Infant mortality surveillance in Recife, Pernambuco, Brazil: operationalization, strengths and limitations.

Autor: Oliveira CM; Fundação Instituto Oswaldo Cruz, Centro de Pesquisas Aggeu Magalhães, Recife-PE, Brasil., Bonfim CVD; Fundação Joaquim Nabuco, Diretoria de Pesquisas Sociais, Recife-PE, Brasil., Guimarães MJB; Universidade de Pernambuco, Unidade de Pesquisa Clínica do Hospital Universitário Oswaldo Cruz, Recife-PE, Brasil., Frias PG; Instituto de Medicina Integral Prof. Fernando Figueira, Grupo de Estudos de Avaliação em Saúde, Recife-PE, Brasil., Antonino VCS; Secretaria de Saúde do Recife, Secretaria Executiva de Vigilância à Saúde, Recife-PE, Brasil., Medeiros ZM; Fundação Instituto Oswaldo Cruz, Centro de Pesquisas Aggeu Magalhães, Recife-PE, Brasil.
Jazyk: English; Portuguese
Zdroj: Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil [Epidemiol Serv Saude] 2017 Apr-Jun; Vol. 26 (2), pp. 413-419.
DOI: 10.5123/S1679-49742017000200019
Abstrakt: Objective: to report the experience on infant mortality surveillance (IMS) in the municipality of Recife-PE, Brazil.
Methods: a documentary research and a query with key-informants who participated in the implementation and consolidation of the IMS were conducted; data of the Mortality Information System (SIM) and of the surveillance worksheets were used to measure the coverage of the investigated deaths.
Results: the implementation of the IMS has occurred gradually since 2003; the strategy is composed by (i) identification of deaths, (ii) investigation, (iii) discussion, (iv) recommendations and correction of vital statistics; upon completion of implementation (2006), 98.5% (256) of the deaths had been investigated and discussed, with the participation of those involved in the cases; in 2015, this coverage corresponded to 97.7%.
Conclusion: the main recommendations consisted of expanding the access, coverage and improvement of primary, secondary and tertiary care quality; IMS is able to support changes in health care practices, as well as planning and organization of maternal and child care.
Databáze: MEDLINE