Rola Renata Cristina Ferreira, Probst Livia Fernandes, Toma Tereza Setsuko, Barreto Jorge Otávio Maia
Oracle Life Sciences, São Paulo, Brazil Oracle Life Sciences São Paulo Brazil.
Hospital Alemão Oswaldo Cruz, São Paulo, Brazil Hospital Alemão Oswaldo Cruz São Paulo Brazil.
Rev Panam Salud Publica. 2025 Aug 1;49:e88. doi: 10.26633/RPSP.2025.88. eCollection 2025.
To systematically identify and critically assess indicators used globally and in Brazil to monitor health outcomes related to Sustainable Development Goal (SDG) 3, with an emphasis on identifying those most suitable for the Legal Amazon region.
This rapid review examined global initiatives to achieve SDG 3 and their applicability to the Legal Amazon. Systematic reviews and overviews were included, with no language restrictions, considering studies published from 2015 onwards. Searches were conducted across several databases using both controlled vocabulary and free-text terms. Study selection, data extraction, and quality assessment followed standardized procedures, with independent reviewers ensuring rigor and resolving discrepancies through consensus.
The identified indicators covered health coverage, quality of care, environmental health, epidemiology, financial aspects, and governance, although none provided calculation formulas. Studies highlighted positive impacts of health service integration and conditional cash transfer programs, improving treatment adherence, disease detection, and child health outcomes. None of the included articles described specific indicators tailored to the Amazon region.
The Legal Amazon faces challenges such as limited healthcare access and threats from deforestation and illegal mining. This review found no systematic reviews addressing these needs, making the findings suggestive rather than definitive. Despite this gap, preliminary efforts made it possible to propose indicators tailored to the region, covering areas such as Indigenous health, environmental risks, and healthcare accessibility. These indicators require validation by regional stakeholders to ensure their relevance and effectiveness in policy development.
系统识别并严格评估全球及巴西用于监测与可持续发展目标3（SDG 3）相关健康结果的指标，重点是识别最适合法律亚马逊地区的指标。
本快速综述考察了实现SDG 3的全球倡议及其在法律亚马逊地区的适用性。纳入了系统评价和概述，无语言限制，考虑2015年以后发表的研究。使用控制词汇和自由文本术语在多个数据库中进行检索。研究选择、数据提取和质量评估遵循标准化程序，独立评审员确保严谨性并通过共识解决差异。
所识别的指标涵盖健康覆盖、医疗质量、环境卫生、流行病学、财务方面和治理，尽管没有一个提供计算公式。研究强调了卫生服务整合和有条件现金转移计划的积极影响，改善了治疗依从性、疾病检测和儿童健康结果。纳入的文章均未描述针对亚马逊地区的具体指标。
法律亚马逊地区面临着诸如医疗服务可及性有限以及森林砍伐和非法采矿威胁等挑战。本次综述发现没有系统评价涉及这些需求，因此研究结果具有启发性而非确定性。尽管存在这一差距，但初步努力使得有可能提出针对该地区的指标，涵盖诸如土著健康、环境风险和医疗可及性等领域。这些指标需要由区域利益相关者进行验证，以确保其在政策制定中的相关性和有效性。
