Impact of the Family Health Program on the quality of vital information and reduction of child unattended deaths in Brazil: an ecological longitudinal study
2010

Impact of the Family Health Program on Child Deaths in Brazil

Sample size: 5507 publication 10 minutes Evidence: high

Author Information

Author(s): Rasella Davide, Aquino Rosana, Barreto Mauricio L

Primary Institution: Instituto de Saúde Coletiva, Federal University of Bahia

Hypothesis

Does the Family Health Program (PSF) reduce child unattended deaths and improve the quality of vital information in Brazil?

Conclusion

The Family Health Program significantly reduced unattended deaths and improved the quality of vital information in Brazil.

Supporting Evidence

  • Under-five mortality rate decreased from 24.7 to 19.3 per 1000 live births from 2000 to 2006.
  • Mortality rate for unattended deaths reduced from 2.1 to 0.4 per 1000 live births during the same period.
  • PSF coverage increased from 0% to over 70% in many municipalities, correlating with reduced mortality rates.

Takeaway

The Family Health Program helps save children's lives by making sure more people get medical help and that we know how they died.

Methodology

An ecological longitudinal study using multivariate regression analysis of panel data from 5,507 municipalities in Brazil from 2000 to 2006.

Potential Biases

Potential under-registration of deaths and issues with the quality of vital information could introduce bias.

Limitations

The study used all Brazilian municipalities without selection for the coverage of vital information, which may affect the validity of the cause distribution.

Participant Demographics

The study included data from all Brazilian municipalities, focusing on those with varying levels of PSF coverage.

Statistical Information

P-Value

0.0001

Confidence Interval

0.40 - 0.88

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2458-10-380

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