Rede cegonha e seus impactos sobre os nascimentos em uma região do Nordeste brasileiro

Abstract

Alagoas has high infant mortality rates, with an emphasis on deaths that occur in the first 24 hours of life, the early neonatal period. In 2000, for every 1000 children born alive, approximately 59 died before the first year of life. Seven years after the implantation of the Rede Cegonha (RC), this number is 12 for every 1000 live births (NV). Thus, the purpose of this research arises from the need to identify possible advances resulting from maternal and child health actions after the publication of ordinance 1,459 of 2011, which institutes CR. Attention to maternal and child health must be comprehensive and continuous, considering all aspects of the birthing process. Based on this, the model of health care for women and children promoted by CR is composed of four pillars: Prenatal; Childbirth and Birth; Puerperium and Comprehensive Child Health Care; Logistic System: Transport and Regulation. Analyze the impact of the Rede Cegonha Strategy in Alagoas on births in the period from 2011 to 2018. Ecological study, of time series, with secondary data from DATASUS. The data were processed using the Statistical Package for the Social Sciences (SPSS) software. The mortality coefficient between the years 2011 to 2018, the relationship between the total number of deaths from preventable causes, using multiple regression (p <0.05), was used as variables to evaluate the averages with impact of the year 2016 and joinpoint regression method (p <0.05) to observe the trend in the neonatal mortality coefficient. The rates understood showed fluctuations, however the CR increased the improvements in the indicators of morbidity and mortality. In addition, it was observed that most fetal deaths could be avoided through actions to reduce social inequalities, more high-quality prenatal consultations and to improve the quality of obstetric care aimed at women in the pregnancy-puerperal cycle and the newborn. It was evident, through the analysis of the indicators, that there is a need for improvement in maternal and child health care in Alagoas. It is understood that CR has a positive impact on the Infant Mortality Coefficient, but it is still necessary to intensify surveillance in its implementation and fixation process, as well as its respective actions in order to improve the indicators of maternal and child health in Alagoas.