Reducing childhood mortality from diarrhea and lower respiratory tract infections in Brazil

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/12582
Resumo: Texto completo: acesso restrito. p.e534-e540
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spelling Rasella, DavidePereira, Rosana Aquino GuimarãesBarreto, Mauricio LimaRasella, DavidePereira, Rosana Aquino GuimarãesBarreto, Mauricio Lima2013-08-15T15:31:13Z20100031-4005http://www.repositorio.ufba.br/ri/handle/ri/12582v. 126, n. 3Texto completo: acesso restrito. p.e534-e540OBJECTIVE: To evaluate the effects of the Family Health Program (FHP), a strategy for reorganization of primary health care in Brazil, on mortality of children younger than 5 years, particularly from diarrheal diseases and lower respiratory tract infections. METHODS: Mortality rates and the extent of FHP coverage from 2000 to 2005 was evaluated from the 2601 (of 5507) Brazilian municipalities with an adequate quality of vital information. A multivariable regression analysis for panel data was conducted by using a negative binomial model with fixed effects, adjusted for relevant demographic and socioeconomic covariates. RESULTS: A statistically significant negative association was observed between FHP coverage levels, classified as none (the reference category), low (<30%), intermediate (≥30% and <70%), or high (≥70%), and all analyzed mortality rates, with a reduction of 4% (95% confidence interval [CI]: 2%–6%), 9% (95% CI: 7%–12%), and 13% (95% CI: 10%–15%), respectively, on mortality rates or children younger than 5. The greatest effect was on postneonatal mortality. Reductions of 31% (95% CI: 20%–40%) and 19% (95% CI: 8%–28%) in mortality rates from diarrheal diseases and lower respiratory infections, respectively, were found in the group of municipalities with the highest FHP coverage. CONCLUSIONS: The FHP, one of the largest comprehensive primary health care programs in the world, was effective in reducing overall mortality of children younger than 5, and particularly deaths related to diarrheal diseases and lower respiratory tract infections.Submitted by Suelen Reis (suziy.ellen@gmail.com) on 2013-08-15T15:31:13Z No. of bitstreams: 1 Pediatrics-2010-Rasella-e534-40.pdf: 288575 bytes, checksum: e4985b8b9e86a6d79d4a1f09daaa7e83 (MD5)Made available in DSpace on 2013-08-15T15:31:13Z (GMT). No. of bitstreams: 1 Pediatrics-2010-Rasella-e534-40.pdf: 288575 bytes, checksum: e4985b8b9e86a6d79d4a1f09daaa7e83 (MD5) Previous issue date: 2010http://dx.doi.org/10.1542/peds.2009-3197reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAPrimary health careFamily health programBrazilHealth services evaluationUnder-5 mortalityDiarrheaLower respiratory infectionsReducing childhood mortality from diarrhea and lower respiratory tract infections in BrazilPediatricsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01enginfo:eu-repo/semantics/openAccessORIGINALPediatrics-2010-Rasella-e534-40.pdfPediatrics-2010-Rasella-e534-40.pdfapplication/pdf288575https://repositorio.ufba.br/bitstream/ri/12582/1/Pediatrics-2010-Rasella-e534-40.pdfe4985b8b9e86a6d79d4a1f09daaa7e83MD51LICENSElicense.txtlicense.txttext/plain1762https://repositorio.ufba.br/bitstream/ri/12582/2/license.txt1b89a9a0548218172d7c829f87a0eab9MD52TEXTPediatrics-2010-Rasella-e534-40.pdf.txtPediatrics-2010-Rasella-e534-40.pdf.txtExtracted texttext/plain38893https://repositorio.ufba.br/bitstream/ri/12582/3/Pediatrics-2010-Rasella-e534-40.pdf.txtca5baed19a25d980cd7a31305ddc4fcaMD53ri/125822022-07-05 14:03:42.926oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:03:42Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Reducing childhood mortality from diarrhea and lower respiratory tract infections in Brazil
dc.title.alternative.pt_BR.fl_str_mv Pediatrics
title Reducing childhood mortality from diarrhea and lower respiratory tract infections in Brazil
spellingShingle Reducing childhood mortality from diarrhea and lower respiratory tract infections in Brazil
Rasella, Davide
Primary health care
Family health program
Brazil
Health services evaluation
Under-5 mortality
Diarrhea
Lower respiratory infections
title_short Reducing childhood mortality from diarrhea and lower respiratory tract infections in Brazil
title_full Reducing childhood mortality from diarrhea and lower respiratory tract infections in Brazil
title_fullStr Reducing childhood mortality from diarrhea and lower respiratory tract infections in Brazil
title_full_unstemmed Reducing childhood mortality from diarrhea and lower respiratory tract infections in Brazil
title_sort Reducing childhood mortality from diarrhea and lower respiratory tract infections in Brazil
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
dc.subject.por.fl_str_mv Primary health care
Family health program
Brazil
Health services evaluation
Under-5 mortality
Diarrhea
Lower respiratory infections
topic Primary health care
Family health program
Brazil
Health services evaluation
Under-5 mortality
Diarrhea
Lower respiratory infections
description Texto completo: acesso restrito. p.e534-e540
publishDate 2010
dc.date.issued.fl_str_mv 2010
dc.date.accessioned.fl_str_mv 2013-08-15T15:31:13Z
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/12582
dc.identifier.issn.none.fl_str_mv 0031-4005
dc.identifier.number.pt_BR.fl_str_mv v. 126, n. 3
identifier_str_mv 0031-4005
v. 126, n. 3
url http://www.repositorio.ufba.br/ri/handle/ri/12582
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/10.1542/peds.2009-3197
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFBA
instname:Universidade Federal da Bahia (UFBA)
instacron:UFBA
instname_str Universidade Federal da Bahia (UFBA)
instacron_str UFBA
institution UFBA
reponame_str Repositório Institucional da UFBA
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