An exploratory study of the costs and consequences of prenatal care in the Family Health Program.

Abstract:

OBJECTIVE:To assess costs and consequences of prenatal care on perinatal morbidity and mortality. METHODS:Evaluation study using two types of analysis: implementation and efficiency analysis, carried out at 11 Family Health Units in the Recife, Northeastern Brazil, in 2006. The costs were calculated by means of the activity-based costing technique and the cost-effectiveness ratio was calculated for each consequence. Data sources were information systems of the Ministry of Health and worksheets of costs provided by the Health Department of Recife and Instituto de Medicina Integral Prof. Fernando Figueira. Healthcare units with implemented or partially implemented prenatal care were compared in terms of their cost-effectiveness and perinatal results. RESULTS:In 64% of the units, prenatal care was implemented with a mean total cost of R$ 39,226.88 and variation of R$ 3,841,87 to R$ 8,765.02 per healthcare unit. In the units with partially implemented prenatal care (36%), the mean total cost was R$ 30,092.61 (R$ 4,272.12 to R$ 11,774.68). The mean cost per pregnant woman was R$ 196.13 with implemented prenatal care and R$ 150.46 with partially implemented prenatal care. A higher proportion of low birth weight, congenital syphilis, perinatal and fetal deaths was found in the partially implemented group. CONCLUSIONS:Prenatal care is cost-effective for several studied consequences. The adverse effects measured by the health indicators were lower in the units with implemented prenatal care. The mean cost in the partially implemented group was higher, which suggests a possible waste of resources, as the teams' productivity is insufficient for the installed capacity.

journal_name

Rev Saude Publica

journal_title

Revista de saude publica

authors

Vidal SA,Samico IC,Frias PG,Hartz ZM

doi

10.1590/s0034-89102011005000014

subject

Has Abstract

pub_date

2011-06-01 00:00:00

pages

467-74

issue

3

eissn

0034-8910

issn

1518-8787

pii

S0034-89102011005000014

journal_volume

45

pub_type

杂志文章
  • Exposure to psychosocial risk factors in the context of work: a systematic review.

    abstract:OBJECTIVE:To analyze the scientific literature about the effects of exposure to psychosocial risk factors in work contexts. METHODS:A systematic review was performed using the terms "psychosocial factors" AND "COPSOQ" in the databases PubMed, Medline, and Scopus. The period analyzed was from January 1, 2004 to June 30...

    journal_title:Revista de saude publica

    pub_type: 杂志文章,评审

    doi:10.1590/S1518-8787.2016050006129

    authors: Fernandes C,Pereira A

    更新日期:2016-01-01 00:00:00

  • [Measles outbreak in the metropolitan region of Campinas, Sao Paulo State, Brazil].

    abstract::Brazil has not had endemic circulation of the measles virus since 2000. Between May and June 2011, the Metropolitan Region of Campinas, State of Sao Paulo, Southeastern Brazil, reported three cases of measles. This report presents a descriptive study of the cases, control measures, and the search for a possible source...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-8910.2013047004788

    authors: Fernandes EG,Oliveira ME,Fred J,Carelli LA,Lima GD,Sato HK,Yu AL

    更新日期:2013-12-01 00:00:00

  • Dentistry and HIV/AIDS related stigma.

    abstract:OBJECTIVE:To analyze HIV/AIDS positive individual's perception and attitudes regarding dental services. METHODS:One hundred and thirty-four subjects (30.0% of women and 70.0% of men) from Nuevo León, Mexico, took part in the study (2014). They filled out structured, analytical, self-administered, anonymous questionnai...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/S0034-8910.2015049005877

    authors: Elizondo JE,Treviño AC,Violant D

    更新日期:2015-01-01 00:00:00

  • [Ethical dimension of mental health care within the public health network].

    abstract:OBJECTIVE:To analyze the meanings of caring for people who seek assistance in mental health, from the perspective of psychologists engaged in their daily activities within public health services. METHODOLOGICAL PROCEDURES:An exploratory qualitative study was conducted in the city of Fortaleza, Northeastern Brazil, in ...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102008005000033

    authors: Carvalho LB,Bosi ML,Freire JC

    更新日期:2008-08-01 00:00:00

  • [Health promotion and the epistemological sensitivity of 'community' as a category].

    abstract::A discussion on the scope of "community" as a category in health promotion by means of its "epistemological sensitivity"--a reasoning tool based upon the epidemiological concept of "sensitivity", adjusted to the epistemological field--was carried out. A brief review of promotional health topics and a short description...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102004000500001

    authors: Castiel LD

    更新日期:2004-10-01 00:00:00

  • [Prenatal care, low birth weight and prematurity in São Paulo State, Brazil, 2000].

    abstract:OBJECTIVE:The historical evolution of infant mortality rate and neonatal mortality according to birth weight and term of delivery in the state of S o Paulo are presented to assess the role of the number of prenatal visits and others factors for determining mortality. METHODS:Based on data available from the Seade Inst...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102003000300007

    authors: Kilsztajn S,Rossbach A,do Carmo MS,Sugahara GT

    更新日期:2003-06-01 00:00:00

  • Factors associated with chronic back pain in adults in Brazil.

    abstract:OBJECTIVE:To identify associations of chronic back pain with sociodemographic characteristics, lifestyles, body mass index, self-reported chronic diseases and health assessment, according to sex. METHODS:We analyzed data from the 2013 National Health Survey, estimated the prevalence and their respective 95% confidence...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/S1518-8787.2017051000052

    authors: Malta DC,Oliveira MM,Andrade SSCA,Caiaffa WT,Souza MFM,Bernal RTI

    更新日期:2017-06-01 00:00:00

  • [Homicide progression per geographical area in the State of Pernambuco, Brazil, 1980-1998].

    abstract:OBJECTIVE:To analyze the magnitude and growth of homicides among male population according to the geopolitical areas. METHODS:An ecological study including a time series analysis was carried out among 15 to 49 year-old males living in the state of Pernambuco, Brazil. Mortality data was collected from the Ministry of H...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102002000400012

    authors: de Lima ML,de Souza ER,Ximenes R,de Albuquerque Mde F,Bitoun J,Barros MD

    更新日期:2002-08-01 00:00:00

  • [Financing the public health services. 1967].

    abstract::Federal statistic figures show that the Brazilian States altogether have, in their respective territories, a collection of taxes which is higher than the Union one. The highest collection of the Central Government which is shown at the official statistics is due to the excess of collection of the federal taxes over th...

    journal_title:Revista de saude publica

    pub_type: 传,古典文章,历史文章,杂志文章

    doi:10.1590/s0034-89102006000500001

    authors: Mascarenhas Rdos S

    更新日期:2006-08-01 00:00:00

  • [Individual and contextual determinants of dental caries in Brazilian 12-year-olds in 2010].

    abstract:OBJECTIVE:To estimate the prevalence and severity of dental caries in Brazilian children and the association with individual and contextual factors. METHODS:Data were taken from the Brazilian Oral Health Survey (SBBrasil 2010) a sample of 7,247 12-year-olds. The data were collected using clinical examinations and inte...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-8910.2013047004322

    authors: Freire Mdo C,Reis SC,Figueiredo N,Peres KG,Moreira Rda S,Antunes JL

    更新日期:2013-12-01 00:00:00

  • Susceptibility of Aedes aegypti larvae to temephos and Bacillus thuringiensis var israelensis in integrated control.

    abstract::The susceptibility of field collected Aedes aegypti larvae was evaluated in terms of median lethal time (LT50) and final mortality, when treated with temephos, Bacillus thuringiensis var israelensis as well as mixtures of these two agents. Third instar larvae were shown to be more susceptible than early and late fourt...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89101991000300004

    authors: de Andrande CF,Modolo M

    更新日期:1991-06-01 00:00:00

  • [Publications committee of a multicenter study and computerized support system--publiELSA].

    abstract::The publications committee of a multicenter study has the aim of organizing the proposals for articles, so as to ensure wide-ranging access to the data, quality and precedence. An online information and management system for study proposals (publiELSA) was developed, composed of three modules: (i) submission and appro...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-8910.2013047003810

    authors: Carvalho MS,Barreto ML,Coeli CM,Raposo RM,Mota EL,Duncan BB

    更新日期:2013-06-01 00:00:00

  • ERICA: patterns of alcohol consumption in Brazilian adolescents.

    abstract::OBJECTIVE To describe the patterns of alcohol consumption in Brazilian adolescents. METHODS We investigated adolescents who participated in the Study of Cardiovascular Risks in Adolescents (ERICA). This is a cross-sectional, national and school-based study, which surveyed adolescents of 1,247 schools from 124 Brazilia...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/S01518-8787.2016050006684

    authors: Coutinho ES,França-Santos D,Magliano Eda S,Bloch KV,Barufaldi LA,Cunha Cde F,de Vasconcellos MT,Szklo M

    更新日期:2016-02-01 00:00:00

  • Lack of association between iron status at birth and growth of preterm infants.

    abstract:OBJECTIVE:To assess the association between iron status at birth and growth of preterm infants. METHODS:Ninety-five premature babies (26 to 36 weeks of gestational age) born from July 2000 to May 2001 in a public hospital in Rio de Janeiro, Southeastern Brazil, were followed up for six months, corrected by gestational...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102006000500013

    authors: Sichieri R,Fonseca VM,Hoffman D,Trugo NM,Moura AS

    更新日期:2006-08-01 00:00:00

  • [Men's health policy].

    abstract::The paper discusses the articulation among epidemiological information systems, scientific production and men's health policies. Three secondary sources were used: data from the Ministry of Health (Mortality and Hospital Information Systems, Surveillance of Protection and Risk Factors for Chronic Diseases through Tele...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102012005000061

    authors: Schwarz E,Gomes R,Couto MT,Moura EC,Carvalho Sde A,Silva SF

    更新日期:2012-12-01 00:00:00

  • [Workers' health in Brazil: graduate research].

    abstract:OBJECTIVE:To study trends of dissertation and thesis production in workers' health in Brazil. METHODS:Observation units were dissertations and theses developed by Brazilian researchers in national and foreign graduate programs. Theses and dissertations were identified in previously compiled works, LILACS and Capes dat...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102006000400015

    authors: Santana VS

    更新日期:2006-08-01 00:00:00

  • Patterns of induced abortion in urban area of southeastern region, Brazil.

    abstract:OBJECTIVE:To assess the behavior of induced abortion as a function of certain demographic variables, for the population of fertile women (15 to 49 years old) residing in the Vila Madalena subdistrict S. Paulo (Brazil). MATERIAL AND METHOD:Two population samples were selected. One sample, with 996 women, investigated t...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89101998000100002

    authors: de Souza e Silva R

    更新日期:1998-02-01 00:00:00

  • Effect of the Family Health Strategy on surveillance of infant mortality.

    abstract:OBJECTIVE:To evaluate the effect of the Family Health Strategy on infant mortality surveillance. METHODS:An ecologic study was performed with a multiple group design, and the unit of analysis was municipalities in Bahia state (Northeastern Brazil) in 2008. The 3,947 deaths analyzed were obtained from the Mortality Inf...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102011005000081

    authors: Santana M,Aquino R,Medina MG

    更新日期:2012-02-01 00:00:00

  • [Ethnography of individuals in psychological distress].

    abstract:OBJECTIVE:To asses how people with mental disorders experience their special needs and interact with the community in public urban places. METHODOLOGY:The research was performed in the city of Passo Fundo, Rio Grande do Sul, Brazil, using ethnography as the theoretical methodological approach. As of the study of one s...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102008000100007

    authors: Dalmolin BM,Vasconcellos Mda P

    更新日期:2008-02-01 00:00:00

  • [Capture of culicids in urban areas: evaluation of the resting box method].

    abstract:OBJECTIVE:To evaluate the occurrence of adult culicid populations in urban areas and measure the sensitivity of the resting box collection method. METHODS:Mosquito were collected in 1999 and 2000, in two cities in the State of São Paulo, Brazil: Ocauçu and Uchoa. In each city, 15 blocks were drawn by lots and then one...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102007000300008

    authors: Barata EA,Chiaravalloti Neto F,Dibo MR,Macoris Mde L,Barbosa AA,Natal D,Barata JM,Andriguetti MT

    更新日期:2007-06-01 00:00:00

  • Prevalence of chronic obstructive pulmonary disease and risk factors in São Paulo, Brazil, 2008-2009.

    abstract:OBJECTIVE:To assess the prevalence of chronic obstructive pulmonary disease and related risk factors. METHODS:A population-based cross-sectional study with 1,441 individuals of both sexes aged 40 years or more was conducted in the city of São Paulo, Brazil, between 2008 and 2009. A two-stage (census tract, household) ...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102011005000051

    authors: Sousa CA,César CL,Barros MB,Carandina L,Goldbaum M,Pereira JC

    更新日期:2011-10-01 00:00:00

  • HIV prevalence in pregnant women and vertical transmission in according to socioeconomic status, Southeastern Brazil.

    abstract:OBJECTIVE:To describe HIV prevalence in pregnant women and the rate of vertical transmission according to socioeconomic status of residential neighborhoods. METHODS:Ecological exploratory study, which used the Information System of Notifiable Diseases database on HIV-positive pregnant women and AIDS in children, repor...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102011005000041

    authors: Vieira AC,Miranda AE,Vargas PR,Maciel EL

    更新日期:2011-08-01 00:00:00

  • Factors associated to smoking habit among older adults (The Bambuí Health and Aging Study).

    abstract:OBJECTIVE:To describe the characteristics and associated factors of the smoking habit among older adults. METHODS:A population-based study was carried out comprising 1,606 (92.2%) older adults (> or =60 years old) living in the Bambuí town, Southeastern Brazil in 1997. Data was obtained by means of interview and socio...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102005000500008

    authors: Peixoto SV,Firmo JO,Lima-Costa MF

    更新日期:2005-10-01 00:00:00

  • Patient and public involvement in health technology decision-making processes in Brazil.

    abstract:OBJECTIVE:The study aims to characterize and discuss the processes of patient and public involvement (PPI) in the Brazilian Health Regulatory Agency (Anvisa), the National Committee for Health Technology Incorporation (Conitec), and the National Agency for Supplementary Health (ANS) in Brazil. METHODS:This is an explo...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.11606/s1518-8787.2020054002453

    authors: Lopes ACF,Novaes HMD,Soárez PC

    更新日期:2020-12-11 00:00:00

  • Effects of macroeconomic conditions on health in Brazil.

    abstract:OBJECTIVE:To analyze the relationship between macroeconomic conditions and health in Brazil. METHODS:The analysis of the impact of employment and income on mortality in Brazil was based on panel data from Brazilian states between 1981 and 2002. Mortality rates obtained from the national mortality database was used as ...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102010000200011

    authors: Jacinto Pde A,Tejada CA,Sousa TR

    更新日期:2010-04-01 00:00:00

  • [Evaluation of simplified DMFT indices in epidemiological surveys of dental caries].

    abstract:OBJECTIVE:To analyze whether two simplified indices, "DMF in 6 Teeth"(DMF6T) and "DMF in two quadrants" (DMF2Q), could be indicated for epidemiological surveys of oral health according to dental caries distribution. METHODS:The sample came from epidemiological data in 29 municipalities. A total of 2,378 examinations w...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102005000200021

    authors: Cypriano S,de Sousa Mda L,Wada RS

    更新日期:2005-04-01 00:00:00

  • [Use of vitamin supplements among university students in São Paulo, Brazil].

    abstract::With the purpose of determining the prevalence of vitamin consumption, a survey was conducted in a sample of 894 private university freshmen in São Paulo. It revealed that 30.4% of the students consumed vitamin supplements within the preceding 3 months -23.1% on a regular basis and 6.0% sporadically. Vitamin C and mul...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102002000200021

    authors: Santos KM,Barros Filho Ade A

    更新日期:2002-04-01 00:00:00

  • International Classification of Functioning in professional rehabilitation: instruments for assessing work disability.

    abstract::OBJECTIVE To review the main instruments of functional assessment and health status cited in the literature to evaluate Brazilian workers and verify the compatibility of their items with the core set for professional rehabilitation. METHODS A review of the literature was conducted in the main databases in search of ar...

    journal_title:Revista de saude publica

    pub_type: 杂志文章,评审

    doi:10.11606/s1518-8787.2020054001463

    authors: Luna JS,Monteiro GTR,Koifman RJ,Bergmann A

    更新日期:2020-01-01 00:00:00

  • [Evaluation of epidemiologic surveillance practice in the public health service in Brazil].

    abstract::The results of a process evaluation of the epidemiological surveillance activities in 948 health units, situated in 98 of the most populated cities of each State in the country are presented. The survey was conducted towards the end of 1985. The following aspects were analyzed: information system, data analysis, epide...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89101992000200002

    authors: Carvalho MS,Marzocchi KB

    更新日期:1992-04-01 00:00:00

  • [Determinants of weight and linear growth deficits in children under two years of age].

    abstract:OBJECTIVE:To identify determinants of protein-energy malnutrition resulting in weight and linear growth deficits in children. METHODS:A cross-sectional study was carried out among 1,041 children (under two years of age) from 10 municipalities in Bahia, Northeastern Brazil, during 1999-2000. Both logistic regression an...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102006000600018

    authors: Oliveira VA,Assis AM,Pinheiro SM,Barreto ML

    更新日期:2006-10-01 00:00:00