Spatial analysis of the quality of Primary Health Care services in reducing child mortality

被引:2
作者
Pereira Pasklan, Amanda Namibia [1 ]
de Sousa Queiroz, Rejane Christine [2 ]
Hernandes Rocha, Thiago Augusto [3 ]
da Silva, Nubia Cristina [3 ]
Tonello, Aline Sampieri [2 ]
Nickening Vissoci, Joao Ricardo [4 ]
Tomasi, Elaine [5 ]
Thume, Elaine [5 ]
Staton, Catherine [4 ]
Abreu Fonseca Thomaz, Erika Barbara [2 ]
机构
[1] Univ Fed Maranhao UFMA, Programa Posgrad Saude Colet, R Barao Itapary 155, BR-65020070 Sao Luis, Maranhao, Brazil
[2] Univ Fed Maranhao, Dept Saude Publ, Sao Luis, Maranhao, Brazil
[3] Univ Fed Minas Gerais, Ctr Posgrad & Pesquisa Adm, Belo Horizonte, MG, Brazil
[4] Duke Univ, Durham, NC USA
[5] Univ Fed Pelotas, Pelotas, RS, Brazil
来源
CIENCIA & SAUDE COLETIVA | 2021年 / 26卷 / 12期
关键词
Epidemiology; Infant Mortality; Primary Health Care; UNDER-5; MORTALITY; BRAZIL;
D O I
10.1590/1413-812320212612.24732020
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This study sought to analyze the correlation of the quality of Primary Health Care services in reducing child mortality, via geoprocessing. It involved an ecological study, with a cross-sectional approach, in which secondary data from all 5,565 Brazilian municipalities were used to analyze the infant mortality rate (IMR) and cause of infant death. The data related to IMR was obtained from the Mortality Information System. For the spatial analysis, 5,011 municipalities were included. The clustering analyses were performed using GEODA software and the spatial regression analyses were performed using ARCGIS 10.5 software. In Brazil, there was a 45.07% reduction in IMR between the years 2000 and 2015. The greatest reduction occurred in the northeastern region of the country, although it is still the region with the highest IMR. Of the 749 municipalities analyzed in the differential cluster for infant death, 153 had high IMR. The areas with the greatest increase in IMR were found in the North and Northeast regions. In Brazil, IMR proved to be inversely associated with the accessibility to high complexity services, health management strata and population size, reference for childbirth, live birth rate, per capita income and unemployment rate. A progressive reduction in IMR was recorded between 2000 and 2015.
引用
收藏
页码:6247 / 6258
页数:12
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