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Infant mortality surveillance in Recife, Pernambuco, Brazil: operationalization, strengths and limitations* * This experience report was originated from the thesis entitled ‘Avaliação da vigilância do óbito infantil na cidade do Recife-PE’, defended by Conceição Maria de Oliveira to the Post-graduation Program in Public Health, at the Research Center Aggeu Magalhães/ Oswaldo Cruz Foundation (Fiocruz), in August 2016. The research was funded by the National Council for Scientific and Technological Development (CNPq)/ Ministry of Science, Technology and Innovation (MCTI) - Process No. 480718/2012-1 - and by the Foundation for Science and Technology Support from Pernambuco (FACEPE) - Process No. 2133-4.0012.

Abstract

OBJECTIVE:

to report the experience on infant mortality surveillance (IMS) in the municipality of Recife-PE, Brazil.

METHODS:

a documentary research and a query with key-informants who participated in the implementation and consolidation of the IMS were conducted; data of the Mortality Information System (SIM) and of the surveillance worksheets were used to measure the coverage of the investigated deaths.

RESULTS:

the implementation of the IMS has occurred gradually since 2003; the strategy is composed by (i) identification of deaths, (ii) investigation, (iii) discussion, (iv) recommendations and correction of vital statistics; upon completion of implementation (2006), 98.5% (256) of the deaths had been investigated and discussed, with the participation of those involved in the cases; in 2015, this coverage corresponded to 97.7%.

CONCLUSION:

the main recommendations consisted of expanding the access, coverage and improvement of primary, secondary and tertiary care quality; IMS is able to support changes in health care practices, as well as planning and organization of maternal and child care.

Keywords:
Infant Mortality; Epidemiological Surveillance; Information Systems

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