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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Main Authors: Sonia Isoyama Venancio, Tereza Etsuko da Costa Rosa, Maria Teresa Cera Sanches, Elza Yoshie Shigeno, José Maria Pacheco Souza
Format: Article
Language:English
Published: Instituto Materno Infantil de Pernambuco
Series:Revista Brasileira de Saúde Materno Infantil
Subjects:
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.
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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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