Fissuras labiopalatinas no Brasil: prevalência e infraestrutura da rede de cuidados

Abstract

This study theorized a variation in rates over time and the geographic prevalence, geographic distribution and factors associated with cases of cleft lip and palate (CLP) in Brazil, as well as the existing services to address this condition in the SUS. An epidemiological survey of the prevalence of CLP in Brazil from 2008 to 2017 was carried out using secondary data from the Information System on Live Births (SINASC) and consolidated for public online access at the SUS Department of Informatics (DATASUS), diverted using a regression model negative binomial. Additionally, from secondary data derived from Sigtap / DATASUS and CNES (National Register of Health Establishments), the centers responsible for craniofacial anomaly procedures were identified, the procedures performed, their production and the compliance of the structure of the members with the recommended by Ordinance SAS / MG No. 62 of April 19, 1994, which enables hospitals to treat cleft lip and palate from 2008 to 2017. The average prevalence of cleft lip and palate in Brazil in the period covered was approximately 52 children per 100,000 births alive. The highest prevalence was found in the South region and the lowest in the Northeast. The prevalence of children born preterm, with low birth weight and white / brown was higher in children with cleft. The states with the highest prevalence were not the highest numbers of hospitalizations and procedures for cleft live births. Furthermore, in relation to the infrastructure and adequacy of the 28 hospitals authorized, the main lags were related to "equipment and physical facilities". The best contemplated aspect was “Diagnostic and Therapeutic Support Services”. This study concludes that it is necessary to strengthen the care network for people with cravings, with equity in the distribution of services, expansion of health transport, better production of indicators and establishment of lines of care for people with CLP.