孕产妇健康监测小组:扩大对妇女健康及其决定因素的流行病监测的工具。

Rosa Maria Soares Madeira Domingues, Agatha Sacramento Rodrigues, Marcos Augusto Bastos Dias, Valeria Saraceni, Rossana Pulcineli Vieira Francisco, Rejane Sobrinho Pinheiro, Claudia Medina Coeli
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引用次数: 0

摘要

目的介绍用于产妇健康监测及其决定因素的两种产品的开发方法,并讨论其可能的用途:方法:根据孕产妇死亡决定因素的理论模型和巴西卫生信息系统数据库,开发了两个免费产品:"孕产妇健康监测 "互动小组和 "阿帕雷西达:一个关于巴西妇女易受孕产妇死亡影响的故事 "教育材料,均可在巴西产科观察站网站上查阅:计算了 2012-2020 年期间的 30 多个指标,其中包含社会经济条件和获得保健服务、生殖规划、产前护理、分娩护理、生产条件以及孕产妇死亡率和发病率等方面的信息。其中与公立医院重症孕产妇发病率相关的指标尤为突出,这在全国尚属首次。该面板允许按城市或按卫生区域、州、宏观区域和国家进行汇总分析;进行历史序列分析;以及在不同地点之间进行比较并与基准进行比较。信息质量数据以与指标相结合的方式进行展示和讨论。在教育材料中,介绍了国家和国际数据的可视化,旨在帮助理解孕产妇死亡的决定因素,并促进对指标的解释:预计这两个产品有可能扩大对孕产妇健康及其决定因素的流行病监测,有助于制定促进妇女健康和降低孕产妇死亡率的卫生政策和行动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Maternal health surveillance panel: a tool for expanding epidemiological surveillance of women's health and its determinants.

Objective: To present the methodology used in the development of two products for maternal health surveillance and its determinants and discuss their possible uses.

Methods: Based on a theoretical model of the determinants of maternal death and databases of Brazilian health information systems, two free products were developed: an interactive panel "surveillance of maternal health" and an educational material "Aparecida: a story about the vulnerability of Brazilian women to maternal death", both available on the website of the Brazilian Obstetric Observatory.

Results: More than 30 indicators were calculated for the period 2012-2020, containing information on socioeconomic conditions and access to health services, reproductive planning, prenatal care, delivery care, conditions of birth and maternal mortality and morbidity. The indicators related to severe maternal morbidity in public hospitalizations stand out, calculated for the first time for the country. The panel allows analysis by municipality or aggregated by health region, state, macro-region and country; historical series analysis; and comparisons across locations and with benchmarks. Information quality data are presented and discussed in an integrated manner with the indicators. In the educational material, visualizations with national and international data are presented, aiming to help in the understanding of the determinants of maternal death and facilitate the interpretation of the indicators.

Conclusion: It is expected that the two products have the potential to expand epidemiological surveillance of maternal health and its determinants, contributing to the formulation of health policies and actions that promote women's health and reduce maternal mortality.

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