Programa de Pós-graduação em Saúde Coletiva

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    Internações por condições sensíveis à atenção primária, no município de Goiânia, no período de 2008 a 2013
    (Universidade Federal de Goiás, 2015-03-12) Magalhães, Alessandro Leonardo Alvares; Morais Neto, Otaliba Libânio de; http://lattes.cnpq.br/4030124246791320; Morais Neto, Otaliba Libânio de; Siqueira Júnior, João Bosco; Oliveira, Ellen Synthia Fernandes de; Turchi, Marília Dalva; Minamisava, Ruth
    The Hospital Admissions by Primary Care Sensitive Conditions (ICSAP), are health problems, which the hospitalization is liable to be avoided by qualified primary care, which is understood as accessibility and effectiveness in outpatient care. To evaluate the magnitude, profile, evolution and spatial pattern of occurrence of the risks of hospitalizations associated with Primary Care Sensitive Conditions of Goiânia´s dwellers in the period of 2008 to 2013 a transversal study was developed using secondary hospitalizations data available in the Hospital Information System of the Department of Regulation, Evaluation and Control of Municipal Health of Goiânia. All admissions were georeferenced linking the neighborhood of Hospitalization Authorization (AIH) to one of the 07 health sanitary districts of Goiânia and then the analyzes of proportion ICSAP were made considering the group of causes, ageand Sanitary District and its evolution during the studied series. The analysis of ICSAP rates was made and also the respective 95% confidence intervals, using the average of hospitalizations in the period clustered by age and group of causes and region of the Sanitary District of Goiânia The results showed a reduction in the proportion of ICSAP in Goiânia and its Sanitary Districts along the studied series, but heterogeneously. A higher reduction was registered in the Northwest District. The Southern District had the highest ICSAP rate and the Southwest District the lowest rate of ICSAP, however when the rates were detailed by cause group, it was observed that the Northwest District had the highest rates for 09 causes groups and the Southern District in 08 of them. The highest proportion of ICSAP and the highest rates in ICSAP were observed extremity age groups (0-9 years and 60 years or more). The occurrence of spatial pattern showed inequality of ICSAP rates in Goiania´s Sanitary Districts in relation to groups of cause and age groups. The study showed some progress and identified insufficient coverage and effectiveness of primary care services in Goiânia, which has the potential to support the city health manager and the sanitary districts in the reorientation of work processes, the family health strategy, in the implementation of intersectoral policies, in the definition of areas for location of new units of primary care in the municipality.
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    Probabilidade de morte infantil e fatores associados no município de Aparecida de Goiânia, Goiás, Brasil
    (Universidade Federal de Goiás, 2020-03-05) Silva, Karina Meireles; Morais Neto, Otaliba Libânio de;  http://lattes.cnpq.br/4030124246791320; Morais Neto, Otaliba Libânio de; Siqueira, Cláudio Morais; Souza, Marta Rovery de
    Childhood is a phase of life in which the human being is fragile, dependent and requires special care. Policies that prioritize childcare are often consensus policies. In recent years, infant mortality (up to 1 year of life) represents approximately 86% of under-five deaths (childhood mortality) in Brazil and still has a high percentile of preventable causes, indicating that there are still spaces for its reduction. The objective of this study was to investigate risk factors for neonatal and post-neonatal mortality in the city of Aparecida de Goiânia, Goiás. The study population consisted of a cohort of 8,145 live births of mothers residing in Aparecida de Goiânia in the year of 2012. The Birthdate Declaration of the Live Birth Information System (Sinasc) was used as data source; and the Death Certificate of the Mortality Information System (SIM), as well as the Child Death Investigation Cards. A linkage procedure was performed between the databases to identify the selected variables and the construction of the indicators for estimating the magnitude of the outcomes that were the probability of death in the neonatal and post-neonatal periods. The odds of death in both periods were equal to 9.94 and 3.68 per thousand live births, respectively. The main causes of infant death were diseases originating in the perinatal period (65.8%), followed by congenital malformations (23.4%) and respiratory diseases (4.5%). Hierarchical logistic regression analysis was performed to evaluate the association of infant death with study variables. Factors associated with neonatal death were: male gender (OR = 2.48; 95% CI: 1.24-4.96), low birth weight (<1500g: OR = 557.26; 95% CI: 239.59- 1296.11; 1500g to 2499g: OR = 16.75; 95% CI: 7.35-38.17), prematurity (20 to 32 weeks: OR = 99.19; 95% CI: 46.55-211.33) ; 33 to 36 weeks: OR = 6.68; 95% CI: 2.57-17.35), low maternal education (up to complete elementary school: OR = 0.32; 95% CI: 0.10-0.97; Complete high school: OR = 0.32; 95% CI: 0.11-0.89) and yellow and indigenous race / color (OR = 10.56; 95% CI: 1.02 - 109.08). For the post-neonatal period, low weight (<1500g: OR = 29.55; 95% CI: 8.22-106.26; 1500g to 2499g: OR = 7.39; 95% CI: 3.23- 16.93) and prematurity between 20 and 32 weeks (OR = 11.35; 95% CI: 3.50-36.84). The challenge of reducing infant deaths in the municipality encompasses the need for improvements in access, especially in the quality of maternal and child health services and the demand for public policies aimed at reducing socioeconomic inequalities. This work allowed the identification of factors associated with infant mortality in the municipality of Aparecida de Goiânia, Goiás, and may support interventions that reduce the impact of these factors during pregnancy, childbirth and after the birth of children.