Analysis of the implementation of the Kangaroo Method in a tertiary maternity hospital in Recife, Brazil.

Objective: To analyze the implementation of the Kangaroo Method in a tertiary maternity hospital in the city of Recife.

Method: Evaluative research analyzing the implementation of the 2nd and 3rd stages of the Kangaroo Method. Conducted between November 2021 and May 2022.

Maternal mortality: protocol of a study integrated to the Birth in Brazil II survey.

The Maternal Mortality Study conducts a hospital investigation of maternal deaths that occurred in 2020/2021 in the maternity hospitals sampled by the Birth in Brazil II survey, with the following objectives: estimate the maternal mortality underreporting; calculate a correction factor and the corrected (MMR); validate the causes of maternal mortality reported in the death certificate (DC); and analyze the factors associated with maternal mortality. The Birth in Brazil II includes approximately 24,250 puerperal women distributed in 465 public, private, and mixed hospitals with ≥ 100 live births/year in the five macroregions of Brazil. The Maternal Mortality Study data will be completed using the same Birth in Brazil II questionnaire, from the consultation of hospital records.

[Evaluation of the effectiveness of the intervention to improve the Brazilian Mortality Information System in Pernambuco, Brazil: a quasi-experimental study].

This study evaluated the influence of the variation in the implementation of the Brazilian Mortality Information System (SIM) on the results, before and after the intervention to improve the system in Pernambuco, Brazil. The SIM logical model and matrix of indicators and assessment were described, primary data were collected from the 184 municipalities and secondary data were collected from the system database. The degree of implementation (DI) was obtained from the indicators of structure and process, and then related to result indicators, based on the model.

Temporal analysis of mortality from preventable causes in the first 24 hours of life, 2000-2021.

Objective: to analyze the temporal pattern and estimate mortality rates in the first 24 hours of life and from preventable causes in the state of Pernambuco from 2000 to 2021.

Method: an ecological study, using the quarter as the unit of analysis. The data source was made up of the Mortality Information System and the Live Birth Information System.

Measles epidemiological surveillance system before and during the COVID-19 pandemic in Pernambuco, Brazil, 2018-2022: a descriptive evaluation.

Objective: To evaluate the measles epidemiological surveillance system, before and during the COVID-19 pandemic in Pernambuco, Brazil.

Methods: This was a descriptive evaluation of the quality (duplicity; completeness; consistency), timeliness and usefulness attributed, classified as excellent ≥ 90.0%, regular ≥ 70.

Avoidable deaths in the first 24 hours of life: health care reflexes.

Objectives: to analyze the risks of deaths in the first 24 hours of life and their preventable causes.

Methods: cross-sectional study carried out in Pernambuco, Northeast of Brazil, between 2000-2019, with mortality and live birth data. The avoidability was analyzed through the Brazilian List of Avoidable Causes of Deaths due to Interventions of the Unified Health System.

Population Prevalence of Trachoma in Nine Rural Non-Indigenous Evaluation Units of Brazil.

Purpose: To assess the contemporary prevalence of trachoma in Brazil's non-indigenous population, surveys of those thought to be at greatest risk of disease were conducted.

Methods: Rural census tracts of non-indigenous population from nine mesoregions were selected to compose the survey evaluation units (EUs) by considering previously endemic municipalities at greatest risk of trachoma. In each of the nine EUs, we conducted a population-based prevalence survey.

[Evaluation of implementation of the response to the public health emergency of microcephaly in Pernambuco State, Brazil].

This study aimed to assess the degree of implementation of the response to the emergency of microcephaly associated with Zika virus in Pernambuco State, Brazil. This was a normative evaluative study conducted in the initial epicenter of the public health emergency of international concern, from October 2015 to July 2017. A logical model was produced for the intervention under analysis, with the components of Management, Surveillance, and Care in the dimensions of structure, process, and result, based on technical publications and institutional guidelines, in addition to a corresponding log frame of indicators for assessment.

The thinking and acting of health professionals on the coordination between the assistance levels of the health care network.

The study aims to understand the thinking and acting of health professionals about the coordination between levels of care. Qualitative research from an international multicenter study Equity-LA II. Audios were retrieved from eleven interviews of doctors/nurses of two levels of care in Recife, 2014.

[Neonatal near miss in referral hospitals for high-risk pregnancy and childbirth: a cross-sectional study].

The article aimed to describe and compare indicators of neonatal near miss in referral hospitals for high-risk pregnancy and childbirth. This exploratory study was performed in two general hospitals in Recife, Pernambuco, Brazil. The study included cases of neonatal near miss in the year 2016 with gestational age < 33 weeks, birthweight < 1,750g, 5-minute Apgar < 7, or admission to the neonatal intensive care unit (ICU) and that remained alive at 7 days of life.

Spatial patterns of avoidable fetal mortality and social deprivation.

Objective: To develop a social need index for stratification of municipalities and identification of priority areas for reducing fetal mortality.

Methods: ecological study, carried out in the state of Pernambuco, between 2010 and 2017. The technique of factor analysis by main components was used for the elaboration of the social need index.

[Communicational relations between healthcare professionals and their influence on coordination of care].

The study aims to understand the influence of communicational relations among healthcare professionals in the coordination of care between levels. This is a qualitative study with data from the international multicenter study Equity-LA II, with dialectic hermeneutics as the theoretical reference. The authors listened to the audios from 15 interviews with professionals (7 physicians from primary care and 5 from specialized care, and 3 institutional supporters from primary care) in a municipal network in the Agreste region of the state of Pernambuco, Brazil, in 2016.

EARLY NEONATAL NEAR MISS IN A UNIVERSITY HOSPITAL: COMPARATIVE CROSS-SECTIONAL STUDY.

Objective: To compare 2012 and 2016 data on early neonatal near miss indicators from Health Information Systems at a university hospital.

Methods: This is a cross-sectional study conducted in 2012 and 2016. We considered early neonatal near misses the live births that presented one of the following risk conditions at birth: gestational age <33 weeks, birth weight <1,750g or 5-minute Apgar score <7, or Neonatal Intensive Care Unit (NICU) admission, and were alive until the 7th day of life.

Sociodemographic and health care profile of maternal death in Recife, PE, Brazil, 2006-2017: a descriptive study.

Objective: to describe the sociodemographic and health care characteristics of women dying due to maternal causes in Recife, Pernambuco, Brazil.

Methods: this was a descriptive study using the Mortality Information System, case investigation sheets and summary sheets of early and late maternal deaths occurring between 2006 and 2017, with avoidability assessed by the Municipal Maternal Mortality Committee.

Results: we identified 171 deaths, of which 133 were in the puerperium; most deaths occurred among Black women (68.

[Evaluation of data from the Brazilian Information System on Live Births (SINASC)].

This study is a quantitative and qualitative assessment of data from the Brazilian Information System on Live Births (SINASC) in Brazil. Coverage of the data by municipality was estimated as the ratio between reported and estimated live births. Data quality in the SINASC was assessed via probabilistic linkage with the database from the Birth in Brazil study, 2011-2012, and kappa coefficients of agreement were calculated.

[Evaluation of the performance of regionalization of health surveillance in six Brazilian Health Regions].

This study aimed to assess the performance of health surveillance regionalization with different levels of development in Brazil. A cross-sectional quantitative approach was used with data collected through a structured questionnaire, prepared on the basis of three study dimensions (Policy, Structure, and Organization), applied to 31 key actors in health surveillance in the selected Health Regions and municipalities. The measure of central tendency was mean score, and synthetic indices were obtained for each dimension and attribute.

Evaluation of the implantation of the Mortality Information System in Pernambuco state, Brazil, in 2012.

Objective: to evaluate the implantation of the Mortality Information System (SIM) in Pernambuco, Brazil.

Methods: this was an evaluation study; primary data (questionnaires) and secondary data (SIM) were used for the municipalities to estimate the degree of implantation (DI), comparing structure and process indicators with outcome indicators; data were consolidated by region and state.

Results: SIM was partially implanted in the state (70.

Evaluation of the implantation of the Notifiable Diseases Information System in Pernambuco state, Brazil, 2014.

Objective: to evaluate the implantation of the Notifiable Diseases Information System (SINAN) in Pernambuco, Brasil, 2014.

Methods: This was an evaluation study based on primary data (interviews) and secondary data (SINAN documents/data) provided by the State Health Department and its Regional Divisions in order to estimate the degree of SINAN implantation, comparing structure and process indicators with results achieved.

Results: SINAN was found to be partially implemented at central level (77.

Epidemiological investigation of perinatal deaths in Recife-Pernambuco: a quality assessment.

Objective: to evaluate the completeness of perinatal death investigation sheets, stratified by age components.

Method: descriptive study carried out in Recife, PE, in 2014. Among 308 perinatal deaths, 46 were excluded from this study due to association with congenital malformations, and 7 due to missing investigation sheets.

[Early neonatal near miss identified through health information systems].

The aim of this study was to validate a definition to identify cases of early neonatal near miss using data from health information systems (SIS in Portuguese). This was a concurrent validation study focusing on three definitions for identification of cases of early neonatal near miss among live births in a university hospital in 2012. Three different definitions were applied to this live birth cohort using the criteria birth weight, gestational age, 5-minute Apgar score, admission to the neonatal intensive care unit, mechanical ventilation, and congenital malformations, in different combinations, considering the proposals in two Brazilian articles (Silva et al.

Assessment of the implementation of the Leprosy Control Program in Camaragibe, Pernambuco State, Brazil.

Objective: to assess the implementation of the actions of the Leprosy Control Program in Camaragibe, Pernambuco State, Brazil.

Methods: evaluative research with 'implementation analysis', based on criteria, indicators and parameters guided from the construction of the Logic Model; four components were assessed - management, health care, epidemiological surveillance, health education and communication -; direct observation/questionnaire was used, as well as data from the Information System for Notifiable Diseases.

Results: the implementation of the program was incipient (58.

Capturing deaths not informed to the Ministry of Health: proactive search of deaths in Brazilian municipalities.

Introduction:: The proactive search of deaths is a strategy for capturing events that were not informed to the Mortality Information System of Ministry of Health. Its importance to reduce underreporting of deaths and to evaluate the operation of the information system is widely known.

Objective:: To describe the methodology and main findings of the Proactive Search of Deaths, 2013, establishing the contribution of different information sources.

Risk factors for syphilis in women: case-control study.

Objective: To determine the sociodemographic, behavioral, and health care factors related to the occurrence of syphilis in women treated at public maternity hospitals.

Methods: This is a case-control study (239 cases and 322 controls) with women admitted to seven maternity hospitals in the municipality of Recife, Brazil, from July 2013 to July 2014. Eligible women were recruited after the result of the VDRL (Venereal Disease Research Laboratory) under any titration.

[Use of vital data to estimate mortality indicators in Brazil: from the active search for events to the development of methods].

The article addresses Brazil's historical development in the use of vital data, incorporating procedures for the evaluation of such data and research with active search of births and deaths, resulting in the proposal of methods for calculating birth and mortality indicators through the use of continuous records. In addition to research to capture vital events from the years 2000 and 2008, the article presents procedures for the correction of events reported to the information systems and the paradigm shift in the method for calculating mortality indicators, resulting from such initiatives. The study also features advances in the adequacy of information on deaths and live births in Brazil, changes in the estimates on infant mortality resulting from the proposed methods, and the challenge of estimating the indicator for subnational geographic areas with lower population contingents, mostly consisting of municipalities (counties) with low and irregular data coverage.

[Assessment of Service to verify the cause of death implementation in Pernambuco State, Brazil, 2012: multiple case study].

Objective: to evaluate the implementation of Death Verification Services in Pernambuco State, Brazil, in 2012.

Methods: this was an implementation analysis evaluation study; we constructed a logical framework and judgement matrix were prepared; primary data (direct observation and interviews) and secondary data were used; assessment of the level of Death Verification Services implementation was based on outcome-related structure and process indicators which were compared with the logical framework.

Results: the Recife and Caruaru Death Verification Services were considered to have achieved Advanced Partial Implementation, consistent with the outcome indicators measured, reaching 89.