Stork Network in the Northern Region of Brazil: a decade-long analysis of morbidity and mortality indicators

Authors

DOI:

https://doi.org/10.21727/rpu.v16i3.5215

Abstract

Maternal, fetal and neonatal mortality and morbidity are relevant indicators for analyzing maternal and child health. In Brazil we still have worrying rates of these indicators, especially in the northern region. This study aimed to analyze the morbidity and mortality indicators of the Stork Network in the states of the North region from 2012 to 2021, through an ecological, time-series, retrospective study, with secondary data from the Maternal Mortality Monitoring Panel and Live Births, both from the Department of Health Analysis and Surveillance of Non-Communicable Diseases of the Ministry of Health's Health Surveillance Secretariat and data from the Ministry of Health's Department of Chronic Diseases and Sexually Transmitted Infections. The study showed that during this period the states of Tocantins and Amapá saw an increase in the incidence of congenital syphilis. The infant mortality coefficient increased in the states of Roraima and Acre. On the other hand, the states of Amazonas and Tocantins saw an increase in the maternal mortality ratio, with 2021 seeing the highest record of this indicator. The infant mortality rate continued to rise in the northern region until 2018, fell from that year onwards in the states of Acre, Amazonas, Roraima and Tocantins. The stork network has helped to reduce maternal and infant morbidity and mortality, but the northern region still faces challenges in reaching the targets proposed by the Ministry of Health. In this sense, strengthening this line of care, with a focus on prenatal care, should be a priority for this region.

Key-words: Indicators of Morbidity and Mortality; Maternal Mortality; Infant Mortality; Maternal-Child Health Services.

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Author Biographies

Juliana Vianna Gonzalez Pazos, Universidade Federal do Amazonas (UFAM)

Discente de Graduação em Medicina, Universidade Federal do Amazonas, Manaus, Amazonas, Brasil.

Janaína Oliveira e Castro , Universidade Federal do Amazonas (UFAM)

Discente de Graduação em Medicina, Universidade Federal do Amazonas, Manaus, Amazonas, Brasil.

Nely Cristina Medeiros Caires, Secretaria Municipal de Saúde de Manaus (SMSM)

Odontóloga, PhD, Secretaria Municipal de Saúde de Manaus, Amazonas, Brasil.

Fabiana Mânica Martins , Universidade Federal do Amazonas (UFAM)

Enfermeira, PhD, Docente do Curso de Medicina da Universidade Federal do Amazonas, Manaus, Amazonas,

Rosana Pimentel Correia Moysés, CESPU, Portugal

Odontóloga, PhD, Pesquisadora Colaboradora no Grupo iHealth4Well, Instituto Politécnico de Saúde do Norte, CESPU, Granda, Portugal.

Breno de Oliveira Ferreira, Universidade Federal do Amazonas (UFAM)

Psicólogo, PhD, Docente do Curso de Psicologia da Universidade Federal do Amazonas, Manaus, Amazonas, Brasil.

Published

2025-10-31