Impact of health research on advances in knowledge, research capacity-building and evidence-informed policies: a case study on maternal mortality and morbidity in Brazil

Angulo-Tuesta, Antonia; Santos, Leonor Maria Pacheco; Natalizi, Daniel Alves

doi:10.1590/1516-3180.2015.01530211

Acessibilidade / Reportar erro

Brasil

Sao Paulo Medical Journal

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

ORIGINAL ARTICLE • Sao Paulo Med. J. 134 (02) • Mar-Apr 2016 • https://doi.org/10.1590/1516-3180.2015.01530211 copy

Impact of health research on advances in knowledge, research capacity-building and evidence-informed policies: a case study on maternal mortality and morbidity in Brazil

Impacto da pesquisa em saúde nos avanços de conhecimento, construção de capacidades de pesquisa e políticas informadas por evidências: um estudo de caso sobre a morbimortalidade materna no Brasil

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT:

CONTEXT AND OBJECTIVE:

National health research systems aim to generate high-quality knowledge so as to maintain and promote the population's health. This study aimed to analyze the impact of maternal mortality/morbidity research funded by the Brazilian Ministry of Health and institutional partners, on the dimensions: advancing in knowledge, research capacity-building and informing decision-making, within the framework of the Canadian Academy of Health Sciences.

DESIGN AND SETTING:

Descriptive study based on secondary data, conducted at a public university.

METHODS:

The advancing in knowledge dimension was estimated from the principal investigators' publication counts and h-index. Data on research capacity-building were obtained from the Ministry of Health's information system. The informing decision-making dimension was analyzed from citations in Stork Network (Rede Cegonha) documents.

RESULTS:

Between 2002 and 2010, R$ 21.6 million were invested in 128 maternal mortality/morbidity projects. Over this period, the principal investigators published 174 articles, resulting in an h-index of 35, thus showing progress in the advancing in knowledge dimension. Within the research capacity-building dimension, training of 71 students (undergraduate/postgraduate) was observed. Progress in the informing decision-making dimension was modest: 73.5% of the 117 citations in the Stork Network documents were institutional documents and norms. One of the projects funded, the 2006/7 National Demography and Health Survey, was cited in program documents.

CONCLUSION:

Impacts were shown in the advancing in knowledge and research capacity-building dimensions. The health research system needs to incorporate research for evidence-informed policies.

KEY WORDS:
Health services research; Maternal mortality; Women's health; Maternal health services; Research policy evaluation

Associação Paulista de Medicina - APM APM / Publicações Científicas, Av. Brigadeiro Luís Antonio, 278 - 7º and., 01318-901 São Paulo SP - Brazil, Tel.: +55 11 3188-4310 / 3188-4311, Fax: +55 11 3188-4255 - São Paulo - SP - Brazil
E-mail: revistas@apm.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Address for correspondence: Antonia Angulo-Tuesta Centro Metropolitano, Conjunto A, Lote 01 Ceilândia Sul - Brasília (DF) - Brasil CEP 72220-900 Tel. (+55 61) 3107- 8422 Cel. (+55 61) 9101-2086 E-mail: antoniaangulo@unb.br

Research approach* and article title	Year	Journal reference	Citations
Population and public health research			Citations
Maternal mortality in Brazilian State Capitals: some characteristics and estimates for and adjustment factor	2004	Rev Bras Epidemiol, 7(4):449-60.³¹31. Laurenti R, Jorge MHPM, Gotlieb SLD. A mortalidade materna nas capitais brasileiras: algumas características e estimativa de um fator de ajuste [Maternal mortality in Brazilian State Capitals: some characteristics and estimates for an adjustment factor]. Rev Bras Epidemiol. 2004;7(4):449-60.	187
Racial, sociodemographic, and prenatal and childbirth care inequalities in Brazil, 1999-2001	2005	Rev Saude Publica, 39(1):100-7.³²32. Leal MC, Gama SGN, Cunha CB. Desigualdades raciais, sociodemográficas e na assistência ao pré-natal e ao parto, 1999-2001 [Racial, sociodemographic, and prenatal and childbirth care inequalities in Brazil, 1999-2001]. Rev Saude Publica. 2005;39(1):100-7.	151
Cesarean sections: who wants them and under what circumstances?	2003	Cad Saude Publica, 19(6):1611-20.³³33. Barbosa GP, Giffin K, Angulo-Tuesta A, et al. Parto cesáreo: quem o deseja? Em quais circunstâncias? [Cesarean sections: who wants them and under what circumstances?] Cad Saude Publica. 2003;19(6):1611-20.	98
Health services research			98
Aspects of women's satisfaction with childbirth care in a maternity hospital in Rio de Janeiro	2004	Cad Saude Publica, 20(Sup 1):S52-S62.³⁴34. Domingues RMSM, Santos EM, Leal MC. Aspectos da satisfação das mulheres com a assistência ao parto: contribuição para o debate [Aspects of women's satisfaction with childbirth care in a maternity hospital in Rio de Janeiro]. Cad Saude Publica. 2004;20(supl.1):S52-S62.	124
Quality of birth care in maternity hospitals of Rio de Janeiro, Brazil	2005	Rev Saude Publica, 39(4):646-54.³⁵35. D'Orsi E, Chor D, Giffin K, et al. Qualidade da atenção ao parto em maternidades do Rio de Janeiro [Quality of birth care in maternity hospitals of Rio de Janeiro, Brazil.] Rev Saude Publica. 2005;39(4):646-54.	102
Adequacy of the two references services for women with high risk pregnancies at maternity hospitals of the Brazilian Public Health System in the city of Recife, in the State of Pernambuco	2007	Rev Bras Saúde Matern Infant, 7(3):309-17.³⁶36. Carvalho VCP, Araújo TVB. Adequação da assistência pré-natal em gestantes atendidas em dois hospitais de referência para gravidez de alto risco do Sistema Unico de Saúde, na cidade de Recife, Estado de Pernambuco [Adequacy of the antenatal care for pregnant women seen at the two references services for women with high risk pregnancies at maternity hospitals of the Brazilian Public Health System in the city of Recife, in the State of Pernambuco]. Rev Bras. Saúde Matern. Infant. 2007;7(3):309-17.	81
Biomedical research			81
The pregnancy-induced increase of plasma angiotensin-(1-7) is blunted in gestational diabetes	2007	Regul Pept, 141(1):55-60.³⁷37. Nogueira AI, Souza Santos RA, Simões E Silva AC, et al. The pregnancy-induced increase of plasma angiotensin-(1-7) is blunted in gestational diabetes. Regul Pept. 2007;141(1-3):55-60.	25
Increased serum phosphodiesterase activity in women with pre-eclampsia	2006	Br J Obstet Gynaecol, 113(5):577-9.³⁸38. Pinheiro da Costa BE, Scocco C, Poli de Figueiredo CE, Guimarães JA. Increased serum phosphodiesterase activity in women with pre-eclampsia. BJOG. 2006;113(5):577-9.	17
Increased circulating thrombomodulin levels in pre-eclampsia	2008	Clin Chim Acta, 387(1-2):168-71.³⁹39. Dusse LM, Carvalho MG, Getliffe K, et al. Increased circulating thrombomodulin levels in pre-eclampsia. Clin Chim Acta. 2008;387(1-2):168-71.	12
Clinical research			12
Do women with pre-eclampsia, and their babies, benefit from magnesium sulphate? The Magpie Trial: a randomized, placebo-controlled trial	2002	Lancet, 359(9321):1877-90.⁴⁰40. Altman D, Carroli G, Duley L, Do women with pre-eclampsia, and their babies, benefit from magnesium sulphate? The Magpie Trial: a randomised placebo-controlled trial. Lancet. 2002;359(9321):1877-90.	475
Comparison of Magnesium Sulfate and Nimodipine for the Prevention of Eclampsia	2003	N Engl J Med, 348(4):304-11.⁴¹41. Belfort MA, Anthony J, Saade GR, Allen JC Jr; Nimodipine Study Group. A comparison of magnesium sulfate and nimodipine for the prevention of eclampsia. N Engl J Med. 2003;348(4):304-11.	233
Beneficial interventions for maternal mortality prevention in the prenatal period	2006	Rev Bras Ginecol Obstet, 28(5):310-5.⁴²42. Calderon IMP, Cecatti JG, Vega CEP. Intervenções benéficas no pré-natal para prevenção da mortalidade materna [Beneficial interventions for maternal mortality prevention in the prenatal period]. Rev Bras Ginecol Obstet. 2006;28(5):310-5.	71