Impact of the family health program on the quality of vital information and reduction of child unattended deaths in Brazil: an ecological longitudinal study

Detalhes bibliográficos
Autor(a) principal: Rasella, Davide
Data de Publicação: 2010
Outros Autores: Pereira, Rosana Aquino Guimarães, Barreto, Mauricio Lima
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://www.repositorio.ufba.br/ri/handle/ri/12744
Resumo: p. 1-8
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spelling Rasella, DavidePereira, Rosana Aquino GuimarãesBarreto, Mauricio LimaRasella, DavidePereira, Rosana Aquino GuimarãesBarreto, Mauricio Lima2013-08-27T12:04:40Z2013-08-27T12:04:40Z20101471-2458http://www.repositorio.ufba.br/ri/handle/ri/12744v. 10, n. 380p. 1-8Background: Vital information, despite of being an important public health instrument for planning and evaluation, in most of the developing countries have still low quality and coverage. Brazil has recently implemented the Family Health Program (PSF), one of the largest comprehensive primary health care programs in the world, which demonstrated effectiveness on the reduction of infant mortality. In the present study we evaluate the impact of the PSF on mortality rates related to the quality of vital information: the under-five mortality rate due to ill-defined causes and unattended death. Methods: Data on mortality rates and PSF coverage was obtained for the total 5,507 Brazilian municipalities from 2000 to 2006. A multivariate regression analysis of panel data was carried out with a negative binomial response by using fixed effects models that control for relevant covariates. Results: A statistically significant negative association was observed between PSF coverage levels, classified in none (0%, the reference category), low (<30.0%), intermediate (≥ 30.0% and <70.0%) and high (≥ 70.0%), and all analysed mortalities rates, with a reduction of 17% (Rate Ratio [RR]: 0.83; 95% confidence interval [CI]: 0.79 - 0.88), 35% (RR: 0.65; 95% CI: 0.61-0.68) and 50% (RR: 0.50; 95% CI: 0.47-0.53) on under-five mortality due to ill-defined causes, respectively. In the mortality rate for unattended death the reduction was even greater, reaching 60% (RR: 0.40; 95% CI: 0.37-0.44) in the municipalities with the highest PSF coverage. The PSF effect on unattended deaths was slightly stronger in municipalities with a higher human development index. Conclusions: The PSF, a primary health care program developed mostly in rural and deprived areas, had an important role on reducing the unattended deaths and improving the quality of vital information in Brazil.Submitted by Suelen Reis (suziy.ellen@gmail.com) on 2013-08-27T12:04:39Z No. of bitstreams: 1 1471-2458-10-380.pdf: 845396 bytes, checksum: 9b5918eb746a420a1c376ebffcb0660b (MD5)Made available in DSpace on 2013-08-27T12:04:40Z (GMT). No. of bitstreams: 1 1471-2458-10-380.pdf: 845396 bytes, checksum: 9b5918eb746a420a1c376ebffcb0660b (MD5) Previous issue date: 2010http://dx.doi.org/10.1186/1471-2458-10-380reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAImpact of the family health program on the quality of vital information and reduction of child unattended deaths in Brazil: an ecological longitudinal studyBMC Public Healthinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleenginfo:eu-repo/semantics/openAccessORIGINAL1471-2458-10-380.pdf1471-2458-10-380.pdfapplication/pdf845396https://repositorio.ufba.br/bitstream/ri/12744/1/1471-2458-10-380.pdf9b5918eb746a420a1c376ebffcb0660bMD51LICENSElicense.txtlicense.txttext/plain1762https://repositorio.ufba.br/bitstream/ri/12744/2/license.txt1b89a9a0548218172d7c829f87a0eab9MD52TEXT1471-2458-10-380.pdf.txt1471-2458-10-380.pdf.txtExtracted texttext/plain37418https://repositorio.ufba.br/bitstream/ri/12744/3/1471-2458-10-380.pdf.txte7eed3b3fd88f23cc3a9554ecb04e2c6MD53ri/127442022-07-05 14:03:52.24oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:03:52Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Impact of the family health program on the quality of vital information and reduction of child unattended deaths in Brazil: an ecological longitudinal study
dc.title.alternative.pt_BR.fl_str_mv BMC Public Health
title Impact of the family health program on the quality of vital information and reduction of child unattended deaths in Brazil: an ecological longitudinal study
spellingShingle Impact of the family health program on the quality of vital information and reduction of child unattended deaths in Brazil: an ecological longitudinal study
Rasella, Davide
title_short Impact of the family health program on the quality of vital information and reduction of child unattended deaths in Brazil: an ecological longitudinal study
title_full Impact of the family health program on the quality of vital information and reduction of child unattended deaths in Brazil: an ecological longitudinal study
title_fullStr Impact of the family health program on the quality of vital information and reduction of child unattended deaths in Brazil: an ecological longitudinal study
title_full_unstemmed Impact of the family health program on the quality of vital information and reduction of child unattended deaths in Brazil: an ecological longitudinal study
title_sort Impact of the family health program on the quality of vital information and reduction of child unattended deaths in Brazil: an ecological longitudinal study
author Rasella, Davide
author_facet Rasella, Davide
Pereira, Rosana Aquino Guimarães
Barreto, Mauricio Lima
author_role author
author2 Pereira, Rosana Aquino Guimarães
Barreto, Mauricio Lima
author2_role author
author
dc.contributor.author.fl_str_mv Rasella, Davide
Pereira, Rosana Aquino Guimarães
Barreto, Mauricio Lima
Rasella, Davide
Pereira, Rosana Aquino Guimarães
Barreto, Mauricio Lima
description p. 1-8
publishDate 2010
dc.date.issued.fl_str_mv 2010
dc.date.accessioned.fl_str_mv 2013-08-27T12:04:40Z
dc.date.available.fl_str_mv 2013-08-27T12:04:40Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://www.repositorio.ufba.br/ri/handle/ri/12744
dc.identifier.issn.none.fl_str_mv 1471-2458
dc.identifier.number.pt_BR.fl_str_mv v. 10, n. 380
identifier_str_mv 1471-2458
v. 10, n. 380
url http://www.repositorio.ufba.br/ri/handle/ri/12744
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.pt_BR.fl_str_mv http://dx.doi.org/10.1186/1471-2458-10-380
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