Pesquisa Mundial de Saúde: aspectos metodológicos e articulação com a Organização Mundial da Saúde

Szwarcwald, Célia Landmann; Viacava, Francisco

doi:10.1590/s1415-790x2008000500006

Cited by 11 publications

(9 citation statements)

References 25 publications

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“…However, after adjusted analysis, this was not reflected in the quality of cervical cancer screening in the primary health care network, in contrast to findings from population-based studies, such as the World Health Survey (WHS), carried out in Brazil, in 2003. That study included users of the SUS and the private sector, showing a marked social gradient in the coverage of the Pap smear and a lower percentage of examination carried out more than 36 months before, as the population size of the municipalities decreased 22 , 23 . In the crude analysis, our finding was similar to that of the WHS; however, when controlling for the socioeconomic differences between the sizes of municipalities, there was a reversal of the pattern, indicating greater difficulty of large municipalities in ensuring the provision of quality services.…”

Section: Discussionmentioning

confidence: 99%

Quality of cervical cancer screening in Brazil: external assessment of the PMAQ

et al. 2017

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OBJECTIVE To examine whether demographic and socioeconomic variables and the variables of the organization of services are associated with the quality of cervical cancer screening.METHODS This is a survey carried out in the health services of the five Brazilian regions in 2012. The sample consisted of users of basic health units participating in the Program for Improving Access and Quality of the Primary Care. The independent variables analyzed were: socioeconomic characteristics (municipal context), demographic characteristics (user profile), and two domains related to the organization of basic services (work structure and process). The low quality of the screening was assessed from the lack of access, late examination, and lack of guidance. Crude and adjusted analyses by Poisson regression assessed the association between outcomes and independent variables.RESULTS The values of lack of access, late examination, and lack of guidance were 6.7%, 11.2%, and 19.2%, respectively. Problems of quality were lower according to the increase in Municipal Human Development Index and per capita household income, increasing with population size and municipal coverage of the Family Health Strategy. The Midwest region of the country presented the highest occurrences of low quality outcomes. Indigenous and yellow women had the highest prevalence of outcomes. Women with partner, who received the Bolsa Família Program, and who had paid work had less chances of having lack of access, late examination, and lack of guidance. The appropriate work process in health services decreased the likelihood of low quality in all indicators.CONCLUSIONS Investments in the work process of health teams, social cash transfer programs, and social conditions of the population are essential to improve the quality of the program of cervical cancer screening in Brazil.

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Section: Discussionmentioning

confidence: 99%

Quality of cervical cancer screening in Brazil: external assessment of the PMAQ

et al. 2017

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“…Among the Brazilian studies that included questions regarding medicines, the following are highlighted: the Pesquisa Nacional por Amostra de Domicílios (PNAD – National Household Sample Survey – http://www.ibge.gov.br), which records the continuous medicines use related to the last time the health services were used; the Pesquisa de Orçamentos Familiares (POF – Brazilian Household Budget Survey – http://www.ibge.gov.br) that records expenditure on medicines obtained over the last 30 days, purchase location and payment type; Pesquisa Nacional de Demografia e Saúde (PNDS – Brazilian National Demographic and Health Survey – http://www.ibge.gov.br); and the World Health Survey (WHS) 24 . The latter two used a similar strategy, in which they ask about prescription, use, sources to obtain medicines, primarily based on a list of chronic diseases.…”

Section: Discussionmentioning

confidence: 99%

Sociodemographic profile of medicines users in Brazil: results from the 2014 PNAUM survey

et al. 2016

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OBJECTIVE To analyze the prevalence of medicine use by the Brazilian population and its distribution according to sociodemographic factors.METHODS Study using data from the Pesquisa Nacional de Acesso, Utilização e Promoção do Uso Racional de Medicamentos (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), a nationwide household survey of a representative sample of the Brazilian urban population. The data were collected between September 2013 and February 2014. The overall use of medicines, defined as the use of any medicine, use of medicines for treating chronic medical conditions and for acute health conditions, was evaluated. The independent variables included gender, age group, socioeconomic position, and region of Brazil. Analyzes included prevalence calculations, 95% confidence intervals (95%CI) and Pearson Chi-square tests to evaluate the differences between groups, considering a 5% level of significance.RESULTS The prevalence of medicines use was 50.7% (95%CI 49.3–52.2), with 39.3% (95%CI 37.5–41.1) accounting for men and 61.0% (95%CI 59.3–62.6) for women. Medicines use was observed to increase with increasing age, except among children within the zero to four years age group. The lowest prevalence for medicines use was found among those with a low socioeconomic position and those who reside in the North region of Brazil. The prevalence of medicine use to treat chronic diseases was 24.3% (95%CI 23.3–25.4), whereas it was 33.7% (95%CI 32.1–35.4) for treating acute diseases.CONCLUSIONS We found extensive variability in the prevalence of medicines use across regions of Brazil. The poorest regions (North, Northeast, and Midwest) have a lower prevalence of medicines use to treat chronic diseases, indicating the need to minimize inequalities in access to medicines within the country.

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“…The modules addressing health system performance and self-rated health status were based on a World Health Organization (WHO) questionnaire used in the World Health Survey, applied in Brazil in 2003 (http://www.who.int/healthinfo/ survey/en) 19,20 , and the modules addressing quality of life were based on the WHO survey designed for this purpose (available at http:// www.who.int/mental_health/media/en/557.pdf -original version -or http://www.ufrgs.br/psiq/ whoqol_hiv_03.pdf -Portuguese version) 21,22 . The module on self-rated health status is the focus of the current study.…”

Section: Methodsmentioning

confidence: 99%