Banca de DEFESA: LUZIMARY VIEIRA PEREIRA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : LUZIMARY VIEIRA PEREIRA
DATE: 19/12/2023
TIME: 15:00
LOCAL: Sala do aplicativo zoom
TITLE:

Implementation of the Rede Cegonha: challenges for reducing maternal mortality in Bahia.

KEY WORDS:

Maternal Mortality. Stork Network. Health Impact Assessment

PAGES: 79
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

The maternal mortality rate is a public health indicator used throughout the world and in
Brazil it presents worrying numbers. As a form of reduction in the country, the Rede
Cegonha Strategy was established on June 24, 2011 through Law No. 1,459. Based on
these data, the 417 municipalities in the state of Bahia joined the implementation of the
Network and implemented the prenatal component. Despite the importance of this policy,
few studies have evaluated the impact of implementing the Rede Cegonha in Brazil and,
more specifically, no studies were found that evaluated the impact of implementing the
Network in the state of Bahia. The present study aimed to analyze the possible impacts
of the implementation of Rede Cegonha on the reduction of maternal mortality in the
period from 2008 to 2019 in the state of Bahia. Public data made available by DATASUS
from the state's 417 municipalities were used, calculating the MMR between time periods
for each health macro-region. Data processing was carried out in two stages: the first was
the descriptive analysis of the MMR and the sociodemographic characteristics of
maternal deaths by health macro-region. The second stage consisted of statistical
treatment based on the application of two techniques to evaluate the MMR trend carried
out using two different programs: the R software and the Joinpoint Regression Program
software. The results obtained through the historical series generated by the R software
did not prove to be statistically significant in the mortality reduction rates in the
municipalities of the State of Bahia, while the joinpoint analysis showed a tendency
towards a reduction in the MMR in the state of Bahia, however, the majority of macroregions
tended towards RMM stability during the developed period. Even with the
downward trend through joinpoint analysis, there were high maternal mortality rates. This
assessment may be influenced by the non-implementation of all components of the
Cegonha Network as recommended by the Ministry of Health or by the limit presented in
the selected time series. Over time, it was observed that only the prenatal component was
implemented in the municipalities, with the need to implement the four components being
relevant, as they are interconnected and are fundamental to achieving the effectiveness of
the policy, that is, the reduction of maternal mortality in different regional contexts.

COMMITTEE MEMBERS:
Presidente - 2778424 - CATHARINA LEITE MATOS SOARES
Externo à Instituição - RODRIGO VOLMIR REZENDE ANDERLE - Fiocruz-Ba
Interna - 1114664 - SONIA CRISTINA LIMA CHAVES