Effectiveness of Family Health Strategy on child's health indicators in São Paulo State
Abstract Objectives: to evaluate the effectiveness of Family Health Strategy (FHS) on child's health indicators in São Paulo State. Methods: longitudinal ecological study involving all the towns in São Paulo State from 1998 to 2009. The outcomes were the coefficients of infant mortality and...
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Instituto Materno Infantil de Pernambuco
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Series: | Revista Brasileira de Saúde Materno Infantil |
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Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292016000300271&lng=en&tlng=en |
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author | Sonia Isoyama Venancio Tereza Etsuko da Costa Rosa Maria Teresa Cera Sanches Elza Yoshie Shigeno José Maria Pacheco Souza |
author_facet | Sonia Isoyama Venancio Tereza Etsuko da Costa Rosa Maria Teresa Cera Sanches Elza Yoshie Shigeno José Maria Pacheco Souza |
author_sort | Sonia Isoyama Venancio |
collection | DOAJ |
description | Abstract Objectives: to evaluate the effectiveness of Family Health Strategy (FHS) on child's health indicators in São Paulo State. Methods: longitudinal ecological study involving all the towns in São Paulo State from 1998 to 2009. The outcomes were the coefficients of infant mortality and its components and the rate for pneumonia and diarrhea hospitalizations. The main independent variable was "FHS coverage"; the covariates considered the context of sociodemographic and the health system. Negative binomial regression models of fixed effects and STRATA 11.1 statistical program were used. Results: FHS coverage above 50% showed a protective effect in relation to the postneonatal mortality (RR: 0.93; CI 95%: 0.87-1.00) and coverage up to 50% (RR 0.88 CI95% 0.82-0.99) or above 50% (RR: 0.87; CI95%: 0.82-0.92) were protective factors for pneumonia hospitalizations. Conclusions: the effectiveness of FHS on the outcomes related to child's health may vary according to local and regional contexts. |
first_indexed | 2024-12-16T09:08:13Z |
format | Article |
id | doaj.art-8cc1ac3a20494eb7a45ae1b0d352d906 |
institution | Directory Open Access Journal |
issn | 1806-9304 |
language | English |
last_indexed | 2024-12-16T09:08:13Z |
publisher | Instituto Materno Infantil de Pernambuco |
record_format | Article |
series | Revista Brasileira de Saúde Materno Infantil |
spelling | doaj.art-8cc1ac3a20494eb7a45ae1b0d352d9062022-12-21T22:37:02ZengInstituto Materno Infantil de PernambucoRevista Brasileira de Saúde Materno Infantil1806-930416327128110.1590/1806-93042016000300004S1519-38292016000300271Effectiveness of Family Health Strategy on child's health indicators in São Paulo StateSonia Isoyama VenancioTereza Etsuko da Costa RosaMaria Teresa Cera SanchesElza Yoshie ShigenoJosé Maria Pacheco SouzaAbstract Objectives: to evaluate the effectiveness of Family Health Strategy (FHS) on child's health indicators in São Paulo State. Methods: longitudinal ecological study involving all the towns in São Paulo State from 1998 to 2009. The outcomes were the coefficients of infant mortality and its components and the rate for pneumonia and diarrhea hospitalizations. The main independent variable was "FHS coverage"; the covariates considered the context of sociodemographic and the health system. Negative binomial regression models of fixed effects and STRATA 11.1 statistical program were used. Results: FHS coverage above 50% showed a protective effect in relation to the postneonatal mortality (RR: 0.93; CI 95%: 0.87-1.00) and coverage up to 50% (RR 0.88 CI95% 0.82-0.99) or above 50% (RR: 0.87; CI95%: 0.82-0.92) were protective factors for pneumonia hospitalizations. Conclusions: the effectiveness of FHS on the outcomes related to child's health may vary according to local and regional contexts.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292016000300271&lng=en&tlng=enPrimary health careFamily health strategyChild's healthHealth assessmentUnified health system |
spellingShingle | Sonia Isoyama Venancio Tereza Etsuko da Costa Rosa Maria Teresa Cera Sanches Elza Yoshie Shigeno José Maria Pacheco Souza Effectiveness of Family Health Strategy on child's health indicators in São Paulo State Revista Brasileira de Saúde Materno Infantil Primary health care Family health strategy Child's health Health assessment Unified health system |
title | Effectiveness of Family Health Strategy on child's health indicators in São Paulo State |
title_full | Effectiveness of Family Health Strategy on child's health indicators in São Paulo State |
title_fullStr | Effectiveness of Family Health Strategy on child's health indicators in São Paulo State |
title_full_unstemmed | Effectiveness of Family Health Strategy on child's health indicators in São Paulo State |
title_short | Effectiveness of Family Health Strategy on child's health indicators in São Paulo State |
title_sort | effectiveness of family health strategy on child s health indicators in sao paulo state |
topic | Primary health care Family health strategy Child's health Health assessment Unified health system |
url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292016000300271&lng=en&tlng=en |
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