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Introduction: The Health Surveillance Strengthening Project implemented in 2012 in Minas Gerais -subsidized by a local diagnosis- aimed at decentralizing Health Surveillance. Objectives: To characterizes the local Health Surveillance services in the state of Minas Gerais in 2014. Method: Descriptive study that analyzed 527 (62%) out of a total of 853 counties. The common variables to the Health Surveillance areas were instruments of management, financing, professional category, qualification and information system. Specific variables to the Health Surveillance areas were characterized infrastructure, reference services and actions. Frequencies, medians, interquartile differences and Spearman’s coefficient (p< 0.05) were analyzed. Results: An association among mana-gement tools, availability of professional categories, information system and population size (p

Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2022-08-17T22:06:19Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) hildeth_maisa_torres_farias.pdf: 2701574 bytes, checksum: fe7b8146c2e7d6062bd91b16d470e438 (MD5) Approved for entry into archive by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2022-08-18T17:11:44Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) hildeth_maisa_torres_farias.pdf: 2701574 bytes, checksum: fe7b8146c2e7d6062bd91b16d470e438 (MD5) Made available in DSpace on 2022-08-18T17:11:45Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) hildeth_maisa_torres_farias.pdf: 2701574 bytes, checksum: fe7b8146c2e7d6062bd91b16d470e438 (MD5) Previous issue date: 2022 A defini??o de causas de ?bito pode dar visibilidade aos problemas de sa?de de uma comunidade, assim estud?-los permite determinar estrat?gias de preven??o e aplica??o de diversos recursos. A mortalidade por causas mal definidas corresponde ?s situa??es em que a pessoa faleceu devido a uma causa que n?o foi poss?vel definir, resultando em repercuss?es para a sa?de p?blica quando em percentuais elevados. Al?m do comprometimento da qualidade dos dados, das an?lises por causas, ainda alertam para dificuldade de acesso e qualidade do atendimento prestado ? popula??o. As caracter?sticas socioecon?micas, de capacidade instalada e acesso a servi?os de sa?de para diagn?stico oportuno impactam no perfil da regi?o. O objetivo desta disserta??o foi descrever o estudo sobre o perfil dos ?bitos e a mortalidade proporcional por causas mal definidas (CMD) nos munic?pios da ?rea de abrang?ncia da Superintend?ncia Regional de Sa?de de Montes Claros/MG no per?odo de 2010 a 2019. Inicialmente foi realizada uma revis?o integrativa referente ?s publica??es dispon?veis na literatura sobre o perfil dos ?bitos e a mortalidade por CMD. Na sequ?ncia foi realizada an?lise dos ?bitos por CMD nos munic?pios sob jurisdi??o da SRS Montes Claros no per?odo de 2010 a 2019, no qual se utilizou os dados extra?dos do Sistema de Informa??o sobre Mortalidade (SIM). Observa-se que 64% das publica??es ocorrem a mais de 5 anos e a maioria com enfoque nas regi?es nacionais e capitais. Os resultados da an?lise do perfil epidemiol?gico dos munic?pios da ?rea de abrang?ncia da SRS Montes Claros indicaram que 57,8% dos ?bitos foram em homens, 33,4% na faixa et?ria acima de 80 anos e 60,7% ocorridos no domic?lio. A mortalidade proporcional por CMD na SRS Montes Claros foi 16,54%, e teve maiores taxas nos munic?pios de Novorizonte (30,48%) e Josen?polis (29,75%), par?metros acima do recomendado pelo Minist?rio da Sa?de. Os achados apontam para os fatores sociodemogr?ficos, de acesso e qualidade dos servi?os de sa?de relacionados aos ?bitos por CMD e apesar da redu??o da mortalidade por CMD os ?ndices ainda s?o preocupantes. Recomenda-se para melhoria deste indicador a utiliza??o da an?lise por microrregi?o de sa?de e munic?pios para fomentar programas e pol?ticas p?blicas, e tamb?m educa??o permanente para os profissionais de sa?de respons?veis pelo preenchimento das declara??es de ?bito e investiga??o dos ?bitos por causas mal definidas. Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2022. The definition of causes of death can give visibility to the health problems of a community, so studying them makes it possible to determine prevention strategies and the application of different resources. Mortality from ill-defined causes corresponds to situations in which the person died due to a cause that could not be defined, resulting in repercussions for public health when in high percentages. In addition to compromising the quality of the data, the analysis by causes, they also warn of the difficulty of access and quality of care provided to the population. The socioeconomic characteristics, installed capacity and access to health services for timely diagnosis impact the profile of the region. The objective of this dissertation was to describe the study on the profile of deaths and proportional mortality from ill-defined causes (IDC) in the municipalities in the area covered by the Regional Health Superintendence of Montes Claros/MG from 2010 to 2019. an integrative review referring to the publications available in the literature on the profile of deaths and mortality from IDC. Subsequently, an analysis of deaths from CMD was carried out in the municipalities under the jurisdiction of SRS Montes Claros in the period from 2010 to 2019, in which data extracted from the Mortality Information System (SIM) was used. It is observed that 64% of publications occur more than 5 years ago and most focus on national regions and capitals. The results of the analysis of the epidemiological profile of the municipalities in the area covered by the SRS Montes Claros indicated that 57.8% of the deaths were in men, 33.4% in the age group over 80 years and 60.7% occurred at home. Proportional mortality from IDC in SRS Montes Claros was 16.54%, and had higher rates in the municipalities of Novorizonte (30.48%) and Josen?polis (29.75%), parameters above those recommended by the Ministry of Health. The findings point to the sociodemographic factors, access and quality of health services related to deaths from CMD and despite the reduction in mortality from CMD, the indices are still worrying. To improve this indicator, it is recommended to use analysis by health micro-region and municipalities to promote programs and public policies, as well as continuing education for health professionals responsible for completing death certificates and investigating deaths from ill-defined causes.