Hospitalização e taxas de mortalidade por diarreia no Brasil: 2000-2015

Kuiava, Victor Antonio; Perin, Ana Thereza; Chielle, Eduardo Ottobelli

doi:10.15448/1983-652x.2019.2.30022

Cited by 16 publications

(7 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, high values of average morbidity rates due to diarrhea persisted. This trend has also been observed in other studies that evaluated Brazilian municipalities or states through hospitalization information [ 2 , 3 , 37 , 65 – 67 ], which shows that these diseases, especially diarrhea, cannot be disregarded and should continue to be considered in Brazil as a public health problem.…”

Section: Discussionsupporting

confidence: 74%

Combined effects of conditional cash transfer program and environmental health interventions on diarrhea and malnutrition morbidity in children less than five years of age in Brazil, 2006–2016

Souza¹,

Mingoti

Paes-Sousa³

et al. 2021

PLoS ONE

View full text Add to dashboard Cite

Introduction Governmental measures aiming at social protection, with components of disease control, have potential positive impacts in the nutritional and health outcomes of the beneficiaries. The concomitant presence of these measures with environmental sanitation interventions may increase their positive effect. The context of simultaneous improvement of social protection and environmental sanitation is found in Brazil since 2007 and an assessment of the combined effects of both programs has not been performed so far. Objective To evaluate whether interaction effects between improvement of access to water, sanitation and solid waste collection with the Bolsa Família Program [PBF] were related to better responses in the reduction of morbidity due to diarrhea and malnutrition in children less than five years of age, acknowledging the positive results of these improved conditions and the PBF separately in coping with these diseases. Methods Descriptive and inferential analyses were performed through Generalized Linear Models of the Negative Binomial type of fixed effects, with and without addition of zeros. Interaction models were inserted in order to evaluate the outcomes when the two public policies of interest in the current study were present simultaneously in the municipalities. Results Interaction with negative effect when a concomitantly high municipal coverage of the Bolsa Família Program and adequate access to sanitation and solid waste collection were present. In contrast, regardless of municipal coverage by the PBF, the simultaneous presence of water and sanitation (0.028% / 0.019%); water and solid waste collection (0.033% / 0.014%); sanitation and solid waste collection (0.018% / 0.021%), all resulted in a positive effect, with a decrease in the average morbidity rates for both diseases. Conclusion Investments aimed at universalizing water, sanitation and solid waste collection services should be priorities, aiming at reducing the incidence of morbidity due to malnutrition and diarrhea and preventing deaths from these poverty-related diseases.

show abstract

Section: Discussionsupporting

confidence: 74%

Combined effects of conditional cash transfer program and environmental health interventions on diarrhea and malnutrition morbidity in children less than five years of age in Brazil, 2006–2016

Souza¹,

Mingoti

Paes-Sousa³

et al. 2021

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…Improvements in the health conditions of the population can be observed when comparing the results of the current study with others that found average mortality rates due to malnutrition and diarrhea in 2009 [22] and from 2000 to 2015 [53] higher than the results found in the current study. The results of the Binomial Negative regression models suggest a protective effect of the population living in the Northeastern, Southeastern and Southern regions, when compared to the Northern region of the country.…”

Section: Discussioncontrasting

confidence: 58%

Combination of conditional cash transfer program and environmental health interventions reduces child mortality: an ecological study of Brazilian municipalities

et al. 2021

View full text Add to dashboard Cite

Background This study aims to assess the interactive effects of Brazilian public interventions, environmental health programs (access to water, sanitation and solid waste collection) and a Conditional Cash Transfer Program (PBF), on the mortality reduction due to diarrhea and malnutrition among children under 5 years old. Methods The study design is ecological, with longitudinal analysis in a balanced panel. The period covered is 2006 to 2016, including 3467 municipalities from all regions of the country, which resulted in 38,137 observations. The generalized linear models were adjusted considering the Negative Binomial (NB) distribution for the number of deaths due to malnutrition and diarrhea, with fixed effects. NB models with and without zero-inflation were assessed. Subsequent interaction models were applied to assess the combined effects of the two public policies. Results In relation to the decline of mortality rates due to diarrhea in the municipalities, positive effect modification were observed in the presence of: high coverage of the target population by the PBF and access to water, 0.54 (0.28–1.04) / 0.55 (0.29–1.04); high coverage by the total population by the PBF and access to water, 0.97 (0.95–1.00) and high coverage by the total population by the PBF and access to sanitation, 0.98 (0.97–1.00). Decline on diarrhea mortality was also observed in the joint presence of high coverage of solid waste collection and access to water, categories 1 (> 60% ≤85%): 0.98 (0.96–1.00), 0.98 (0.97–1, 00) and 2 (> 85% ≤ 100%): 0.97 (0.95–0.98), 0.97 (0.95–0.99). Negative effect modification were observed for mortality due to malnutrition in the presence of simultaneous high coverage of the total population by the PBF and access to sanitation categories 1 (≥ 20 < 50%): 1.0061 (0.9991–1.0132) and 2 (≥ 50 < 100%): 1.0073 (1.0002–1.0145) and high coverage of the total population by the PBF and solid waste collection, 1.0004 (1.0002–1.0005), resulting in malnutrition mortality rates increase. Conclusion Implementation of environmental health services and the coverage expansion by the PBF may enhance the prevention of early deaths in children under 5 years old due to diarrhea, a poverty related disease.

show abstract

“…It is understood that diarrhea is a public and collective health problem that encompasses several health determinants: cultural, educational, socio-environmental, economic and access to social rights (ESCOBAR et al, 2015;KUIAVA et al, 2019;NASCIMENTO, 2019). In addition, hospital admissions for cholera demand health surveillance, due to virulence, lethality and the relevance of water to the forms of transmission of the pathogen.…”

Section: Fundamental Rights and Social Health Conditionsmentioning

confidence: 99%

Socio-Spatial Inequalities and Environmental and Sociocultural Existential Minimum in the Metropolitan Region of Salvador, Bahia, Brazil: fundamental rights, sanitation challenges and social health conditions

Goncalves¹,

Porziuncula²,

Alencar³

et al. 2022

JHSR

View full text Add to dashboard Cite

The material and symbolic reproduction of life depends on the realization ofguarantee the fundamental rights to drinking water, sanitation, a healthy and ecologically balanced environment, associated with the inviolability of the principles of socio-environmental existential minimum and human dignity and the aim was to investigate the relationship between socio-spatial inequalities in access to sanitation and health threats in the Metropolitan Region of Salvador (RMS), Bahia, Brazil. An interdisciplinary approach was adopted, covering the use of water quality indicators, sanitation indicators, social health conditions and the adoption of space as a category of social analysis. It was revealed that the child population (< 5 years old) of the groups that declared themselves to be brown or black, regardless of sex, have the greatest social demand for hospitalizations for diarrhea and public policies for access to sanitation, a healthy environment and ecologically balanced and health, especially in the municipalities of Itaparica and Vera Cruz. The infant mortality rates (IMR) and the infant mortality rate (IMR) in the RMS were similar to what was observed in Latin America and the Caribbean, but differed from the IMR and IMR in the South and Southeast regions of Brazil, in South America. North, Western Europe and Australia and New Zealand. There is a demand for environmental management and public policies that focus on improving education and sanitation, reducing the number of hospitalizations for diarrhea and preventable deaths of children in the RMS.

show abstract

Hospitalização e taxas de mortalidade por diarreia no Brasil: 2000-2015

Cited by 16 publications

References 24 publications

Combined effects of conditional cash transfer program and environmental health interventions on diarrhea and malnutrition morbidity in children less than five years of age in Brazil, 2006–2016

Combined effects of conditional cash transfer program and environmental health interventions on diarrhea and malnutrition morbidity in children less than five years of age in Brazil, 2006–2016

Combination of conditional cash transfer program and environmental health interventions reduces child mortality: an ecological study of Brazilian municipalities

Socio-Spatial Inequalities and Environmental and Sociocultural Existential Minimum in the Metropolitan Region of Salvador, Bahia, Brazil: fundamental rights, sanitation challenges and social health conditions

Contact Info

Product

Resources

About