Financiamento público federal em saúde e sua associação com a morbimortalidade materno-infantil: análise da aplicação de recursos financeiros e sua efetividade

Abstract

Health systems are organized in order to achieve results expected by the conformation and health conceptions of each society and for this, financing is an important component, determining the model and prioritization in the allocation of resources in health. The results in the maternal-infant area are guides for evaluating the efficiency of health systems around the world and are sensitive to the conformation of programs, economic and social factors of the nations. The objective of this is to evaluate the execution of federal expenditure on basic health care (AB), Medium and High Complexity (MAC), health, maternal and child health, in the last decade - from 2008 to 2017 and its association with the results of maternal and infant mortality indicators, evaluating the response of financial contributions to improve health outcomes. As a research source, public databases of the Ministry of Health were used, including the National Health Fund (FNS) and the SIM and Birth Mortality Information System (SINASC), identifying health expenditures financed by the Federal Government in funding of AB and MAC, and the results on maternal and infant mortality in Brazil. As the main results, we had a significant association between the Real (R$) per capita expenditure, impact on 0.0018 reduction in infant mortality, but no association with maternal mortality. Concluding the importance of federal funding at these levels of complexity, as well as the need for further studies on the maternal area, since the maternal mortality rate has practically not changed in the last decade, requiring new conformation, financing and government actions.