Uncertainties in the Brazilian scenario and its implications in mother and child health

Abstract

Rev. Bras. Saúde Matern. Infant., Recife, 16 (4): 375-376, out. / dez., 2016 EDITORIAL / EDITORIAL Uncertainties in the Brazilian scenario and its implications in mother and child healthDespite the unquestionable advances in social policies in the past decades, 1 the political-economic instability established in the country has deepened in the crisis of one of the largest public policies in the world, the Public Health System (SUS).SUS which principles and guidelines has been socially built, legitimized and referenced in the Brazilian Constitution of 1988, which included the ensuring of universal access and emphasizing on equity in health, which is under a great threat. In addition to not surpass the historical difficulties of underfinancing and inadequate management system, the constitutional binding of resources for health was suppressed with predictable consequences to the most vulnerable groups, the maternal and child. 2 The scenario of redemocratization of the country has provided several social changes, emerging in the attempt to achieve health rights with the implementation of SUS. Programs, actions and services are focusing on the construction of an integral woman and child healthcare driven by medical health movements and organized society implemented and expanded by the improvement of the healthcare, especially the basic healthcare. 1 In addition to this, the income transfer programs, improvement for female education and sanitation have enabled the anticipated goal achievement in reducing child mortality proposed internationally with the current level of 13.8 deaths per thousand live births (NV) in 2015. 3 However, in regard to women's health the decline in maternal mortality is incompatible to the economic development of the country and the level of offering in the healthcare system, 4 as pointed out, the aim related to the event was not successful as for those achieved in the children's health.The unquestionable advances in the coverage of prenatal consultations and deliveries which occurred in the past decades were not accompanied by the improvements in the quality of prenatal, midwifery and puerperium actions, with the increase of unnecessary interventions and sometimes harmful, however, in spite of the directionality of public policies and innumerous positive experiences and innovation were within the sphere of SUS. 1 The year 2016 marks the beginning of a global agenda toward the Goals of Sustainable Development (ODS) in which the confrontation of maternal and infant mortality remains in evidence until 2030. For Brazil, the goal for Maternal Mortality Ratio estimated at 68.2 per 100,000 NVs in 2010 is to reduce to 20 deaths per 100,000 NVs in 2030, as for infant mortality efforts should be concentrated in maintaining the trend downward emphasizing on children historically marginalized socially, such as the Indian people, the quilombolas, the gypsies and communities of urban peripheries. 4 Brazilian current scenario reveals a number of obstacles in fulfilling ambitious integrated and indivisibl...

Temporal analysis of mortality from preventable causes in the first 24 hours of life, 2000-2021

“…In particular, with Bolsa Família , which transfers income to poor families that comply with conditions related to health and education, and with Rede Cegonha , a program which aims to change the model of care for labor and birth, improve access and qualify care practices and management in health care for women and children ( 39 - 40 ) . However, the national scenario from 2016 onwards imposed obstacles in the implementation of initiatives with repercussions on maternal and child health ( 41 ) .…”

“…However, the national scenario from 2016 onwards imposed obstacles in the implementation of initiatives with repercussions on maternal and child health (41) .…”

Análise temporal da mortalidade por causas evitáveis nas primeiras 24 horas de vida, 2000-2021

“…de cuidado e gestão na assistência à saúde da mulher e da criança (39)(40) . Entretanto, o cenário nacional a partir de 2016 impôs obstáculos na implementação das iniciativas com repercussões sobre a saúde materna e infantil (41) .…”

Assessment of infant mortality surveillance: case study

“…Discussing a child's death is a problem situation of circumstance that requires reflection, followed by decoding, acknowledgment, and denaturalisation, especially in situations of restricted budget and rights. 30 The logical model of infant mortality surveillance and its assessment were considered appropriate because they were capable of detecting the consistency of interrelationships between the proposed activities, and can, therefore,be reproduced in other scenarios. This type of assessment is critical to identify the weaknesses and potentialities of the strategy and enable managers and technicians to act according to requirements.…”