Utilization of the Social Vulnerability Index for Family Health Teams’ analysis Brazil Fabiana Brito Silva MPH
May 21, 2015
Utilization of the Social Vulnerability Index for Family Health Teams’ analysis Brazil
Fabiana Brito Silva MPH
ACKNOWLEDGEMENTS
UNIVERSIDADE FEDERAL DO TRIÂNGULO MINEIRO (UFTM), BRAZIL
Dr. Sybelle Souza Castro Miranzi
ENGENHARIA DO CUIDADO, GEOTECH LTDA, BRAZIL.
Dr. Paulo Fleury
Dr. Rubens Pereira
VIRGINIA TECH COLLEGE OF AGRICULTURE AND LIFE SCIENCES, DEPARTMENT OF HUMAN NUTRITION, FOODS AND EXERCISE (HNFE)
FRALIN CENTER FOR TRANSLATIONAL OBESITY RESEARCH
INTERDISCIPLINARY GRADUATE EDUCATION PROGRAM
Dr. Paul Estabrooks
Dr. Fabio Almeida
BRAZILIAN HEALTH CARE SYSTEM
Sistema Único de Saúde (SUS) – “United Health
System”
Principles:
Universality
Equity
Integrality
Regionalized – Federal , State and City
National database
FAMILY HEALTH STRATEGY
Community Health Agent Physician Registered Nurse Nurse Practitioner
Major Primary Health Care policy Population Health Management Territory
Primary Care Information System (SIAB)
Multidisciplinary Teams:
Variables Criteria Weight
1. Illiteracy among older than 15 and younger than 65 years
none 00,1 ~ 25% 226 ~ 50% 351 ~ 75% 476 ~100% 5
2. Children / adolescents 7-14 years out of school
none 00,1 ~ 25% 226 ~ 50% 351 ~ 75% 476 ~ 100% 5
3. Availability of electricity Yes 0No 3
4. Availability of treated water Yes 0No 4
5. Availability of sewage - pipeline Yes 0No 3
6. Availability of public garbage collection Yes 0No 3
7. Relative number of people / rooms< 2 0
2 ~ 2,4 22,5 and up 4
8. Alcoholism in the family No 0Yes 4
9. Occurrence of violent deaths among teensNo 0
Yes 4
10. Belonging to a community group Yes -1No 0
11. Indirect indicators of income: Health Insurance Plan Yes -3No 0
12. Indirect indicators of income: Transportation by Car
none 00,1 ~ 25% -0.626 ~ 50% -1.251 ~ 75% -2.476 ~ 100% -3
SOCIAL VULNERABILITY INDEX - COMPONENTS
SOCIAL VULNERABILITY INDEX
SVI = ( ∑ of the weight in the twelve components +
7)
41
Score Classification Alert
0,00 a > 0,05 No Risk Blue
0,05 a > 0,25 Low Risk Green
0,25 a > 0,50 Medium Risk Yellow
0,50 a > 0,75 High Risk Orange
0,75 - 1,0 Very high risk Red
RESEARCH
City of Uberaba : 300,000 habitants
50 Family Health Teams
Population: 156,720 registered
Total families : 44,341 registered
Individuals per FHS team: 3,134 (average )
Primary Care Information System (SIAB)
RESULTS
No Risk Low Risk Medium Risk High Risk Very High Risk
TOTAL OF FAMILIES PER SVI ALERT LEVEL – UBERABA, BRAZIL.
DISTRIBUTION OF REGRESSION COEFFICIENTS OF THE INDICATORS
Coeficientsa
Model Beta t % Variance
1. Illiteracy among older than 15 and younger than 65 years 0.35*** 2390.68 12%
2. Children / adolescents 7-14 years out of school 0,28*** 1891.11 8%
3. Availability of electricity 0.12*** 820,89 1%
4. Availability of treated water 0,30*** 1403.53 4%
5. Availability of sewage - pipeline 0.05*** 330,34 0%
6. Availability of public garbage collection 0,17*** 795.96 1%
7. Relative number of people / rooms 0.10*** 667,62 1%
8. Alcoholism in the family 0,14*** 957.48 2%
9. Occurrence of violent deaths among teens 0.14*** 959,98 2%
10. Belonging to a community group 0,12*** 824.18 1%
11. Indirect indicators of income: Health Insurance Plan 0.44*** 2960,78 18%
12. Indirect indicators of income: Transportation by Car 0.36*** 2419,89 12%
CONCLUSIONS
Low social risk Medium Risk - rural Education - major negative influence Indirect indicators of income -
protective factors
Others directions:
COMMENTS, QUESTIONS?
Contact: [email protected]