O processo de implementação da Rede Mãe Paranaense e sua repercussão na mortalidade infantil no município de Ponta Grossa – PR

Abstract

The present work aims to describe the process of implementation of the Mãe Paranaense Network in the city of Ponta Grossa, to verify its repercussion on infant mortality. This is an interdisciplinary research in applied social sciences, whose approach is qualitative quantitative exploratory and descriptive. This study was structured based on bibliographic research, documentary research, with a temporal cut between the years of 2012 to 2014, and field research, through semi-structured interviews with five participants, who were elected based on their role in the Management and implementation of actions of Rede Mãe Paranaense in July and August 2016. The content of the interviews, as well as the summaries and reports of deaths, were analyzed by the content analysis model. For organizational purposes, the study was divided into four chapters, the first one entitled "Contemporary conceptions about the State, rights and public policies for the understanding of Brazilian child mortality coping policies", which aimed to bring the State's origin to the debate Modern and Contemporary, as well as the formation of the State in Brazil. This approach preceded the debate on the origin and realization of rights through public policies. The chapter advances to the debate on the Brazilian Social Policy, Health Policy and Policies to combat infant mortality. The second chapter, entitled "Mortality in Childhood and Infant Mortality", aims to present the concepts of infant mortality and infant mortality, as well as to indicate the profiles of these indicators in national and international reality. In the third chapter, which has the title "Networks of Maternal and Child Care" will be presented the conceptualization, characterization and operationalization of Health Care Networks - RAS, as well as the conceptual framework of the Stork Network, at the national level, and the Mãe Paranaense Network, At the state level. The fourth chapter referred to as "Perceptions regarding the implementation of the Mãe Paranaense Network in the city of Ponta Grossa and its repercussion on infant mortality from the perspective of the research participants" aims to present the analysis of the materials collected from their categorization. What is evidenced in the research carried out is that due to the fragmentation of the process of implementation of the Mãe Paranaense Network in the city of Ponta Grossa, there were no reductions in infant mortality in the first triennium after its implantation, especially among deaths in children under 06 days Of life. It was also evidenced that maternal socioeconomic and demographic factors are decisive in the occurrence of infant death in said municipality.