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: fabiana@vt.edu