Monitoring health in the Brazilian municipalities for the Sustainable Development Goals (SGDs)
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Fiocruz Minas, Brazil
Publication date: 2023-04-26
Popul. Med. 2023;5(Supplement):A784
Background and Objective:
This study proposes a summary index for monitoring the health-related SDG’s indicators in Brazilian municipalities, enabling both the interiorization of the 2030 Agenda in the territory, reducing inequalities in the space, and its effective adoption in policymaking.

The ecological study comprises 23 SDGs health indicators for the 5570 municipalities of the country analyzed in the period between 2015-2021. The empirical Bayesian rate was adopted to smooth each data series due to the spatial effect previously detected. The annual municipal index and 7 thematic subindexes (maternal health; infant health; non-communicable diseases; infectious diseases; injuries/violence; environmental; coverage) were standardized from 0 (worse performance) to 100 (best performance). Each are weighted by symmetrical regional-level indexes. The municipalities are ranked according to the level of sophistication of the local health equipment.

Four main regional health profiles were identified in the country: (i) the north region is characterized by low technological complexity and huge gaps in most health topics; (ii) the Northeast presents the highest spatial disparities in the country; (iii) the south the highest thematic disparities, with the country’s best profile on maternal and child health themes and the worst in some infectious diseases and topics of violence and injuries; finally, (IV) the Southeast and Midwest regions present the best overall infrastructure of health in the country, which reflects on the index.

The evaluation of the health SDGs at disaggregated levels requires the recognition of the spatial dependence of health phenomena. Indeed, both health and disease seem less local than a regional phenomenon in the country’s territory. By enabling the continuous monitoring of the indicators over time, the methodology developed opens new paths for the achievement of the SDGs.

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