A descentralização do sinasc e a completude das variáveis da declaração de nascido vivo em municípios mineiros de 1998 a 2005
DOI:
https://doi.org/10.7322/jhgd.20035Palavras-chave:
declaração de nascimento, nascidos vivos.Resumo
O Sistema de Informações Sobre Nascidos Vivos (SINASC) foi descentralizado com a finalidade de aprimorar a qualidade da informação e sua utilização, subsidiando a avaliação de serviços e os estudos epidemiológicos. Este estudo avaliou a completude das variáveis relativas ao recém-nascido, à mãe e à gestação e parto presentes na declaração de nascimento, em 38 municípios no estado de Minas Gerais. Foram utilizados os registros de nascidos vivos de mães residentes, disponível na base de dados do Sistema, entre os anos de 1998 e 2005. A avaliação levou em consideração o porte populacional e a condição de gestão dos municípios. Definiu-se como indicador o percentual de campos não preenchidos, e o padrão de qualidade adotado foi o definido por Mello Jorge et al. (1996). Valores entre 90% e 100% foram considerados adequados; de 70% - 89,9% não adequados, e crítico quando estes eram menores que 70%. Observou-se aprimoramento no preenchimento da DNV ao longo do período analisado, no conjunto dos municípios avaliados. Verificou-se ainda redução importante da incompletude nas variáveis raça/cor, grau de instrução, estado civil, filhos nascidos vivos e nascidos mortos. A descentralização do Sistema de Informações Sobre Nascidos Vivos possibilitou a melhoria da completude das informações nos municípios estudados, independentemente do porte e da condição de habilitação.Downloads
Referências
Vieira da Silva LM. Evaluation of the process of decentralization of health. Ciênc Health. 1999, 4 (2) :331-339.
Ferla AA, Leal MB, Pine, R. A look atassessment practices in decentralization of the health system: building ananalytical approach to network performance. In: Pine R, Mattos RA. Network Management. Practice Assessment, training and participation in Rio de Janeiro Health: CEPESC, 2006.
Brazil. Ministry of Health Decree No.116 of February 11, 2009. Regulates the collection of data, flow and frequency of transmission of information on deaths and live births for Health Information Systems under the management of the Secretariat of Health Surveillance Ministry of Health, Secretariat of Health Surveillance, 2009.
White MA. Information and Health: a science and its policies in a new era. Rio de Janeiro: Fiocruz, 2006.
Brazil. National Foundation of Health Manual for completing the birth certificate. Brasilia: Documentation Centre of the Ministry of Health, 2001.
Mello-Jorge MHP, Gotlieb SL, Sabolli ML, Almeida MP, Latorre MR. The Information System on Live Births: preliminary assessment of the Brazilian data. SUS Epidemiol Inf. 1996, 2:15-48.
Frias PG, Pereira DMH, Vidal AS, LiraPIC. Evaluation of coverage of the Information System on Live Births and contribution of potential sources of notification of the birth in two municipalities of Pernambuco, Brazil. And Health Services Epidemiol 2007;16 (2): 93-101.
Silva AAM, Reddy VS, Borba Jr. AF, Coimbra LC, Silva RA. Evaluation of data quality information system onlive births in 1997 to 1998. Rev Public Health. 2001, 35 (6): 508-514.
Theme Daughter MM, SGN Gama, Cunha CB, MC Leal. Reliability Information System on Live Births Hospital in the city of Rio de Janeiro, 1999-2001. Cad Public Health. 2004, 20 Suppl 1:83-91
Mello-Jorge MHP, Laurenti R, Gottlieb SLD. Quality analysis of Brazilian vital statistics: the experience of implementing the SIM and SINASC. Cienc Health. 2007, 12 (3) :643-54.
Ed Romero, CB Cunha. Quality evaluation of epidemiological and demo-graphic variables of the Information System on Live Births, 2002. Cad Public Health. 2007, 23 (3): 701-714.
Costa JMBS, Frias PG. Evaluation of the completeness of the variables of the Declaration of Live Birth of residents in Pernambuco, Brazil, from1996 to 2005. Cad Public Health. 2009, 25 (3): 613-624.
Almeida MF, GP Alencar. Health In-formation: The need for introduction of management systems. SUS Epidemiol Inf. 2000, 4: 241-249.
Minas Gerais. Superintendent of Epidemiology. Analysis of the health situation of Minas Gerais. SES / MG, 2007.
Drumond EF, CJ Machado, France E. Underreporting of live births: measurement procedures from the Hospital Information System. Rev Public Health. 2008, 42 (1): 55-63.
LM Souza. Evaluation of the Information System on Live Births - SINASC, Minas Gerais and Mesoregiões, 2000(MA thesis). Belo Horizonte (MG): CE-DEPLAR / FACE / UFMG, 2004. 112p.
ZM Hartz, LM Vieira da Silva (Eds.). Health Evaluation: theoretical models of practice in the evaluation of pro-grams and health systems. Rio de Janeiro: Fiocruz, 2005.
Contandriopoulos AP, Champagne F, Denis JL, Pineaut RA. Evaluation in health: concepts and methods. In: Hartz ZMA (Eds.). Health assessment: conceptual models of practice in the implementation of programs. Rio de Janeiro: Fiocruz, 1997.
Minas Gerais. Plan Regionalization of Minas Gerais. State Department of Health of Minas Gerais, 2010. [Acessed on: December 29, 2010].Available at:http://www.saude.mg.gov.br/politicas_de_saude/plano-diretor-de-regionalizacao-pdr.
Brazil. Ministry of Health database of information systems on mortality(SIM) and live births (SINASC) 1998to 2004 (CD-ROM). Brasilia: MS /SVS, 2006.
Brazil. Ministry of Health database of information systems on mortality (SIM) and live births (SINASC), 1999to 2005 (CD-ROM). Brasilia: MS /SVS, 2007.
Barbuscia DM, AL Rodrigues-Junior. Completeness of the information in the Declarations of Live Birth and the death certificates, fetal and early neonatal, the region of Ribeirão Preto, São Paulo, Brazil, 2000-2007. Bull World Health Organ. 2011, 27 (6) :1192-1200.
Silva GFS, Aidar T, Mathias TAF. Quality Information System on Live Births in the State of Paraná, from 2000to 2005. Rev Esc Enferm USP. 2011,45 (1):79-86.
Mascarenhas MDM, Gomes KRO. Reliability Data Information System onLive Births in Teresina, Piauí State, Brazil - 2002. Cienc Health. 2011, 16(1) :1233-1239.
Almeida MF, GP Alencar, France Junior I, Novaes HMD, Siqueira AFA, Scchoeps D, et al. Validity of information from the declarations of live births based on case-control study. Cad Public Health. 2006, 22 (3) :1-9.
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