Can the primary health care model affect the determinants of neonatal, post-neonatal and maternal mortality? A study from Brazil

BMC Health Services Research
Alexandre Bergo GuerraAntonio Carlos Pereira

Abstract

The state of São Paulo recorded a significant reduction in infant mortality from 1990 to 2013, but the desired reduction in maternal mortality was not achieved. Knowledge of the factors with impact on these indicators would be of help in formulating public policies. The aims of this study were to evaluate the relations between socioeconomic and demographic factors, health care model and both infant mortality (considering the neonatal and post-neonatal dimensions) and maternal mortality in the state of São Paulo, Brazil. In this ecological study, data from national official open sources were used to conduct a population-based study. The units analyzed were 645 municipalities in the state of São Paulo, Brazil. For each municipality, the infant mortality (in both neonatal and post-neonatal dimensions) and maternal mortality rates were calculated for every 1000 live births, referring to 2013. Subsequently, the association between these rates, socioeconomic variables, demographic models and the primary care organization model in the municipality were verified. For statistical analysis, we used the zero-inflated negative binomial model. Gross analysis was performed and then multiple regression models were estimated. For associations,...Continue Reading

References

Aug 21, 2010·American Journal of Public Health·Fernando C BarrosCesar G Victora
Jul 12, 2014·Ciência & saúde coletiva·Eloisio do Carmo LourençoAntonio Carlos Pereira
Aug 26, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·Ij GrootenT J Roseboom
Oct 22, 2015·PloS One·Juan Ignacio RuizJuan Martin Criniti
Nov 21, 2015·Lancet·Leontine AlkemaUNKNOWN United Nations Maternal Mortality Estimation Inter-Agency Group collaborators and technical advisory group
Jan 28, 2016·Ciência & saúde coletiva·Josilene Maria Ferreira PinheiroMaria Ângela Fernandes Ferreira
Sep 19, 2019·Cadernos de saúde pública·Raphael de Freitas SaldanhaChristovam Barcellos
Oct 10, 2019·Cadernos de saúde pública·Célia Landmann SzwarcwaldPriscila Melissa Honorato Mullachery

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Citations

May 14, 2020·Revista gaúcha de enfermagem·Vitoria Sandri PedroniFranciela Delazeri Carlotto
Feb 27, 2021·Journal of Psychosomatic Obstetrics and Gynaecology·Jenn A LeifermanJames F Paulson

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Methods Mentioned

BETA
cesarean section
cesarean sections

Software Mentioned

State System of Data Analysis Foundation ( SEADE - SP )
TABNET
DATASUS
Excel
SAS

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