2016
DOI: 10.1590/1806-93042016000300004
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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 regress… Show more

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Cited by 6 publications
(13 citation statements)
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“…The association between greater coverage by the FHS and improvement in health indicators, including infant mortality, has been described in the literature. 3,5,14 In the present study, the increase in FHS coverage was accompanied by a reduction in infant mortality for municipalities together and for most municipalities, except in two, with stable infant mortality. Three municipalities showed a decreasing trend in coverage, two with a decreasing trend and one stable for infant mortality.…”
Section: Discussionsupporting
confidence: 54%
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“…The association between greater coverage by the FHS and improvement in health indicators, including infant mortality, has been described in the literature. 3,5,14 In the present study, the increase in FHS coverage was accompanied by a reduction in infant mortality for municipalities together and for most municipalities, except in two, with stable infant mortality. Three municipalities showed a decreasing trend in coverage, two with a decreasing trend and one stable for infant mortality.…”
Section: Discussionsupporting
confidence: 54%
“…Studies have reported increased FHS coverage over the years. 3,5,9 Municipalities with high FHS coverage have greater use of primary health services, in addition to faster acceleration in health indicators such as the mortality of infants and children under 5 years of age, reduction in hospitalizations for preventable causes by primary care and mortality from cardiovascular and cerebrovascular causes. 14 Literature has shown a decreasing trend in infant mortality in all macro-regions of the state of Paraná between 2000 *χ 2 test was used; ** the following information was ignored: ignored: mother's age (n=0 in live births/92 in deaths), mother's education (n=537 in live births/119 in deaths), type of pregnancy (n=80 in live births/65 in deaths), type of delivery (n=75 in live births/89 in deaths), gender (n=5 in live births/1 in deaths), color/race of birth (n=579 in born alive/56 in deaths), gestational age (n=424 in live births/93 in deaths), and birth weight (n=2 in live births/76 in deaths); 95% CI: 95% confidence interval.…”
Section: Discussionmentioning
confidence: 99%
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“…17,24 Indeed, the increase in local and regional FHS coverage appears to be associated with the reduction in HACSC, even though the classic problems linked to primary health care continue to exist, such as economic, social and political factors, as well as certain problems proper to health services, which are capable of influencing the risk of hospitalization. [25][26][27] Small municipalities with 100% FHS coverage showed high proportions of HACSC recorded in the period studied. It is known that FHS coverage is inversely proportional to population size.…”
Section: Discussionmentioning
confidence: 90%