Kuhnjackson1679

Intimate partner violence (IPV) is a social and public health concern. This article aims to identify factors associated with death in women with IPV notification. This is a case-control study based on the record-linkage of the Mortality Information System (SIM), from 2011 to September/2017, and the Notifiable Diseases Information System (SINAN), 2011 to 2016. The "case" group consisted of women aged 15 to 59 years old with notification of violence on SINAN, whose author was current or former intimate partner and died by any cause registered on SIM. The "control" group consisted of women 15-59 years old, living in the same municipality of the cases and victim of IPV registered on SINAN, but without a death record on SIM. Multiple logistic regression was used to estimate the odds ratio of death. 151,826 Brazilian women were victim of IPV and were notified by SINAN, and 2,538 died. The main cause of death was homicide. The following characteristics conferred a greater chance of death having race/skin-color black or yellow; having disabilities; living in rural area; physical violence, torture and multiple types combined; violence perpetrated by a firearm, a sharp object and multiple means combined.This paper aims to evaluate the performance of PHC from the perspective of users and its association with sociodemographic characteristics, self-reported health conditions, and behavioral risk factors for Chronic Noncommunicable Diseases. This is a population-based cross-sectional study with data from the 2015 VIGITEL Telephone Survey. The Primary Care Assessment Tool short version was adopted. The study population covers adults over 18 years of age who used PHC services in Belo Horizonte in the last 12 months (n = 872). The multiple logistic regression model was performed to estimate the odds ratio. We observed that adults without a health insurance plan are 3.21 (95% CI 2.08-4.96) more likely than those with a health insurance plan to evaluate PHC with a high score (≥ 6.6), and adults with low schooling (95% CI 1.48-5.32), people with diabetes (95% CI 1.05-3.24), obese (95% CI 1.20-3.24), and older adults (95% CI 1.00-1.41) were 2.81, 1.84, 1.97, and 1.19 more likely to report a high score for PHC quality than the others, respectively. The use of the PCATool short version in a telephone survey showed a new possibility for PHC performance assessment and can become useful in managing health services.This article eevaluates delivery and birth care practices in maternity facilities in Brazil's North and Northeast regions. We conducted a qualitative evaluation of 91 facilities in the North and 181 facilities in the Northeast. The data was collected using systematic observation by a team of 44 previously trained evaluators and recorded in a field diary. A thematic analysis of the collected data was performed, resulting in three core themes challenges of collegial management; challenges for coping with obstetric violence; and the potential of the evaluation process for driving change. Advances were made in the implementation of good labor and childbirth care practices; however, some maternity facilities still reproduce hierarchical models without spaces for collegial management and accounts of obstetric violence were common. Health professionals used the presence of risk to justify the low level of adoption of good practices. However, the findings reveal progress towards the humanization of care. The results also show the potential of the evaluation process for driving change. Although progress has been made towards the adoption of the good practices recommended by the Stork Network Program both in the area of management and care delivery, many challenges remain in view of the dominance of a hierarchical management model associated with an interventionist approach to health care.The article analyzes the opinions of a group of women regarding the standard of care at maternity facilities attached to the Ministry of Health's Programa Rede Cegonha or Stork Network Program. The women's views were obtained from a questionnaire administered to 10,665 puerperal women between 2016 and 2017 as part of the survey Evaluation of good labor and childbirth care practices in maternity facilities covered by the Rede Cegonha, conducted by the Oswaldo Cruz Foundation and Maranhão Federal University. Consisting mainly of closed-ended questions, the questionnaire contained an optional open-ended question at the end that allowed women to talk freely about the standard of care received in the maternity facility. Of the 10,665 puerperal women interviewed, 2,069 gave their opinions. We undertook a critical reading of the opinions identifying four core themes, which were discussed in the light of the relevant literature puerperal woman/health team relationship; puerperal women's right to information; presence of a companion; and quality of hospital services and facilities. Giving both praise and criticism, all the women reiterated the importance of improving the quality of public health services to ensure the humanization of childbirth in Brazil.This paper describes and analyzes the process of providing feedback on the results of the second evaluation cycle of good practices of delivery and birth care in maternity hospitals linked to the Rede Cegonha, a Ministry of Health strategy implemented in 2011 to improve obstetric and neonatal healthcare and management. This is a qualitative study based on the documentary analysis of 27 reports from the states and the Federal District referring to the feedback workshops with 1.641 participants, 40% of whom were professionals and managers of the maternity hospitals evaluated, 25% of state representatives, 20% of municipal health secretariats and 15% of federal representatives. Around 46% of maternity hospitals' action plans in 11 states were received from January to August 2019. The results show the challenge of incorporating the monitoring and evaluation processes in these maternity hospitals' daily lives due to structural issues in institutional culture. UCL-TRO-1938 clinical trial This situation interferes with the local systematic analysis of information and the implementation of national evaluation cycles with the swift and continuous feedback of the results since access to secondary national data is non-existent in good delivery care practices.