Titre :
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Evaluation of the impact of the Family Health Program on infant mortality in Brazil, 1990-2002. (2006)
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Auteurs :
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MACINKO (James) : USA. Department of Nutrition. Food Studies. And Public Health. New York University. ;
DE FATIMA MARINHO DE SOUZA (Maria) : BRA. Faculty of Medicine. University of Sao Paulo. ;
GUANAIS (Frederico-C) : USA. Robert F Wagner Graduate School of Public Service. New York University.
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Type de document :
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Article
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Dans :
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Journal of epidemiology and community health (vol. 60, n° 1, Janvier 2006)
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Pagination :
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13-19
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Langues:
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Anglais
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Mots-clés :
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Evaluation
;
Famille
;
Programme santé
;
Nourrisson
;
Homme
;
Mortalité
;
Epidémiologie
;
Brésil
;
Amérique
;
Amérique du Sud
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Résumé :
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[BDSP. Notice produite par INIST-CNRS V9e8rR0x. Diffusion soumise à autorisation]. Objective : To use publicly available secondary data to assess the impact of Brazil's Family Health Program on state level infant mortality rates (IMR) during the 1990s. Design : Longitudinal ecological analysis using panel data from secondary sources. Analyses controlled for state level measures of access to clean water and sanitation, average income, women's literacy and fertility, physicians and nurses per 10 000 population, and hospital beds per 1000 population. Additional analyses controlled for immunisation coverage and tested interactions between Family Health Program and proportionate mortality from diarrhoea and acute respiratory infections. Setting : 13 years (1990-2002) of data from 27 Brazilian states. Main results : From 1990 to 2002 IMR declined from 49.7 to 28.9 per 1000 live births. During the same period average Family Health Program coverage increased from 0% to 36%. A 10% increase in Family Health Program coverage was associated with a 4.5% decrease in IMR, controlling for all other health determinants (p
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