Qualineo Strategy Indicators Associated with Neonatal Death: A Cross-Sectional Study

Camila Evangelista de Sousa Campelo, Cynthia Roberta Dias Torres Silva, Rejane Corrêa Marques, Ana Maria Ribeiro dos Santos, Nathaly Marques Santos Machado and Márcia Teles de Oliveira Gouveia ()
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Camila Evangelista de Sousa Campelo: Nursing Graduate School, Universidade Federal do Piauí, Teresina 64049-550, Brazil
Cynthia Roberta Dias Torres Silva: Instituto Federal do Piauí, Teresina 64000-040, Brazil
Rejane Corrêa Marques: Nursing Graduate School, Universidade Federal do Piauí, Teresina 64049-550, Brazil
Ana Maria Ribeiro dos Santos: Nursing Graduate School, Universidade Federal do Piauí, Teresina 64049-550, Brazil
Nathaly Marques Santos Machado: Nursing Graduate School, Universidade Federal do Piauí, Teresina 64049-550, Brazil
Márcia Teles de Oliveira Gouveia: Nursing Graduate School, Universidade Federal do Piauí, Teresina 64049-550, Brazil

IJERPH, 2024, vol. 21, issue 8, 1-15

Abstract: Context: The Qualineo Strategy is an effective measure for reducing neonatal mortality in regions with the highest death rates. In addition, it is a relevant Brazilian tool for strengthening teamwork and neonatal assistance. This study aims to analyze the predictors of neonatal death in the indicators of care provided by the Qualineo Strategy at a reference maternity hospital in Piauí, in the years 2021 to 2022. Methods: This is a retrospective study of 1856 newborn records. Pearson’s chi-squared test was used to assess the association between the variables; a predictive regression model was used to identify the variables that predict neonatal mortality. Results: There was a significant association between all neonatal variables and the outcome of death ( p < 0.05). The predictor variables for death in term newborns were the use of drugs by the mother and admission to the Neonatal Intensive Care Unit. For premature newborns, the predictor variables were, as follows: the use of cannula ventilation, an Apgar score in the 1st minute <7; and admission to the Neonatal Intensive Care Unit. Conclusions: The results will make it possible to visualize better strategies for the reality analyzed and reinforce the importance of prenatal care.

Keywords: infant mortality; newborn; perinatal care; maternal and child health services; neonatal nursing (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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