Impact of continuing education on maternal and child health indicators
This study investigated whether the presence of care workers who completed a specialization course on family health was associated with improved care and maternal and child health indicators in municipalities in the state of Mato Grosso do Sul, Brazil. Negative binomial regression models with fixed...
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| Veröffentlicht in: | PloS one 2020-06, Vol.15 (6), p.e0235258 |
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| creator | do Nascimento, Débora Dupas Gonçalves Moraes, Sílvia Helena Mendonça de Santos, Carlos Antonio de Souza Teles de Souza, Albert Schiaveto Bomfim, Rafael Aiello De Carli, Alessandro Diogo Kodjaoglanian, Vera Lucia Dos Santos, Mara Lisiane de Moraes Zafalon, Edilson José |
| description | This study investigated whether the presence of care workers who completed a specialization course on family health was associated with improved care and maternal and child health indicators in municipalities in the state of Mato Grosso do Sul, Brazil.
Negative binomial regression models with fixed effects were used for the 79 municipalities in the state of Mato Grosso do Sul, with repeated observations for the period 2009-2015. For our reference, the parameter "number of professionals who completed the course" calculated the proportion of professionals who completed the course, and was divided by the total number of primary health care professionals in the municipality to create a ratio. The cutoff points used represented tertile distribution: T3: high (0.35-1.00), T2: intermediate (0.02-0.33) and T1: low (0.00-0.01); to avoid biased results, the analysis was also performed for the years prior to the beginning of the course in question (2009 and 2010).
During the study period, enrollment of pregnant women, exclusive breastfeeding for children under 4 months, and up-to-date vaccinations in children younger than 1 year to 23 months increased (high to intermediate categories) in municipalities where professionals who completed the specialization course worked. Growth in the intermediate ratio was also observed in indicators related to cervical cancer screening and new diagnoses of congenital syphilis in infants under one year of age.
The presence of care workers who completed a specialization course on family health was seen to be associated with improved care and indicators for maternal and child health in municipalities in the state of Mato Grosso do Sul, Brazil. These findings reaffirm the importance and effectiveness of policies on training and continuing education for the Brazilian Unified Health System. |
| doi_str_mv | 10.1371/journal.pone.0235258 |
| format | Article |
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Negative binomial regression models with fixed effects were used for the 79 municipalities in the state of Mato Grosso do Sul, with repeated observations for the period 2009-2015. For our reference, the parameter "number of professionals who completed the course" calculated the proportion of professionals who completed the course, and was divided by the total number of primary health care professionals in the municipality to create a ratio. The cutoff points used represented tertile distribution: T3: high (0.35-1.00), T2: intermediate (0.02-0.33) and T1: low (0.00-0.01); to avoid biased results, the analysis was also performed for the years prior to the beginning of the course in question (2009 and 2010).
During the study period, enrollment of pregnant women, exclusive breastfeeding for children under 4 months, and up-to-date vaccinations in children younger than 1 year to 23 months increased (high to intermediate categories) in municipalities where professionals who completed the specialization course worked. Growth in the intermediate ratio was also observed in indicators related to cervical cancer screening and new diagnoses of congenital syphilis in infants under one year of age.
The presence of care workers who completed a specialization course on family health was seen to be associated with improved care and indicators for maternal and child health in municipalities in the state of Mato Grosso do Sul, Brazil. These findings reaffirm the importance and effectiveness of policies on training and continuing education for the Brazilian Unified Health System.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0235258</identifier><identifier>PMID: 32589647</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Biology and Life Sciences ; Breast feeding ; Breastfeeding & lactation ; Cancer screening ; Cervical cancer ; Cervix ; Child Health - statistics & numerical data ; Child health services ; Children ; Childrens health ; Community health services ; Continuing education ; Continuing medical education ; Dentistry ; Education ; Education policy ; Education, Continuing ; Female ; Health aspects ; Health care ; Health care access ; Health Personnel - education ; Humans ; Indicators ; Infant ; Infants ; Influence ; Male ; Maternal & child health ; Maternal Health - statistics & numerical data ; Maternal health services ; Medical personnel ; Medicine and Health Sciences ; Municipalities ; People and places ; Population ; Pregnancy ; Primary care ; Public health ; Quality management ; Registries ; Regression analysis ; Regression models ; Sexually transmitted diseases ; Specialization ; STD ; Syphilis ; Training</subject><ispartof>PloS one, 2020-06, Vol.15 (6), p.e0235258</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 do Nascimento et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 do Nascimento et al 2020 do Nascimento et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-f81e28bb54e1cbcb9e8b612b1584f0789bb2a810f7e08e93aa3512022b279d823</citedby><cites>FETCH-LOGICAL-c692t-f81e28bb54e1cbcb9e8b612b1584f0789bb2a810f7e08e93aa3512022b279d823</cites><orcidid>0000-0002-4815-0863 ; 0000-0002-6058-6272 ; 0000-0002-6478-8664</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319283/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319283/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32589647$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Goldfarb, Samantha S.</contributor><creatorcontrib>do Nascimento, Débora Dupas Gonçalves</creatorcontrib><creatorcontrib>Moraes, Sílvia Helena Mendonça de</creatorcontrib><creatorcontrib>Santos, Carlos Antonio de Souza Teles</creatorcontrib><creatorcontrib>de Souza, Albert Schiaveto</creatorcontrib><creatorcontrib>Bomfim, Rafael Aiello</creatorcontrib><creatorcontrib>De Carli, Alessandro Diogo</creatorcontrib><creatorcontrib>Kodjaoglanian, Vera Lucia</creatorcontrib><creatorcontrib>Dos Santos, Mara Lisiane de Moraes</creatorcontrib><creatorcontrib>Zafalon, Edilson José</creatorcontrib><title>Impact of continuing education on maternal and child health indicators</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>This study investigated whether the presence of care workers who completed a specialization course on family health was associated with improved care and maternal and child health indicators in municipalities in the state of Mato Grosso do Sul, Brazil.
Negative binomial regression models with fixed effects were used for the 79 municipalities in the state of Mato Grosso do Sul, with repeated observations for the period 2009-2015. For our reference, the parameter "number of professionals who completed the course" calculated the proportion of professionals who completed the course, and was divided by the total number of primary health care professionals in the municipality to create a ratio. The cutoff points used represented tertile distribution: T3: high (0.35-1.00), T2: intermediate (0.02-0.33) and T1: low (0.00-0.01); to avoid biased results, the analysis was also performed for the years prior to the beginning of the course in question (2009 and 2010).
During the study period, enrollment of pregnant women, exclusive breastfeeding for children under 4 months, and up-to-date vaccinations in children younger than 1 year to 23 months increased (high to intermediate categories) in municipalities where professionals who completed the specialization course worked. Growth in the intermediate ratio was also observed in indicators related to cervical cancer screening and new diagnoses of congenital syphilis in infants under one year of age.
The presence of care workers who completed a specialization course on family health was seen to be associated with improved care and indicators for maternal and child health in municipalities in the state of Mato Grosso do Sul, Brazil. These findings reaffirm the importance and effectiveness of policies on training and continuing education for the Brazilian Unified Health System.</description><subject>Adult</subject><subject>Biology and Life Sciences</subject><subject>Breast feeding</subject><subject>Breastfeeding & lactation</subject><subject>Cancer screening</subject><subject>Cervical cancer</subject><subject>Cervix</subject><subject>Child Health - statistics & numerical data</subject><subject>Child health services</subject><subject>Children</subject><subject>Childrens health</subject><subject>Community health services</subject><subject>Continuing education</subject><subject>Continuing medical education</subject><subject>Dentistry</subject><subject>Education</subject><subject>Education policy</subject><subject>Education, Continuing</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health care access</subject><subject>Health Personnel - education</subject><subject>Humans</subject><subject>Indicators</subject><subject>Infant</subject><subject>Infants</subject><subject>Influence</subject><subject>Male</subject><subject>Maternal & child health</subject><subject>Maternal Health - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>do Nascimento, Débora Dupas Gonçalves</au><au>Moraes, Sílvia Helena Mendonça de</au><au>Santos, Carlos Antonio de Souza Teles</au><au>de Souza, Albert Schiaveto</au><au>Bomfim, Rafael Aiello</au><au>De Carli, Alessandro Diogo</au><au>Kodjaoglanian, Vera Lucia</au><au>Dos Santos, Mara Lisiane de Moraes</au><au>Zafalon, Edilson José</au><au>Goldfarb, Samantha S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of continuing education on maternal and child health indicators</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-06-26</date><risdate>2020</risdate><volume>15</volume><issue>6</issue><spage>e0235258</spage><pages>e0235258-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>This study investigated whether the presence of care workers who completed a specialization course on family health was associated with improved care and maternal and child health indicators in municipalities in the state of Mato Grosso do Sul, Brazil.
Negative binomial regression models with fixed effects were used for the 79 municipalities in the state of Mato Grosso do Sul, with repeated observations for the period 2009-2015. For our reference, the parameter "number of professionals who completed the course" calculated the proportion of professionals who completed the course, and was divided by the total number of primary health care professionals in the municipality to create a ratio. The cutoff points used represented tertile distribution: T3: high (0.35-1.00), T2: intermediate (0.02-0.33) and T1: low (0.00-0.01); to avoid biased results, the analysis was also performed for the years prior to the beginning of the course in question (2009 and 2010).
During the study period, enrollment of pregnant women, exclusive breastfeeding for children under 4 months, and up-to-date vaccinations in children younger than 1 year to 23 months increased (high to intermediate categories) in municipalities where professionals who completed the specialization course worked. Growth in the intermediate ratio was also observed in indicators related to cervical cancer screening and new diagnoses of congenital syphilis in infants under one year of age.
The presence of care workers who completed a specialization course on family health was seen to be associated with improved care and indicators for maternal and child health in municipalities in the state of Mato Grosso do Sul, Brazil. These findings reaffirm the importance and effectiveness of policies on training and continuing education for the Brazilian Unified Health System.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32589647</pmid><doi>10.1371/journal.pone.0235258</doi><tpages>e0235258</tpages><orcidid>https://orcid.org/0000-0002-4815-0863</orcidid><orcidid>https://orcid.org/0000-0002-6058-6272</orcidid><orcidid>https://orcid.org/0000-0002-6478-8664</orcidid><oa>free_for_read</oa></addata></record> |
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| language | eng |
| recordid | cdi_plos_journals_2417789888 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Biology and Life Sciences Breast feeding Breastfeeding & lactation Cancer screening Cervical cancer Cervix Child Health - statistics & numerical data Child health services Children Childrens health Community health services Continuing education Continuing medical education Dentistry Education Education policy Education, Continuing Female Health aspects Health care Health care access Health Personnel - education Humans Indicators Infant Infants Influence Male Maternal & child health Maternal Health - statistics & numerical data Maternal health services Medical personnel Medicine and Health Sciences Municipalities People and places Population Pregnancy Primary care Public health Quality management Registries Regression analysis Regression models Sexually transmitted diseases Specialization STD Syphilis Training |
| title | Impact of continuing education on maternal and child health indicators |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T20%3A08%3A23IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Impact%20of%20continuing%20education%20on%20maternal%20and%20child%20health%20indicators&rft.jtitle=PloS%20one&rft.au=do%20Nascimento,%20D%C3%A9bora%20Dupas%20Gon%C3%A7alves&rft.date=2020-06-26&rft.volume=15&rft.issue=6&rft.spage=e0235258&rft.pages=e0235258-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0235258&rft_dat=%3Cgale_plos_%3EA627744961%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2417789888&rft_id=info:pmid/32589647&rft_galeid=A627744961&rft_doaj_id=oai_doaj_org_article_4c77935f0c6445dfb1ca5b4b1eca633f&rfr_iscdi=true |