Evaluation of maternal, fetal and childhood death prevention committees in a region of the state of minas gerais, Brazil
DOI:
https://doi.org/10.5935/1415-2762.20200017Keywords:
Health Evaluation, Infant Mortality, Maternal Mortality, Perinatal Mortality, Public Health Surveillance, Community Health NursingAbstract
Introduction: the reduction of maternal and child mortality is an international and national priority due to the high potential for the avoidability of these deaths. The Maternal, Fetal, and Infant Death Prevention Committees (Comitês de Prevenção de Óbitos Maternos, Fetais e Infantis) are an important mechanism for monitoring maternal and child mortality. Objective: to evaluate the structure, processes, and results of death prevention committees in the municipalities of the Regional Health Unit (Unidade Regional de Saúde) of Belo Horizonte-MG according to the population size. Method: this is an evaluative study developed at the Belo Horizonte Health Region in 2015. We applied a questionnaire to the municipal technical references responsible for monitoring maternal, fetal and infant deaths. We analyzed the municipalities to the adequacy to national and state norms, in the domains structure, process and result, according to categories of the population size. We added the appropriate items were added for the assessment of each domain, establishing an adequacy score. Results: we evaluated 38 municipalities and various levels of the adequacy of the committees were found, with the worst percentages for the structure (5.3% as adequate) and the smaller municipalities. In the process and result domains, the adequacy percentage was 30.6%. Conclusion: the inadequacies revealed the need to structure the municipal committees with the provision of financial, technical and professional investments, to optimize their operational capacity and response to the deaths. The expansion of the technical and political actions of the committees and social control is another necessary improvement.
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1. Leal MC, Szwarcwald CL, Almeida PVB, Aquino EML, Barreto ML, Barros F, et al. Reproductive, maternal, neonatal and child health in the 30 years since the creation of the Unified Health System (SUS). Ciênc Saúde Coletiva. 2018[citado 2019 jun. 12];23(6):1915-28. Disponível em: http://dx.doi.org/10.1590/1413-81232018236.03942018
2. World Health Organization. 2016. Strengthening country capacity on maternal and perinatal death surveillance and response. Genova: WHO; 2016[citado em 2018 ago 21]. Disponível em: http://www.searo.who.int/entity/child_adolescent/topics/child_health/mdsr.pdf?ua=1
3. Ministério da Saúde (BR). Manual de vigilância do óbito infantil e fetal e do Comitê de Prevenção do Óbito Infantil e Fetal. Brasília: MS; 2009[citado 2018 jul. 15]. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/manual_obito_infantil_fetal_2ed.pdf
4. Ministério da Saúde (BR). Guia de vigilância epidemiológica do óbito materno. Brasília: MS ; 2009[citado 2018 jul. 18]. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/guia_vigilancia_epidem_obito_materno.pdf
5. United Nations. Transforming our world: the 2030 Agenda for Sustainable Development. 2015[citado 2018 ago. 15]. Disponível em: https://sustainabledevelopment.un.org/content/documents/21252030%20Agenda%20for%20Sustainable%20Development%20web.pdf
6. Teixeira MG, Costa MCN, Carmo EH, Oliveira WK, Penna GO. Health surveillance at the SUS: development, effects and perspectives. Ciênc Saúde Colet. 2018[citado 2018 set. 14];23(6):1811-8. Disponível em: http://www.scielo.br/scielo.php?pid=S1413-81232018000601811&script=sci_arttext&tlng=en
7. Berg CJ. From identification and review to action - maternal mortality review in the United States. Semin Perinatol. 2012[citado 2018 set. 14];36(1):7-13. Disponível em: https://www.sciencedirect.com/science/article/abs/pii/S0146000511001492?via%3Dihub
8. Kurinczuk JJ1, Draper ES, Field DJ, Bevan C, Brocklehurst P, Gray R, et al. Experiences with maternal and perinatal death review in the UK-the MBRRACE-UK programme. BJOG. 2014[citado 2018 set. 14];121(s4):41-6. Disponível em: https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/1471-0528.12820
9. Agaro C, Beyeza-Kashesya J, Waiswa P, Sekandi JN, Tusiime S, Anguzu R, Kiracho EE. The conduct of maternal and perinatal death reviews in Oyam District, Uganda: a descriptive cross-sectional study. BMC Women's Health. 2016[citado 2018 abr. 21];16:38. Disponível em: https://bmcwomenshealth.biomedcentral.com/articles/10.1186/s12905-016-0315-5
10. Secretaria de Estado de Saúde (MG). Resolução SES/MG n° 5016, de 18 de novembro de 2015. Restabelece a organização dos Comitês Estadual, Regionais, Municipais, Compartilhados e Hospitalares de Prevenção de Mortalidade Materna, Infantil e Fetal e dá outras providências. Diário do Executivo. 2015[citado 2018 ago. 22]. Disponível em: http://www.saude.mg.gov.br/images/noticias_e_eventos/00_2015/12_dezembro/2015_RESOLUCAO-SES-MG-N-5-016.pdf
11. Kok B, Imamura M, Kanguru L, Owolabi O, Okonofua F, Hussein J. Achieving accountability through maternal death reviews in Nigeria: a process analysis. Health Policy Plan. 2017[citado 2018 nov. 18];32:1083-91. Disponível em: https://academic.oup.com/heapol/article/32/8/1083/3897344
12. Melo CM, Aquinotis Soares MQ, Bevilacqua PD. Death surveillance as an indicator of the quality of health care for women and children. Ciênc Saúde Coletiva. 2017; 22(10):3457-65. Disponível em: http://dx.doi.org/10.1590/1413-812320172210.19652017
13. Dutra IR, Andrade GN, Rezende EM, Gazzinelli A. Investigação dos óbitos infantil e fetal no Vale do Jequitinhonha, Minas Gerais, Brasil. Reme - Rev Min Enferm. 2015[citado em 2018 maio 21];19(3):597-611. Disponível em: http://www.revenfbvs.br/scielo.php?script=sci_arttext&pid=S1415-27622015000300006
14. Venâncio SI, Paiva R. O processo de implantação dos Comitês de Investigação do Óbito Infantil no Estado de São Paulo. Rev Bras Saúde Materno-Infantil. 2010[citado 2018 set. 15];10(3):369-75. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292010000300010
15. Biswas A, Halim A, Rahman F, Eriksson C, Dalal K. The economic cost of implementing maternal and neonatal death review in a district of Bangladesh. J Public Health Res. 2016[citado 2019 jan. 18];5:729. Disponível em: https://www.jphres.org/index.php/jphres/article/view/729/325
16. Secretaria de Estado de Saúde de Minas Gerais. Plano Diretor de Regionalização da Saúde de Minas Gerais (PDR/MG). Belo Horizonte; 2011[citado 2018 dez. 17]. Disponível em: http://www.saude.mg.gov.br/images/noticias_e_eventos/000_2016/Livro%20Plano%20Diretor%20de%20Regionalizao%20-%20PDR-SUS-MG.pdf
17. Polit DF, Beck CT, Hungler BP. Fundamentos de pesquisa em Enfermagem: métodos, avaliação e utilização. Porto Alegre: Artmed; 2004.
18. Donabedian A. Evaluating the quality of medical care. Milbank Q. 2005[citado 2018 set. 21];83(4):691-729. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2690293/
19. Ministério do Desenvolvimento Social e Combate à Fome (BR). Política Nacional de Assistência Social (PNAS). 2004[citado 2018 ago. 10]. Disponível em: http://www.mds.gov.br/webarquivos/publicacao/assistencia_social/Normativas/PNAS2004.pdf
20. Lansky S. Gestão de qualidade e da integralidade do cuidado em saúde para a mulher e a criança no SUS-BH: a experiência da comissão perinatal. Rev Tempus Actas Saúde Col. 2010[citado 2018 ago. 15];4(4):191-9. Disponível em: http://tempusactas.unb.brindex.php/tempus/article/viewFile/846/809
21. Oliveira CM, Guimarães MJ, Bonfim CV, Frias PG, Antonino VCS, Guimarães ALS, et al. Evaluation of the adequacy of information from research on infant mortality in Recife, Pernambuco, Brazil. Ciênc Saúde Colet. 2018[citado 2018 abr. 13];23(3):701-14. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232018000300701&lng=en&nrm=iso&tlng=pt
22. Purandare C, Bhardwaj A, Malhotra M, Bhushan H, Shah PK. Every death counts: Electronic tracking systems for maternal death review in India. Inter J Gynecol Obstetr. 2014[citado 2018 set. 21];127:S35-S39. Disponível em: https://obgyn.onlinelibrary.wiley.com/doi/abs/10.1016/j.ijgo.2014.09.003
23. Biswas A, Ferdoush J, Abdullah ASM Halim A. Social autopsy for maternal and perinatal deaths in Bangladesh: a tool for community dialog and decision making. Public Health Rev. 2018[citado 2018 out. 15];39:16. Disponível em: https://doi.org/10.1186/s40985-018-0098-3
24. Armstrong CE, Lange IL, Magoma M, Ferla C, Filippi V, Ronsmans C. Strengths and weaknesses in the implementation of maternal and perinatal death reviews in Tanzania: perceptions, processes and practice. Trop Med Inter Health. 2014[citado 2018 jun. 15];19(9):1087-95. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/tmi.12353
25. Maia LTS, Souza WV, Mendes ACG, Silva AGS. Uso do linkage para a melhoria da completude do SIM e do SINASC nas capitais brasileiras. Rev Saúde Pública. 2017[citado 2018 jul. 14];51:112. Disponível em: http://www.scielo.br/pdf/rsp/v51/pt_0034-8910-rsp-S1518-87872017051000431.pdf
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