structure, social and economic changes and school dropout. It is intended, in this work, to analyze how the data provided by the Ministry of Health (SUS), through the Unified Health System (SUS), based on the Live Birth Information System (SINASC), fed by the Birth Certificate (DN) can be increased, bringing more precise information to the issue of teenage pregnancy. The objectives of this study aim to demonstrate that the current isolated indicator, the SINASC, does not reflect the real number of pregnant adolescents in the calculated period, in addition to proposing the consolidation by adding data from other systems, made available by the SUS Informatics Department (DATASUS). The official numbers of teenage pregnancy were collected from 2009 to 2018, in Brazil and its geopolitical regions, in the state of São Paulo and in two of the administrative regions (Greater São Paulo and Sorocaba). When SINASC data were aggregated the official numbers for the same period of fetal deaths, which appear in the Mortality Information System (SIM); pregnancies ending in abortion and legal interruption of pregnancy, which make up the Hospital Information System (SIH), there was an average increase of 7.6% in the identification of teenage pregnancy. Situations that end in abortion, attended in an outpatient setting and appearing in the Outpatient Information System (IAS) were not used in the sum because they are not stratified and made available by age group. The aggregation of data from SINASC, SIM and SIH, proposing a more comprehensive data indicator, was freely called the Information System on Pregnancy in Adolescence (SIGA). Despite obtaining more realistic numbers, data from the supplementary health system are not accessible, as well as those on abortions carried out clandestinely and those that required outpatient care. Even so, there are ways to reach indicators that can better support public policies, aiming at positive results in facing the issue of teenage pregnancy, a period of important vulnerability. One of them is the use of SIGA, another is the improvement of SIA data and, finally, the mandatory notification of teenage pregnancy cases