MATERNAL DEATH SURVEILLANCE SYSTEM IN CEARÁ, 2014-2023
DOI:
https://doi.org/10.54620/cadesp.v19i1.2245Keywords:
Health Surveillance System, Evaluation, Maternal Mortality, Field EpidemiologyAbstract
Objective: This study aimed to assess the attributes of data quality, representativity, and timeliness of the maternal mortality surveillance system in Ceará from 2014 to 2023. Methods: The research followed an evaluation methodology focusing on attributes such as data quality, representativity, and timeliness, using tools like Epi Info™ 7.2, Office 365, and QGis for data analysis, processing, and presentation. Results: The system demonstrated high data completeness (99.2%) but only moderate consistency (79.5%), with discrepancies between death certificates and investigations. Representativity was excellent, accurately reflecting the profile of deceased women. However, notification (69.31%) and investigation (45.25%) timeliness were unsatisfactory. Conclusion: Despite progress, improvements in system consistency and efficiency are essential to strengthen surveillance and support effective policies to reduce maternal mortality.
Downloads
References
World Health Organization. Trends in maternal mortality 2000 to 2020: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva: WHO; 2023.
United Nations. Transforming our world: The 2030 Agenda for Sustainable Development. New York: UN; 2015.
Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Manual de Vigilância do Óbito Materno. Brasília: Ministério da Saúde; 2021.
Szwarcwald CL, Escalante JJ, Rabello Neto DL, Souza PRB, Victora CG. Estimação da razão de mortalidade materna no Brasil, 2008-2018. Cadernos de Saúde Pública. 2020;36(8):e00087319.
Silva AB, Souza CD, Oliveira LM. A baixa oportunidade de investigação dos óbitos maternos no Ceará: desafios na vigilância epidemiológica. Revista Brasileira de Epidemiologia. 2023; 36(4): 551-558. doi: 10.1590/1980-549720230004. DOI: https://doi.org/10.1590/1980-549720230004
Takemoto MLS, Menezes MO, Andreucci CB, Nakamura-Pereira M, Amorim MMR, Katz L, et al. O impacto da COVID-19 na mortalidade materna no Brasil. J Bras Ginecol Obstet. 2021;43(5):273-8.
Leal MC, Gama SG, Pereira AP, Pacheco VE, Carmo CN, Santos RV. Saúde materna e impacto da pandemia de COVID-19 no Brasil: análise dos sistemas de informação. Rev Bras Epidemiol. 2022;25:e220012.
Knight M, Bunch K, Vousden N, Morris E, Simpson N, Gale C, et al. Characteristics and outcomes of pregnant women admitted to hospital with COVID-19 in UK. BMJ. 2020;369:m2107. DOI: https://doi.org/10.1136/bmj.m2107
Pertinni de Morais Gouveia G, Sousa Vasconcelos Gouveia S, Sousa Vasconcelos S, de Sousa Mesquita Silva E, Galdino Medeiros R, Lago da Silva R. Incidência e letalidade da Covid-19 no Ceará, 2020: incidence and lethality of Covid-19 in Ceará, 2020. Cadernos ESP [Internet]. 22º de julho de 2020 [citado 11º de março de 2025];14(1):10-6. Disponível em: <https://cadernos.esp.ce.gov.br/index.php/cadernos/article/view/326>
Villar J, Ariff S, Gunier RB, Thiruvengadam R, Rauch S, Kholin A, et al. Maternal and neonatal morbidity and mortality among pregnant women with COVID-19. JAMA Pediatr. 2021;175(8):817-26. DOI: https://doi.org/10.1001/jamapediatrics.2021.1050
Souza JP, Tunçalp Ö, Vogel JP, Bohren MA. Mortality and morbidity in childbirth. Best Pract Res Clin Obstet Gynaecol. 2020;67:27-40.
Organização Pan-Americana da Saúde (OPAS). Avaliação da mortalidade materna na América Latina. Brasília: OPAS; 2021.
Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels J, et al. Global causes of maternal death. Lancet Glob Health. 2014;2(6):e323-e33. DOI: https://doi.org/10.1016/S2214-109X(14)70227-X
MacDorman MF, Declercq E, Cabral H, Morton C. Recent increases in the US maternal mortality rate. Obstet Gynecol. 2016;128(3):447-55. DOI: https://doi.org/10.1097/AOG.0000000000001556
Brasil. Ministério da Saúde. Política Nacional de Atenção Integral à Saúde da Mulher. Brasília: Ministério da Saúde; 2019.
Kassebaum NJ, Barber RM, Bhutta ZA, Dandona L, Gething PW, Hay SI, et al. Global, regional, and national levels of maternal mortality, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388(10053):1775-812. DOI: https://doi.org/10.1016/S0140-6736(16)31470-2
Morais Araújo R, Sobreira Coriolano L, Cleidvan Cândido de Sousa J, Leandro Dias J, Nogueira Facó de Paula Pessoa T. Análise e distribuição geográfica da mortalidade materna obstétrica no Ceará. Cadernos ESP [Internet]. 4º de outubro de 2019 [citado 14º de outubro de 2025];11(2):36-40. Disponível em: https://cadernos.esp.ce.gov.br/index.php/cadernos/article/view/118
Published
How to Cite
Conference Proceedings Volume
Section
Categories
License
Copyright (c) 2025 Cadernos ESP

This work is licensed under a Creative Commons Attribution 4.0 International License.
Accepted 2025-06-30
Published 2025-11-05



















