Valongueiro Sandra, Ludermir Ana Bernarda, Gominho Lílian Albuquerque Ferraz
Núcleo de Saúde Pública, Universidade Federal de Pernambuco, Recife, PE, 50670-901, Brasil.
Cad Saude Publica. 2003;19 Suppl 2:S293-301. doi: 10.1590/s0102-311x2003000800011. Epub 2004 Mar 8.
The main problems identified during maternal mortality surveillance in Pernambuco State, Brazil, were low coverage and poor quality of data, as well as the inadequacy of data-collection instruments. Based on these findings, a new instrument called the Confidential Form for Reporting Deaths of Reproductive-Age Women was developed, and later an evaluation was conducted on the available procedures for distinguishing maternal deaths among female deaths. The RAMOS method, using the new questionnaire, was applied in Camaragibe (a city in Greater Metropolitan Recife) based on the female deaths recorded in 2000. According to the results, this method, using the new form, showed improved recording of socio-demographic and female mortality variables as compared to both the maternal mortality surveillance conducted by the Municipal Epidemiological Department and the death certificate system. This finding reinforces the need to improve maternal mortality surveillance in the study area, taking into account the RAMOS method and the new instrument.
在巴西伯南布哥州孕产妇死亡率监测过程中发现的主要问题包括数据覆盖率低、质量差以及数据收集工具不完善。基于这些发现，开发了一种名为《育龄妇女死亡情况保密报告表》的新工具，随后对区分女性死亡中的孕产妇死亡的现有程序进行了评估。基于2000年记录的女性死亡情况，在卡马拉吉贝（累西腓大都市区的一个城市）应用了使用新问卷的RAMOS方法。结果显示，与市流行病学部门进行的孕产妇死亡率监测和死亡证明系统相比，使用新表格的这种方法在社会人口统计学和女性死亡率变量记录方面有所改进。这一发现强化了考虑RAMOS方法和新工具来改善研究地区孕产妇死亡率监测的必要性。
