Global Health and Tropical Medicine
OBJECTIVE:
To assess costs and consequences of prenatal care on perinatal morbidity and mortality.
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The persistence of negative perinatal outcomes in Rio de Janeiro suggests problems in the quality of prenatal care. The most recent study in the city showed that only 38% of prenatal care was adequate.
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This study evaluated the degree of implementation of the Information System on Live Births (SINASC) and its relationship to the organizational context in municipalities (counties) of Minas Gerais State, Brazil, in 2010.
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A participatory, formative meta-evaluation of baseline studies in Brazil is presented. International standards recommended by associations of evaluators were used, along with “specificity” criteria built up using the terms of reference for proposals for the selection of studies.
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Despite the existing resources for adequate dengue patient care in the Brazilian healthcare system, the case-fatality rate for the disease is still high in the country.
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