Knowledge Generation

In Brazil, the only information system that provides data on maternal morbidity is the Hospital Information System (SIH), but there are difficulties in implementing the criteria recommended by WHO and doubts about the quality of information. The project will validate the SIH against the Maternal Near Miss criteria and will build and validate an algorithm to identify severe maternal morbidity. As a product, it will develop an online indicator panel for the surveillance of maternal health to be used by SUS managers.

This project aims to understand and analyze the determinants of vaccination coverage in the Brazilian territory by assessing its association with socio-economic factors, public health spending, coverage of primary health care and the Bolsa Família Program and the influence of patterns of content dissemination on immunization on social media. The results will be disseminated through virtual games, podcasts, interactive panels, infographics, an e-book for municipal managers, a webinar for undergraduate students in the health field and a seminar on World Immunization Day.

This project will link the SINASC, SIM, SIGA and SIH databases to assess the role of interventions in childbirth and will also analyze the avoidability of neonatal and maternal outcomes. It will develop guidelines and training for the classification of “onset of childbirth”. The group will use the Robson classification, map the disruptions of the pandemic to perinatal care, and will explore the role of maternal nutritional status on intervention rates in childbirth and on maternal and neonatal results, making the databases available for research and for training purposes.

Since the gestational weight curves (GWC) adopted by the Ministry of Health are based only on neonatal outcomes and on maternal and child outcomes, this project aims to fill these gaps and determine the GWC ranges for the four categories of pre-gestational corporal mass index. As products, it will develop guidelines for the use of the curves and recommendations, packages to increase the capacity-building of healthcare professionals, policymakers and students and an interactive dashboard using SISVAN data for continuous surveillance.

The objective of this project is to map the implementation and evolution of breastfeeding initiatives in the scope of primary health care (PHC), assessing their spatial and temporal distribution patterns and their correlation with the evolution of the indicators. The team will map the successful cases of pro-breastfeeding programs and identify their impact. A single dataset containing information on PHC infrastructure and breastfeeding rates and programs will be generated, as well as the qualification and validation of SISVAN breastfeeding information.

The objective of this project is to create an obstetric observatory through an interactive platform for monitoring, analyzing public data and disseminating information in the area of ​​Obstetrics in Brazil. It will provide exploratory data analysis with the purpose of assessing the impacts of the H1N1 (2009) and COVID-19 (2020) pandemics on maternal, fetal and neonatal health. A book entitled on the subject will also be produced and made available free of charge.

This project will produce a consolidated database, which aggregates available data on emerging diseases (Zika and COVID-19); external climatic conditions (droughts and floods) and environmental problems (disasters, fires, pollution) as risk factors for unfavorable obstetric and neonatal outcomes. The database will enable the production of information on maternal and early neonatal morbidity and mortality in an accessible way.

This project aims to demonstrate the importance of adequate health care for pregnant women in health facilities and its effects on maternal and child mortality. The project will also measure the causal effect of the distances taken for pregnant women to access health facilities and the health care provided, which will be useful to identify the gaps in maternal health care and to drive decisions on resources allocation and prioritized actions.

The project will identify the poverty profiles of families with children under the age of five enrolled in the Single Registry considering data from the Family Development Index, the Brazilian Deprivation Index and the Municipal Human Development Index. It will assess the amount needed to overcome the families' poverty gap and also estimate the mortality rates in each of these profiles. The results will be disseminated through dashboards, forecasting scenarios for stakeholders and a workshop with stakeholders from the Ministry of Citizenship and stakeholders.

This study intends to evaluate the use of long- lasting insecticide-impregnated nets (LLINs) and their implications in a municipality of five Brazilian Amazonian states. Brazil has been using LLINs as a supplementary control tool for over 10 years and during this period many questions regarding its effectiveness were raised.