ArticleBMJ open2022
Impact of expansion of primary care in child health: a population-based panel study in municipalities in the Brazilian Amazon.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 10 citations in OpenAlex.
- The Double Burden of Malnutrition in the Brazilian Legal Amazon: Spatial Distributions and Temporal Trends (2013-2023).Nutrients · 2025Article
- How to Strengthen Primary Care? The Integration of Clinical Practice and Community Health Care.Korean journal of family medicine · 2024Article
- Spatiotemporal analysis of diarrhea-related hospitalizations of children in Brazil's Midwest region from 2011 to 2020.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2024Article
- Quality of home visits by community health workers in primary care and associated factors.Revista latino-americana de enfermagem · 2024Article
- Identifying high occurrence areas of hospitalization and mortality from respiratory diseases in the Brazilian Legal Amazon: a space-time analysis.Cadernos de saude publica · 2024Article
- Temporal and spatial distribution trends of polio vaccine coverage in less than one-year old children in Brazil, 2011-2021.BMC public health · 2023Article
- Clusters of risk for the occurrence of leprosy and disabilities in children under 15 years of age in Cuiabá: a geospatial study.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2023Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesConsidering the expansion of primary care in areas of difficult access in the Brazilian territory in recent decades, the aim of this study to evaluate the effect of the Family Health Strategy (FHS) expansion on hospitalisations due to ambulatory care-sensitive conditions (ACSCs) and mortality in children under 5 years of age in the state of Pará, Brazilian Amazon.
methodsA longitudinal analysis from 2008 to 2017 was conducted for data collected from the SUS's database (DATASUS) using panel regression methods to determine the association between the expansion FHS coverage, ACSC rate, under 5 mortality rate and child mortality rate in municipalities of the state of Pará.
resultsThere was an expansion of 40% of the population coverage of the FHS, in the same period there were 347 468.55 hospitalisations due to ASCSs of children under 5 years of age in the public health network in the state of Pará, which represented a reduction of almost 28% (p value <0001), and significant reduction of almost 57.67% in government hospital expenditures with hospitalisations between 2008 and 2017. In this period, there was also a significant decrease in the mortality rate in children under 5 years of age.
conclusionsOur findings reinforce the importance of the public health protection for the child population and the positive impacts of FHS in the state of Pará, in the Brazilian Amazon. The government actions aimed at reducing regional health disparities and the effort to strengthen primary care can improve health indicators of children and be an important strategy to developing countries.
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