Análise espacial da mortalidade neonatal no estado de São Paulo, 2006–20101

Abstract

OBJECTIVE: The aim of this study was to identify spatial patterns of distribution of overall, early, and late neonatal mortality rates in São Paulo state. METHODS: An ecological and exploratory study was carried in micro-regions of São Paulo sate. Mortality rates per 1,000 live births (LB) were calculated using data on overall, early, and late neonatal mortality in São Paulo between 2006 and 2010; these data were obtained from Information System and Information Technology Department of the Brazilian National Healthcare System (DATASUS). The global Moran's indices (I) were calculated for rates and thematic maps were built with these rates. Micro-regions with a high priority for intervention were identified by the box map. The software TerraView 4.2.1 was used for spatial analysis. RESULTS: The rates of early and late neonatal mortality were 6.2 per thousand LB and 2.5 per thousand LB, respectively. The global Moran's indexes (I) were I=0.13, I=0.15, and I=0.26 for overall, early, and late neonatal mortality rates, respectively; all global Moran's indices showed p-values <0.05. Thematic maps showed clusters of micro-regions with high rates located in the southwest and east of the state. CONCLUSION: The results presented in this study allow the implementation of policies by health managers, aiming to reduce neonatal mortality.

Indidence of tuberculosis in children in the state of São Paulo, Brazil, under spatial approach

“…Comparing the two periods there was a decrease in the incidence rates of TB in children from the first to the second figure 3B. Kernel Maps of incidence of tuberculosis in children 0-14 years old in the period 2006, São Paulo State, 2001 period (3.23 for 2.13 cases/100 000 inhabitants), possibly due to the implementation of the current NTCP and strengthening the primary care through access to diagnosis and treatment, which may have contributed to the decline in incidence rates of TB in the state of São Paulo 9 .…”

Epidemiologia da mortalidade neonatal no Ceará no período de 2005-2015

“…Neste estudo, encontrou-se que a grande proporção de óbitos ocorreu no período neonatal precoce, com resultados compatíveis com os de um estudo ecológico realizado em microrregiões do estado de São Paulo (14) . Constata-se que muito precisa ser desenvolvido na melhoria da qualidade da atenção dispensada pela atenção primária, uma vez que a mortalidade neonatal precoce está associada à deficiência na assistência ofertada às gestantes e na atenção aos recém-nascidos (4) .…”

Óbitos neonatais em região de alta vulnerabilidade do Município de Santos, São Paulo, Brasil: examinando questões assistenciais na perspectiva das mulheres

“…Numa análise espacial da mortalidade neonatal no Estado de São Paulo verificou-se um valor de 8,7 por mil nascidos vivos, entre os anos de 2006 a 2010. A microrregião de Santos alcançou o valor de 11,51 por mil nascidos vivos, com alta prioridade de atenção e intervenção 11 .…”