Análise dos Sistemas de Informação em Saúde SIM e SINAN em Relação ao Suicídio na Cidade de Uberaba/MG

Abstract

A few years ago the Healthy Information Systems (HIS) emerged to quick and effectively monitor the health problems, staying in constant improvement as part of this strategy the Mortality Information System (MIS) and Diseases Information System Notification (DISN) which has among other functions the ability to capture data on attempted suicide victims and deaths by suicide at the local, state and federal level. The objectives of the study were to analyze the epidemiological profile, the quality and coverage of the information systems MIS and DISN in relation of the cases of suicide and attempted suicide in Uberaba / MG and a time trends in suicide mortality between 1996 and 2014. It is a ecological study that used territorial base and time trend analysis, which used secondary data provided by the Municipal Health Secretariat of Uberaba / MG (MIS and DISN) referring to the notifications of attempts to self-extermination and deaths by suicide of people living in the city. The Data analysis used descriptive statistics, calculation of incidence rates, mortality and lethality; calculating the ratio of incidence by age and sex, and regression models for time trend analysis. In 2014 there were eleven cases of suicide recorded at MIS, the suicide attempts and suicide deaths registered in the SINAN were 89 cases in exogenous intoxication form and 80 cases in the records of domestic violence, sexual and / or other violence. Between 1996 and 2014 there were 356 deaths by suicide in the city. The forms fill completeness classified as "excellent" were related to personal identification data of the subjects at the three banks studied data, the other fields had good to very poor rating. In DISN, predominated own residence as the predominant site of occurrence of suicide attempt. The exogenous poisoning were mostly through the use of drugs and poisoning; cases of attempted suicide were seen mainly among girls, aged between 15 and 29 years and between singles. At MIS, suicide occurred between 30 and 59 years, predominantly in men, being the primary means of aggression hanging followed by autointoxication poisoning and drugs. Not all cases registered in the MIS are reported in DISN, with some CID differences between a bank and another. The time series between 1996 and 2014 showed slightly increasing trend of 0.065 per annum and negative acceleration of 0.007ported in DISN, with some CID differences between a bank and the another. It is conclude that the HIS are very important to identify the epidemiological profile of health problems, requiring the correct filling and proper completion of the databases to generate reliable information for the development of specific actions to control the higher incidence of events and severity. The forms evaluated MIS and DISN should be better filled with continuous improvement through the dissemination and specific training on reporting and HIS for the health teams.