Perfil sociodemográfico e profissional dos responsáveis pelo preenchimento das declarações de nascido vivo nos estabelecimentos de saúde do município do Rio de Janeiro: um projeto de intervenção baseado na análise da incompletude do Sistema de Informações sobre Nascidos Vivos

Abstract

The information about live births is registered in the Live Birth Certificate (DNV) – with the data being later processed into the Live Birth Information System (SINASC) – and weaknesses in its content influence the calculation of health status indicators and evidence-based decision making. Public Health Surveillance uses epidemiological diagnoses from SINASC to support actions on health determinants and to prevent maternal and child mortality. Therefore, the purpose of this study is to elaborate an intervention project in order to identify the sociodemographic and professional profile of those responsible for filling out the DNV in health establishments in the City of Rio de Janeiro (MRJ). A descriptive analysis of incompleteness and inconsistencies in SINASC was executed from 2013 to 2022 in MRJ using Microsoft Excel 365 and Tabwin. The majority of live births occurred in public management establishments (67.28%) and the incompleteness of the SINASC variables mostly consisted of values below 5%. Maternal occupation had a higher proportion of incompleteness (21.15%) and during the COVID-19 pandemic period there was an incompleteness increase tendency. The role of those responsible for filling out the DNV had its highest percentage in a nonspecific category (40.00%), making it impossible to identify whether they were health professionals. After the analyses, a cross-sectional study was proposed to be implemented with those responsible for filling out the DNV through a form containing questions about their professional and sociodemographic profile. It is expected that their answers may elucidate the professional scenario and their knowledge about the DNV in order to improve training. Continuing education can provide more certainty and facilitate the work routine to minimize future problems.