Qualidade do sistema de informações sobre nascidos vivos em Mato Grosso

• Autor(a) principal: Stevanato, Jaquelline Monte
• Data de Publicação: 2015
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFMT
• Texto Completo: http://ri.ufmt.br/handle/1/357
• topic: Sistemas de informação; Nascidos vivos; Declaração de nascimento; Avaliação em saúde; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM; Information systems; Live birth; Birth certificates; Health evaluation

ABSTRACT: Introduction: the system of information about Newborn (SINASC) aims to monitor the maternal and neonatal characteristics and of the assistance to the pregnancy and to the childbirth. Aim: analyze the quality of data of the System of Information about Newborn in Mato Grosso, in the period of 2000 to 2012. Methodology: it is an ecological study that the population was constituted by the total of registers about newborns available in SINASC in the state during the period of the study. It was used the data bank yielded by the Secretary of the State of Health of Mato Grosso. The coverage was calculated by the reason between the live births and the number of birth estimated by the Brazilian Institute of Geography and Statistics. To estimate the completeness of the variables was adopted as indicator of the percentage of ignored and in blank, which according to the score used was considered excellent inferior to 1%, good between 1% and 2,99%, regular between 3 and 6,99% and bad superior to 7%. Results: the coverage of SINASC of MT in 2000 was of 101,3%, with fluctuations during the historical series and the worse coverage in 2006 (87,8%) and 2007 (86,9%). Even though the coverage of the system in 2012 was near to 100%, the same presented descent in the last three years analyzed. There was heterogeneity of coverage in the Regions of Health, only three had decreasing tendency. In relation to the completeness, it was observed that between 2000 and 2012 the maternal variables of age, race/colour and schooling were classified as excellent. The variable conjugal situation was classified as excellent in practically all the period, although it presented fluctuations and starting from 2008 it had a fall in completeness. The customary occupation of the mother was the maternal variable that had the worse classification (regular). In relation to the pregnancy and to the childbirth, the variables type of pregnancy, type of birth and number of prenatal appointments were classified as excellent in all the years studied. In relation to the gestational age it was observed an increase of incompleteness between 2007 and 2011. The variables with worst classifications were the number of children born alive and number of fetal loss/abortion. Among the variables of newborn, the sex and the weight were classified as excellent in all the historical series. The worst variables were the Apgar in the 1st and in the 5th minute. In the Regions of Health, the mother age, type of pregnancy, type of birth and the sex of the newborn had excellent completeness in all the regions and the worst variables were customary occupation, pregnancy age, number of children born alive, number of fetal loss/abortion, Apgar in the 1st and 5th minute. It was verified the reason of incompleteness was lower in the birth occurred in hospitals. Conclusion: it was identified potentialities and problems related to the coverage and the completeness of SINASC. In general, the system in MT has satisfactory quality, reassuring its potential to the acknowledge and monitoring of the conditions of maternal health, of the newborn and, also, of the assistance to pregnancy and birth in the state.