Caring for the future: decrease in infant mortality in Maranhão State

Abstract

Objective: To report on the experience and care provided by the "Caring for the future" program to decrease infant mortality in 17 municipalities of Maranhão, in a proposal work of the Secretariat of Basic Care, in partnership with the Non-Governmental Organization called Centro Popular de Cultura e Desenvolvimento (Popular Center for Culture and Development/PCCD) from 2009 to 2015. Method: Experience Report of community care that made it possible to create and strengthen solidary relationships among community members. Results: The program decreased infant mortality rate and created in the supported communities a platform of health support, uniting information and care in Primary Care. The program trained 34 "Guardian Angels" and 170 "Supportive Caregivers", mapped seven thousand "luminous spots" and trained more than 7,000 caregivers in health. It served 17 municipalities, 27,191 pregnant women, 291,266 families. Final considerations: The program was a catalyst for actions: it unveiled hidden resources in the community, awakened collective responsibility, offered training and built solidary relationships.

Análise do PMAQ-AB na saúde da mulher e criança no Brasil

“…Com isso, a incorporação desse instrumento pode beneficiar na melhoria dos indicadores de saúde da criança, há exemplo disso, destaca-se a experiência do Estado do Maranhão, que acionaram diversos dispositivos para reduzirem a mortalidade na infância, dentre eles, incorporaram a reestruturação de protocolos de atenção à saúde da criança em um programa da saúde 24 . A TMI por causas evitáveis reflete essa organização do serviço, e o presente estudo revelou que há relação desse indicador com a não utilização dos protocolos de atenção à saúde da criança menores de dois anos.…”