Effects of workforce volatility, determinants of infant deaths and resilience in SUS Primary Care

Bibliographic Data

ID16826631
AuthorsPaula De Castro Nunes (0000-0002-9117-9805, Fundação Oswaldo Cruz), Alessandro Jatobá (0000-0002-7059-6546, Fundação Oswaldo Cruz), Paolo Palmieri (0000-0003-3376-2215, Fundação Oswaldo Cruz), Patrícia Passos Simões (0009-0004-4629-2704, Fundação Oswaldo Cruz), Omara Machado Araujo de Oliveira (0000-0002-8264-0196, Fundação Oswaldo Cruz), Paulo Victor Rodrigues De Carvalho (0000-0002-9276-8193, Fundação Oswaldo Cruz)
Year2025
Volume30
Issue6
Publication date2025-01-01
Open AccessYes
TypeARTICLE
VenueCiência & Saúde Coletiva (JOURNAL)
Journal identifiersISSN: 1413-8123 • E-ISSN: 1678-4561
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/1413-81232025306.03572025en
OpenAlexW4411494451
SciELOS1413-81232025000600300
LanguageEN
References cited12

This article aims to analyze the effects of the volatility of the Primary Health Care (PHC) workforce in the Unified Health System (SUS) on the resilience of services and the reduction in infant deaths. We used the relationship between the PHC workforce and child-sensitive indicators: vaccination (poliomyelitis and measles) and infant deaths. This ecological time series study adopted indicators relating to the workforce, vaccination coverage, and infant deaths from preventable causes from all Brazilian states between 2017 and 2022, totaling a balanced panel with 162 pieces of information in 11 variables. For the data analysis, a fixed effects panel regression model was estimated, demonstrating the existence of significant statistical significance in the association between the workforce of primary health care and the reduction of infant deaths, with doctors being the most contributing factor to this reduction, followed by nurses. Regarding vaccination coverage, the quadruple measles vaccine significantly reduced infant deaths

Economic growth · Economics · Environmental health · Infant mortality · Measles · Population · Socioeconomic status · Vaccination · Workforce · Demography · Global Maternal and Child Health · Health, Nursing, Elderly Care · Healthcare Systems and Reforms · Medicine · Pediatrics

Tools

Open DOIOpen Access