| Titre : | The effects of the Family Health Program on child health in Ceará state, northeastern Brazil. (2001) |
| Auteurs : | E. MORSCH ; N. CHAVANNES ; G.J. DINANT ; H. SA ; M. VAN DEN AKKER ; Department of General Practice. University of Maastricht. NLD |
| Type de document : | Article |
| Dans : | Archives of public health (vol. 59, n° 3, 2001) |
| Pagination : | 151-165 |
| Langues: | Anglais |
| Mots-clés : | Programme élargi vaccination ; Programme santé ; Brésil ; Amérique ; Promotion santé ; Enfant ; Homme ; Prévention santé ; Evaluation ; Vaccination ; Mortalité ; Allaitement ; Soins ; Vaccin antidiphtérique ; Diphtérie ; Bactériose ; Infection ; Vaccin antitétanique ; Tétanos ; Coqueluche ; Gestation [pathologie] ; Prématurité ; Amérique du Sud |
| Résumé : | [BDSP. Notice produite par INIST-CNRS JR0xvwk1. Diffusion soumise à autorisation]. Background : Based on the targets of the 1985 WHO conference "Health for all", the Family Health Program is being implemented in Ceara State, in the poor northeast of Brazil. Since 1994, increasing numbers of Family Health Teams are developing actions on health promotion, preventive measures and curative care. Aim : This study intended to assess the effects of the Family Health Program on child health in Ceara over a period of five years, in terms of infant mortality rate (IMR), low birthweight, vaccination coverage, prenatal care, exclusive breastfeeding, monthly weighing, and completion of DTP vaccination at the age of one. Method : Group A (n=20) consisted of municipalities participating right from the start in 1994-95, with a coverage of at least 60% of the population, while group B (n=22) consisted of non-participating municipalities which had not started to implement the program by the end of 1998. Group differences were tested using simple linear regression with SPSS 8.0 A comparison of health and preventive health indicators was made, using number of inhabitants as a weighting factor in the regression analysis. Results : Both group A and B showed significant decreases in IMR during the period 1994-1998,54,7% and 51,9% respectively. The proportionate infant mortality showed a relative decline of 49,2% in group A and 45,5% in group B. The differences between group A and B were not significant however. Analysis of the influence of socioeconomic group characteristics on the IMR revealed a moderate significant inverse correlation with garbage collection (B=-0,46, P=0,01). With respect to the causes of IMR, group A showed a significant reduction in the diarrhea related component of IMR. Preventive health indicators in both groups showed similar relative increases in participation in prenatal care and exclusive breastfeeding. (...) |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact