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Wednesday, April 29, 2009
Sadrivaan A and B (The Hilton Istanbul Hotel )
Introduction: Thanks to efforts initiated by the sixth Millennium Development Goal (MDG) to reduce maternal mortality ratio (MMR) worldwide by 75 percent, the maternal death rate has significantly decreased in Brazil. Despite of this reduction, the MMR is still high and inequalities persist among the population groups from different regions and social classes.
Brazilian Government has established a National Health System with the new Constitution in 1988. The NHS is a government-run health care system funded by taxes.
Brazil has got 1.800 healthcare insurance companies covering around 45 million people. The National Agency for Supplemental Healthcare (NASH) regulates this market since in 2000. The aim of this study is to compare the MMR of two groups of the Brazilian population: those covered by healthcare insurance and the general female population.
Methods: The data on maternal deaths for the year 2005 were obtained from the Brazilian Mortality Death System available at (http://tabnet.datasus.gov.br/cgi/deftohtm.exe?sim/cnv/obtuf.def)
And the deaths exclusively from the people covered by health plans were obtained using record linkage methods.
Results: RMM in Brazil in the year 2005 was 72.74 (1,577 deaths) and for the group covered by the health care insurance was 30.00 (165 deaths). The most of the deaths were due to direct obstetric causes in both groups such as Haemorrhage and hypertensive disorders of pregnancy. Sepsis is still high, and a great number die in consequence of unsafe abortion. Obstructed labour is not a problem, regardless the high c-section prevalent in Brazil (80% in the private sector).
Conclusions: The growth of private healthcare insurance market has been largely seen as a solution for the ill-funded NHS, however it adds to ever-increasing social dichotomy. The dominance of the private sector not only denies access to poorer sections of society, but also skews the balance towards urban-biased, with profitability overriding equality.
Brazilian Government has established a National Health System with the new Constitution in 1988. The NHS is a government-run health care system funded by taxes.
Brazil has got 1.800 healthcare insurance companies covering around 45 million people. The National Agency for Supplemental Healthcare (NASH) regulates this market since in 2000. The aim of this study is to compare the MMR of two groups of the Brazilian population: those covered by healthcare insurance and the general female population.
Methods: The data on maternal deaths for the year 2005 were obtained from the Brazilian Mortality Death System available at (http://tabnet.datasus.gov.br/cgi/deftohtm.exe?sim/cnv/obtuf.def)
And the deaths exclusively from the people covered by health plans were obtained using record linkage methods.
Results: RMM in Brazil in the year 2005 was 72.74 (1,577 deaths) and for the group covered by the health care insurance was 30.00 (165 deaths). The most of the deaths were due to direct obstetric causes in both groups such as Haemorrhage and hypertensive disorders of pregnancy. Sepsis is still high, and a great number die in consequence of unsafe abortion. Obstructed labour is not a problem, regardless the high c-section prevalent in Brazil (80% in the private sector).
Conclusions: The growth of private healthcare insurance market has been largely seen as a solution for the ill-funded NHS, however it adds to ever-increasing social dichotomy. The dominance of the private sector not only denies access to poorer sections of society, but also skews the balance towards urban-biased, with profitability overriding equality.
Learning Objectives: the participants will acquire skills of compraing Healt indicators of a given population. The aim is to asses the social inequalities in the health care delivery in Brazil. Te participants will be able to propose an intervention to cope with those inequalities in health care delivery for preventing maternal deaths.
Sub-Theme: Social determinants of health and disease
See more of: Poster: Social Determinants of Health and Disease
See more of: Public Health Research & Policy Development
See more of: Public Health Research & Policy Development