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IMAPI Points
Varjão
IMAPI-DF is the Early Childhood Friendly Municipal Index of the Federal District. The IMAPI-DF was created to describe contexts less or more favorable to early childhood development in the 31 Administrative Regions of the Federal District and to support decision-making about early childhood.
IMAPI-DF domains
IMAPI-DF was developed based on the Nurturing Care Framework. It uses indicators related to the provision of public policies, actions, and services, as well as family practices aimed at child development that reflect the five domains of the Nurturing Care Framework recommended by the World Health Organization, UNICEF and World Bank.
Indicators
Each of the 31 Administrative Regions of the Federal District has an IMAPI-DF that summarizes a set of 30 indicators available at the Administrative Region level.
good health
Early start of prenatal care
IMPORTANCE
The early start of prenatal care facilitates screening for risk factors and the possibility of treating possible complications early, promoting health and adequate fetal development.
DEFINITION
Total pregnant women who started prenatal care in the first 3 months or less of pregnancy in relation to the total number of pregnant women monitored, by year and Administrative Region of residence.
SOURCE
Live Birth Information System (Ministry of Health) - Sistema de Informação sobre Nascidos Vivos (SINASC/Ministério da Saúde)
REFERENCE YEAR
2018
Prenatal care consultations
IMPORTANCE
The prenatal period is a sensitive period in the baby’s formation and development. Proper prenatal care, prevention, and early diagnosis of complications can affect child’s development, as well as promote and protect the health of the mother and baby.
DEFINITION
Number of pregnant women with 7 or more prenatal care consultations in relation to the total number of pregnant women monitored (number of live births), by year and Administrative Region of residence.
SOURCE
Live Birth Information System (Ministry of Health) - Sistema de Informação sobre Nascidos Vivos (SINASC/Ministério da Saúde)
REFERENCE YEAR
2018
Adolescent pregnancy
IMPORTANCE
Adolescent pregnancy is a risky situation for the health of the adolescent and the newborn, with an increased chance of intrauterine growth retardation and developmental delays.
DEFINITION
Prevalence of pregnant adolescents (10 to 19 years), by year and Administrative Region of residence.
SOURCE
Live Birth Information System (Ministry of Health) - Sistema de Informação sobre Nascidos Vivos (SINASC/Ministério da Saúde)
REFERENCE YEAR
2018
C-Section
IMPORTANCE
High rates of elective C-Section are associated with prematurity and increased maternal and child morbimortality
DEFINITION
Number of births via C-Section in relation to the total number of births, by year and Administrative Region of residence.
SOURCE
Live Birth Information System (Ministry of Health) - Sistema de Informação sobre Nascidos Vivos (SINASC/Ministério da Saúde)
REFERENCE YEAR
2018
Prematurity
IMPORTANCE
Premature birth is a risk factor for inadequate child development in the early years as well as an indicator of poor prenatal care.
DEFINITION
Percentage of children born at less than 37 completed weeks of gestation in relation to the total number of births, by year and Administrative Region of residence.
SOURCE
Live Birth Information System (Ministry of Health) - Sistema de Informação sobre Nascidos Vivos (SINASC/Ministério da Saúde)
REFERENCE YEAR
2018
Low birth weight
IMPORTANCE
Low birth weight is a risk factor for inadequate child development, generating negative effects for mental and motor development as well as growth. It is also an indicator of poor prenatal care, maternal malnutrition, adolescent pregnancy, and untreated infections.
DEFINITION
Percentage of live births weighing less than 2500 g in relation to total births, by year and Administrative Region of residence.
SOURCE
Live Birth Information System (Ministry of Health) - Sistema de Informação sobre Nascidos Vivos (SINASC/Ministério da Saúde)
REFERENCE YEAR
2018
Congenital syphilis
IMPORTANCE
Congenital syphilis can cause severe changes in the child’s development, including pseudoparalysis of the limbs, neurological deafness, and learning difficulties.
DEFINITION
Number of confirmed and notifed cases of congenital syphilis in children under 5 years old in relation to the total number of children under 5 years old, by year and Administrative Region of residence.
SOURCE
Numerator: National System of Notifiable Diseases (SINAN/Ministry of Health) - Sistema Nacional de Agravos de Notificação (SINAN/Ministério da Saúde); and denominator: Planning Company - Companhia de Planejamento do Distrito Federal (CODEPLAN).
REFERENCE YEAR
2018
Home visits in the first 10 days of child’s life
IMPORTANCE
Home visits by the health team in the first ten postpartum days help to detect, prevent, and quickly treat postpartum and breastfeeding (adequate nutrition) complications. Home visits by health teams also reflect the mother’s and newborn’s access and ties with the health service.
DEFINITION
Percentage of primary care teams in the Administrative Region that participated in the second cycle of the PMAQ (National Program for Improving Access and Quality in Primary Care) and reported carrying out home visits in the first 10 days of child’s life.
SOURCE
National Program for Improving Access and Quality in Primary Care -Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ 2º Ciclo)
REFERENCE YEAR
2013/2014
Coverage of child immunization
IMPORTANCE
Good vaccination coverage guarantees the maintenance of low incidences of immunopreventable illnesses that can influence children’s development.
DEFINITION
Percentage of children who received the tetra viral vaccine, by year and Administrative Region.
SOURCE
National Immunization Program Information System (Ministry of Health) - Sistema de Informações do Programa Nacional de Imunizações (SI-PNI/Ministério da Saúde)
REFERENCE YEAR
2018
Coverage of Primary Health Care
IMPORTANCE
The population coverage by Primary Health Care teams reflects access to health services. Primary Health Care is responsible for several actions to prevent and promote adequate child development and early diagnosis of complications.
DEFINITION
Percentage of the population covered by Primary Health Care, by year and Administrative Region.
SOURCE
Coordination of Primary Health Care - Coordenação de Atenção Primária à Saúde (COAPS)
REFERENCE YEAR
2019
Child hospitalization for pneumonia or gastroenteritis
IMPORTANCE
Gastroenteritis and acute respiratory diseases result from a set of biological, environmental, and socio-cultural variables and indicate a high degree of vulnerability, which can cause greater risks and compromises child development. These are conditions that could be avoided or reduced by effective primary care (prevention, diagnosis, and early treatment).
DEFINITION
Percentage of hospitalization of children under 5 years with pneumonia or gastroenteritis in relation to the total number of children under 5 years, by year and Administrative Region of residence.
SOURCE
Numerator: Hospital Information System (Ministry of Health) - Sistema de Informações Hospitalares (SIH/Ministério da Saúde); and Denominator: Federal District Planning Company - Companhia de Planejamento do Distrito Federal (CODEPLAN).
REFERENCE YEAR
2018
Maternal mortality
IMPORTANCE
Maternal death can increase the risks of child mortality, morbidity, and developmental delay in early childhood.
DEFINITION
Number of women who died from causes related to pregnancy for every 100,000 live births, per year and Administrative Region of residence.
SOURCE
Numerator: Mortality Information System (Ministry of Health) Sistema de Informação sobre Mortalidade (SIM/Ministério da Saúde); and Denominator: Live Birth Information System (Ministry of Health) - Sistema de Informação sobre Nascidos Vivos (SINASC/Ministério da Saúde).
REFERENCE YEAR
2018
Child mortality
IMPORTANCE
Most childhood deaths are concentrated in the first year of life, with a high share of perinatal causes (factors linked to pregnancy, childbirth and postpartum), which are generally preventable. After the first year of life, mortality is associated with exposure to environmental factors, for example lack of access to quality health care and other environmental stressors related to poverty. This indicator also expresses the failure in several public policies to promote healthy and complete child development.
DEFINITION
Number of deaths of children under 5 years old for every 1000 live births, per year and Administrative Region of residence
SOURCE
Numerator: Mortality Information System (Ministry of Health) Sistema de Informação sobre Mortalidade (SIM/Ministério da Saúde); and Denominator: Live Birth Information System (Ministry of Health) - Sistema de Informação sobre Nascidos Vivos (SINASC/Ministério da Saúde).
REFERENCE YEAR
2018
Preventable deaths in children under 1 years old
IMPORTANCE
Preventable deaths occur when support services fail to identify early and correctly intervene in a given problem. Thus, a child who dies from an preventable cause is a child who has been deprived of development due to problems involving the health services.
DEFINITION
Deaths that could be prevented by the performance of health services in children under one year old in relation to the total number of live births, by year and Administrative Region of residence. Deaths caused by the following categories are considered “preventable”: a) Reducible by immunizations; b) Reducible by caring for women during pregnancy; c) Reducible by adequate care for women during childbirth; d) Reducible by actions, diagnosis, and appropriate treatment; e) Reducible by health promotion activities linked to Primary Health Care.
SOURCE
Numerator: Mortality Information System (Ministry of Health) Sistema de Informação sobre Mortalidade (SIM/Ministério da Saúde); and Denominator: Live Birth Information System (Ministry of Health) - Sistema de Informação sobre Nascidos Vivos (SINASC/Ministério da Saúde).
REFERENCE YEAR
2018
adequate nutrition
Coverage of information on child nutritional status
IMPORTANCE
Adequate nutritional status is associated with better child development and, thus, must be monitored. The coverage of recorded information about nutritional status was used as a monitoring proxy.
DEFINITION
Percentage of children under 5 years of age with at least one record of information on nutritional status (BMI/age) in the Food and Nutrition Surveillance System (SISVAN), by year and Administrative Region of residence.
SOURCE
Numerator: Food and Nutrition Surveillance System (Ministry of Health) - Sistema de Vigilância Alimentar e Nutricional (SISVAN/Ministério da Saúde); and Denominator: Federal District Planning Company - Companhia de Planejamento do Distrito Federal (CODEPLAN).
REFERENCE YEAR
2018
Brazilian Breastfeeding and Feeding Strategy
IMPORTANCE
The practice of breastfeeding and the introduction of healthy complementary feeding are associated with adequate child development. The Brazilian Breastfeeding and Feeding Strategy aims to qualify the actions to promote breastfeeding and healthy complementary food, improving the skills and abilities of health professionals for these activities, which should be monitored.
DEFINITION
The indicator Brazilian Breastfeeding and Feeding Strategy (EAAB) is an indicator composed a workshop and/or training for instructors and/or certification of the basic health unit in the Administrative Region.
SOURCE
General Coordination of Child Health and Breastfeeding / Ministry of Health - Coordenação-Geral de Saúde da Criança e Aleitamento Materno (CGSCAM)/ Ministério da Saúde (MS).
REFERENCE YEAR
Realização de oficina e formação de tutores: 2013-2019. Certificação da Unidade Básica de Saúde: 2018.
responsive caregiving !
Visits by national home-visiting parenting skills program
IMPORTANCE
These home visits focus on strengthening parenting skills, especially for socially vulnerable parents, help these families better understand the child development process, as well as how to behave and respond to provide adequate development. In addition, they help identify problems and difficulties and, if necessary, seek additional support services.
DEFINITION
Percentage of individuals visited by the national home-visiting parenting skills program in the Administrative Region in relation to the target agreed for the year
SOURCE
Coordination of the Brasiliense Happy Child Program/Ministry of Citizenship - Coordenação do Programa Criança Feliz Brasiliense/Ministério da Cidadania.
REFERENCE YEAR
2020
opportunities for early learning
Coverage of daycare and preschool
IMPORTANCE
Children need access to free, quality daycare and preschools, where they will receive, under adequate supervision, the stimuli and care necessary for development.
DEFINITION
Number of enrollments in public and private daycares and preschools in relation to the total number of children under 5 years, by year and Administrative Region.
SOURCE
Numerator: Educacenso; and Denominator: Federal District Planning Company - Companhia de Planejamento do Distrito Federal (CODEPLAN).
REFERENCE YEAR
2018
Number of students per daycare professional
IMPORTANCE
The number of children per professional should enable all children to receive the attention, responsibility, and interaction necessary for adequate development.
DEFINITION
Number of students enrolled for each professional employed in public and private daycares in the Administrative Region per year.
SOURCE
Educacenso
REFERENCE YEAR
2018
Number of students per preschool professional
IMPORTANCE
The number of children per professional should enable all children to receive the attention, responsibility, and interaction necessary for adequate development.
DEFINITION
Number of students enrolled for each professional employed in public and private preschools in the administrative region per year.
SOURCE
Educacenso
REFERENCE YEAR
2018
Percentage of qualified daycare teachers
IMPORTANCE
Teachers with specific and qualified training are better prepared to understand the needs and provide early stimulation to children that supports their proper development.
DEFINITION
Percentage of teachers with higher education employed in public and private daycares in the Administrative Region per year.
SOURCE
Educacenso
REFERENCE YEAR
2018
Percentage of qualified preschool teachers
IMPORTANCE
Teachers with specific and qualified training are better prepared to understand the needs and provide early stimulation to children that supports their proper development.
DEFINITION
Percentage of teachers with higher education employed in public and private preschools in the Administrative Region per year.
SOURCE
Educacenso
REFERENCE YEAR
2018
Daycare educational resources
IMPORTANCE
Daycares must have adequate infrastructure for children, such as the presence of a reading room, playgrounds, adapted restrooms, and educational material available. An adequate infrastructure is fundamental for the stimulation and learning of children, thus favoring complete and adequate development.
DEFINITION
Presence of library/study room and/or playground and/or children’s restroom in public and private daycares in the Administrative Region per year.
SOURCE
Educacenso
REFERENCE YEAR
2018
Preschool educational resources
IMPORTANCE
Preschools must have adequate infrastructure for children, such as the presence of a reading room, playgrounds, adapted restrooms, and educational material available. An adequate infrastructure is fundamental for the stimulation and learning of children, thus favoring complete and adequate development.
DEFINITION
Presence of library/study room and/or playground and/or children’s restroom public and private preschools in the Administrative Region per year.
SOURCE
Educacenso
REFERENCE YEAR
2018
security and safety
Notification of violence against children
IMPORTANCE
The notification of violence by the health service is a method to create a qualified service network against the child’s chronic exposure to violence, which impacts child development.
DEFINITION
Total reported cases of any type of violence against children under 5 years old in relation to the total number of children under 5 in the Administrative Region per year.
SOURCE
Numerator: National System of Case Reports (Ministry of Health) - Sistema Nacional de Agravos de Notificação -Vigilância de Violências e Acidentes (Sinan-Viva); and Denominator: Federal District Planning Company - Companhia de Planejamento do Distrito Federal (CODEPLAN).
REFERENCE YEAR
2017
Notification of violence against women
IMPORTANCE
Violence against women can result in several health problems such as abortion, low birth weight, and prematurity. The notification of violence by the health service is a method to create a qualified service network against chronic exposure to violence, which impacts child development.
DEFINITION
Total reported cases of any type of violence against women of childbearing age (10 to 49 years) in relation to the number of women in this age group in the Administrative Region per year.
SOURCE
Numerator: National System of Case Reports (Ministry of Health) - Sistema Nacional de Agravos de Notificação -Vigilância de Violências e Acidentes (Sinan-Viva); and Denominator: Federal District Planning Company - Companhia de Planejamento do Distrito Federal (CODEPLAN).
REFERENCE YEAR
2017
Coverage of the national conditional cash transfer program
IMPORTANCE
Cash transfer programs protect the development of children in extreme poverty. The coverage of the National conditional cash transfer program reflects the percentage of children in situations of poverty assisted in a social program.
DEFINITION
Percentage of families benefiting from the National conditional cash transfer program among families in the Brazilian single registry with children under 5 years old
SOURCE
Brazilian single registry - Cadastro Único (CADUNICO)
REFERENCE YEAR
2018
Homicides
IMPORTANCE
Early exposure to violent environments can impair childhood development, including brain development, and damage other parts of the nervous system with lifelong consequences. A safe environment with low levels of violence allows the children and their caregivers to be safe and protected, free to come and go, which permits them to explore the environment around them.
DEFINITION
Homicide rate estimated per 100 thousand inhabitants for each Administrative Region.
SOURCE
Numerator: Millenium database/State Secretariat of Public Security of the Federal District - Banco Millenium/ Secretaria de Estado de Segurança Pública do Distrito Federal; and Denominator: Federal District Planning Company - Companhia de Planejamento do Distrito Federal (CODEPLAN).
REFERENCE YEAR
2017
Water system supply
IMPORTANCE
Safe potable water is especially important for young children both to prevent infectious diseases that inhibit their physical growth and to ensure active exploration of the environmet by which they learn. Safe water" includes treated water and the absence of fecal contamination."
DEFINITION
Coverage of adequate water supply network in the Administrative Region per year
SOURCE
District Household Sample Survey - Pesquisa Distrital por Amostra de Domicílios (PDAD)
REFERENCE YEAR
2018
Sewage system
IMPORTANCE
Basic sanitation is especially important for young children both to prevent infectious diseases that inhibit their physical growth and to ensure active exploration of the environment by which they learn. It involves adequate collection, treatment and final disposal.
DEFINITION
Coverage of adequate sewage system network in the Administrative Region per year
SOURCE
District Household Sample Survey - Pesquisa Distrital por Amostra de Domicílios (PDAD)
REFERENCE YEAR
2018
Relates to the health and well-being of children and their mothers as well as the ability of the caregiver to provide adequate healthcare.
Relates to the child’s nutrition and the ability of the caregiver to provide adequate nutrition.
Relates to the ability of parents or caregivers to perceive, understand, and respond to their children’s in a timely and responsive manner.
Relates to opportunities for the child to interact with people, places, or objects in their environment.
Relates to the provision of safe and protected environments for children and their families.
Steps
IMAPI-DF was created following the scientific process in 8 steps of the IMAPI-Brazil. Learn more about IMAPI in imapi.org
MethodologyINDICATORS
Review of documents, internal committee of specialists and technical panels to consult key stakeholders.
External panel of early childhood and public policies specialists and construction of analytical weight
Selection of the 30 indicators allocated in the domains of the Nurturing Care Framework
DATA ENGINEERING
Data were extracted from Brazilian government databases or requested from the competent agencies.
Consistency analysis of the indicators individually. Evaluation of minimum, average, maximum, and anomalies. Missing data was imputed.
Methods were applied to standardize the scale.
GENERATION OF IMAPI-DF
IMAPI-DF scores for the domains of the Nurturing Care Framework were generated for each Administrative Region, adding the weight assigned by the external panel of specialists. Classification as high, medium, and low according to tercile.
The general IMAPI-DF score was generated for each Administrative Region, adding the weight attributed by the external panel of specialists. Classification as high, medium, and low according to tercile.
good health
Early start of prenatal care
IMPORTANCE
The early start of prenatal care facilitates screening for risk factors and the possibility of treating possible complications early, promoting health and adequate fetal development.
DEFINITION
Total pregnant women who started prenatal care in the first 3 months or less of pregnancy in relation to the total number of pregnant women monitored, by year and Administrative Region of residence.
SOURCE
Live Birth Information System (Ministry of Health) - Sistema de Informação sobre Nascidos Vivos (SINASC/Ministério da Saúde)
REFERENCE YEAR
2018
Prenatal care consultations
IMPORTANCE
The prenatal period is a sensitive period in the baby’s formation and development. Proper prenatal care, prevention, and early diagnosis of complications can affect child’s development, as well as promote and protect the health of the mother and baby.
DEFINITION
Number of pregnant women with 7 or more prenatal care consultations in relation to the total number of pregnant women monitored (number of live births), by year and Administrative Region of residence.
SOURCE
Live Birth Information System (Ministry of Health) - Sistema de Informação sobre Nascidos Vivos (SINASC/Ministério da Saúde)
REFERENCE YEAR
2018
Adolescent pregnancy
IMPORTANCE
Adolescent pregnancy is a risky situation for the health of the adolescent and the newborn, with an increased chance of intrauterine growth retardation and developmental delays.
DEFINITION
Prevalence of pregnant adolescents (10 to 19 years), by year and Administrative Region of residence.
SOURCE
Live Birth Information System (Ministry of Health) - Sistema de Informação sobre Nascidos Vivos (SINASC/Ministério da Saúde)
REFERENCE YEAR
2018
C-Section
IMPORTANCE
High rates of elective C-Section are associated with prematurity and increased maternal and child morbimortality
DEFINITION
Number of births via C-Section in relation to the total number of births, by year and Administrative Region of residence.
SOURCE
Live Birth Information System (Ministry of Health) - Sistema de Informação sobre Nascidos Vivos (SINASC/Ministério da Saúde)
REFERENCE YEAR
2018
Prematurity
IMPORTANCE
Premature birth is a risk factor for inadequate child development in the early years as well as an indicator of poor prenatal care.
DEFINITION
Percentage of children born at less than 37 completed weeks of gestation in relation to the total number of births, by year and Administrative Region of residence.
SOURCE
Live Birth Information System (Ministry of Health) - Sistema de Informação sobre Nascidos Vivos (SINASC/Ministério da Saúde)
REFERENCE YEAR
2018
Low birth weight
IMPORTANCE
Low birth weight is a risk factor for inadequate child development, generating negative effects for mental and motor development as well as growth. It is also an indicator of poor prenatal care, maternal malnutrition, adolescent pregnancy, and untreated infections.
DEFINITION
Percentage of live births weighing less than 2500 g in relation to total births, by year and Administrative Region of residence.
SOURCE
Live Birth Information System (Ministry of Health) - Sistema de Informação sobre Nascidos Vivos (SINASC/Ministério da Saúde)
REFERENCE YEAR
2018
Congenital syphilis
IMPORTANCE
Congenital syphilis can cause severe changes in the child’s development, including pseudoparalysis of the limbs, neurological deafness, and learning difficulties.
DEFINITION
Number of confirmed and notifed cases of congenital syphilis in children under 5 years old in relation to the total number of children under 5 years old, by year and Administrative Region of residence.
SOURCE
Numerator: National System of Notifiable Diseases (SINAN/Ministry of Health) - Sistema Nacional de Agravos de Notificação (SINAN/Ministério da Saúde); and denominator: Planning Company - Companhia de Planejamento do Distrito Federal (CODEPLAN).
REFERENCE YEAR
2018
Home visits in the first 10 days of child’s life
IMPORTANCE
Home visits by the health team in the first ten postpartum days help to detect, prevent, and quickly treat postpartum and breastfeeding (adequate nutrition) complications. Home visits by health teams also reflect the mother’s and newborn’s access and ties with the health service.
DEFINITION
Percentage of primary care teams in the Administrative Region that participated in the second cycle of the PMAQ (National Program for Improving Access and Quality in Primary Care) and reported carrying out home visits in the first 10 days of child’s life.
SOURCE
National Program for Improving Access and Quality in Primary Care -Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ 2º Ciclo)
REFERENCE YEAR
2013/2014
Coverage of child immunization
IMPORTANCE
Good vaccination coverage guarantees the maintenance of low incidences of immunopreventable illnesses that can influence children’s development.
DEFINITION
Percentage of children who received the tetra viral vaccine, by year and Administrative Region.
SOURCE
National Immunization Program Information System (Ministry of Health) - Sistema de Informações do Programa Nacional de Imunizações (SI-PNI/Ministério da Saúde)
REFERENCE YEAR
2018
Coverage of Primary Health Care
IMPORTANCE
The population coverage by Primary Health Care teams reflects access to health services. Primary Health Care is responsible for several actions to prevent and promote adequate child development and early diagnosis of complications.
DEFINITION
Percentage of the population covered by Primary Health Care, by year and Administrative Region.
SOURCE
Coordination of Primary Health Care - Coordenação de Atenção Primária à Saúde (COAPS)
REFERENCE YEAR
2019
Child hospitalization for pneumonia or gastroenteritis
IMPORTANCE
Gastroenteritis and acute respiratory diseases result from a set of biological, environmental, and socio-cultural variables and indicate a high degree of vulnerability, which can cause greater risks and compromises child development. These are conditions that could be avoided or reduced by effective primary care (prevention, diagnosis, and early treatment).
DEFINITION
Percentage of hospitalization of children under 5 years with pneumonia or gastroenteritis in relation to the total number of children under 5 years, by year and Administrative Region of residence.
SOURCE
Numerator: Hospital Information System (Ministry of Health) - Sistema de Informações Hospitalares (SIH/Ministério da Saúde); and Denominator: Federal District Planning Company - Companhia de Planejamento do Distrito Federal (CODEPLAN).
REFERENCE YEAR
2018
Maternal mortality
IMPORTANCE
Maternal death can increase the risks of child mortality, morbidity, and developmental delay in early childhood.
DEFINITION
Number of women who died from causes related to pregnancy for every 100,000 live births, per year and Administrative Region of residence.
SOURCE
Numerator: Mortality Information System (Ministry of Health) Sistema de Informação sobre Mortalidade (SIM/Ministério da Saúde); and Denominator: Live Birth Information System (Ministry of Health) - Sistema de Informação sobre Nascidos Vivos (SINASC/Ministério da Saúde).
REFERENCE YEAR
2018
Child mortality
IMPORTANCE
Most childhood deaths are concentrated in the first year of life, with a high share of perinatal causes (factors linked to pregnancy, childbirth and postpartum), which are generally preventable. After the first year of life, mortality is associated with exposure to environmental factors, for example lack of access to quality health care and other environmental stressors related to poverty. This indicator also expresses the failure in several public policies to promote healthy and complete child development.
DEFINITION
Number of deaths of children under 5 years old for every 1000 live births, per year and Administrative Region of residence
SOURCE
Numerator: Mortality Information System (Ministry of Health) Sistema de Informação sobre Mortalidade (SIM/Ministério da Saúde); and Denominator: Live Birth Information System (Ministry of Health) - Sistema de Informação sobre Nascidos Vivos (SINASC/Ministério da Saúde).
REFERENCE YEAR
2018
Preventable deaths in children under 1 years old
IMPORTANCE
Preventable deaths occur when support services fail to identify early and correctly intervene in a given problem. Thus, a child who dies from an preventable cause is a child who has been deprived of development due to problems involving the health services.
DEFINITION
Deaths that could be prevented by the performance of health services in children under one year old in relation to the total number of live births, by year and Administrative Region of residence. Deaths caused by the following categories are considered “preventable”: a) Reducible by immunizations; b) Reducible by caring for women during pregnancy; c) Reducible by adequate care for women during childbirth; d) Reducible by actions, diagnosis, and appropriate treatment; e) Reducible by health promotion activities linked to Primary Health Care.
SOURCE
Numerator: Mortality Information System (Ministry of Health) Sistema de Informação sobre Mortalidade (SIM/Ministério da Saúde); and Denominator: Live Birth Information System (Ministry of Health) - Sistema de Informação sobre Nascidos Vivos (SINASC/Ministério da Saúde).
REFERENCE YEAR
2018
adequate nutrition
Coverage of information on child nutritional status
IMPORTANCE
Adequate nutritional status is associated with better child development and, thus, must be monitored. The coverage of recorded information about nutritional status was used as a monitoring proxy.
DEFINITION
Percentage of children under 5 years of age with at least one record of information on nutritional status (BMI/age) in the Food and Nutrition Surveillance System (SISVAN), by year and Administrative Region of residence.
SOURCE
Numerator: Food and Nutrition Surveillance System (Ministry of Health) - Sistema de Vigilância Alimentar e Nutricional (SISVAN/Ministério da Saúde); and Denominator: Federal District Planning Company - Companhia de Planejamento do Distrito Federal (CODEPLAN).
REFERENCE YEAR
2018
Brazilian Breastfeeding and Feeding Strategy
IMPORTANCE
The practice of breastfeeding and the introduction of healthy complementary feeding are associated with adequate child development. The Brazilian Breastfeeding and Feeding Strategy aims to qualify the actions to promote breastfeeding and healthy complementary food, improving the skills and abilities of health professionals for these activities, which should be monitored.
DEFINITION
The indicator Brazilian Breastfeeding and Feeding Strategy (EAAB) is an indicator composed a workshop and/or training for instructors and/or certification of the basic health unit in the Administrative Region.
SOURCE
General Coordination of Child Health and Breastfeeding / Ministry of Health - Coordenação-Geral de Saúde da Criança e Aleitamento Materno (CGSCAM)/ Ministério da Saúde (MS).
REFERENCE YEAR
Realização de oficina e formação de tutores: 2013-2019. Certificação da Unidade Básica de Saúde: 2018.
responsive caregiving !
Visits by national home-visiting parenting skills program
IMPORTANCE
These home visits focus on strengthening parenting skills, especially for socially vulnerable parents, help these families better understand the child development process, as well as how to behave and respond to provide adequate development. In addition, they help identify problems and difficulties and, if necessary, seek additional support services.
DEFINITION
Percentage of individuals visited by the national home-visiting parenting skills program in the Administrative Region in relation to the target agreed for the year
SOURCE
Coordination of the Brasiliense Happy Child Program/Ministry of Citizenship - Coordenação do Programa Criança Feliz Brasiliense/Ministério da Cidadania.
REFERENCE YEAR
2020
opportunities for early learning
Coverage of daycare and preschool
IMPORTANCE
Children need access to free, quality daycare and preschools, where they will receive, under adequate supervision, the stimuli and care necessary for development.
DEFINITION
Number of enrollments in public and private daycares and preschools in relation to the total number of children under 5 years, by year and Administrative Region.
SOURCE
Numerator: Educacenso; and Denominator: Federal District Planning Company - Companhia de Planejamento do Distrito Federal (CODEPLAN).
REFERENCE YEAR
2018
Number of students per daycare professional
IMPORTANCE
The number of children per professional should enable all children to receive the attention, responsibility, and interaction necessary for adequate development.
DEFINITION
Number of students enrolled for each professional employed in public and private daycares in the Administrative Region per year.
SOURCE
Educacenso
REFERENCE YEAR
2018
Number of students per preschool professional
IMPORTANCE
The number of children per professional should enable all children to receive the attention, responsibility, and interaction necessary for adequate development.
DEFINITION
Number of students enrolled for each professional employed in public and private preschools in the administrative region per year.
SOURCE
Educacenso
REFERENCE YEAR
2018
Percentage of qualified daycare teachers
IMPORTANCE
Teachers with specific and qualified training are better prepared to understand the needs and provide early stimulation to children that supports their proper development.
DEFINITION
Percentage of teachers with higher education employed in public and private daycares in the Administrative Region per year.
SOURCE
Educacenso
REFERENCE YEAR
2018
Percentage of qualified preschool teachers
IMPORTANCE
Teachers with specific and qualified training are better prepared to understand the needs and provide early stimulation to children that supports their proper development.
DEFINITION
Percentage of teachers with higher education employed in public and private preschools in the Administrative Region per year.
SOURCE
Educacenso
REFERENCE YEAR
2018
Daycare educational resources
IMPORTANCE
Daycares must have adequate infrastructure for children, such as the presence of a reading room, playgrounds, adapted restrooms, and educational material available. An adequate infrastructure is fundamental for the stimulation and learning of children, thus favoring complete and adequate development.
DEFINITION
Presence of library/study room and/or playground and/or children’s restroom in public and private daycares in the Administrative Region per year.
SOURCE
Educacenso
REFERENCE YEAR
2018
Preschool educational resources
IMPORTANCE
Preschools must have adequate infrastructure for children, such as the presence of a reading room, playgrounds, adapted restrooms, and educational material available. An adequate infrastructure is fundamental for the stimulation and learning of children, thus favoring complete and adequate development.
DEFINITION
Presence of library/study room and/or playground and/or children’s restroom public and private preschools in the Administrative Region per year.
SOURCE
Educacenso
REFERENCE YEAR
2018
security and safety
Notification of violence against children
IMPORTANCE
The notification of violence by the health service is a method to create a qualified service network against the child’s chronic exposure to violence, which impacts child development.
DEFINITION
Total reported cases of any type of violence against children under 5 years old in relation to the total number of children under 5 in the Administrative Region per year.
SOURCE
Numerator: National System of Case Reports (Ministry of Health) - Sistema Nacional de Agravos de Notificação -Vigilância de Violências e Acidentes (Sinan-Viva); and Denominator: Federal District Planning Company - Companhia de Planejamento do Distrito Federal (CODEPLAN).
REFERENCE YEAR
2017
Notification of violence against women
IMPORTANCE
Violence against women can result in several health problems such as abortion, low birth weight, and prematurity. The notification of violence by the health service is a method to create a qualified service network against chronic exposure to violence, which impacts child development.
DEFINITION
Total reported cases of any type of violence against women of childbearing age (10 to 49 years) in relation to the number of women in this age group in the Administrative Region per year.
SOURCE
Numerator: National System of Case Reports (Ministry of Health) - Sistema Nacional de Agravos de Notificação -Vigilância de Violências e Acidentes (Sinan-Viva); and Denominator: Federal District Planning Company - Companhia de Planejamento do Distrito Federal (CODEPLAN).
REFERENCE YEAR
2017
Coverage of the national conditional cash transfer program
IMPORTANCE
Cash transfer programs protect the development of children in extreme poverty. The coverage of the National conditional cash transfer program reflects the percentage of children in situations of poverty assisted in a social program.
DEFINITION
Percentage of families benefiting from the National conditional cash transfer program among families in the Brazilian single registry with children under 5 years old
SOURCE
Brazilian single registry - Cadastro Único (CADUNICO)
REFERENCE YEAR
2018
Homicides
IMPORTANCE
Early exposure to violent environments can impair childhood development, including brain development, and damage other parts of the nervous system with lifelong consequences. A safe environment with low levels of violence allows the children and their caregivers to be safe and protected, free to come and go, which permits them to explore the environment around them.
DEFINITION
Homicide rate estimated per 100 thousand inhabitants for each Administrative Region.
SOURCE
Numerator: Millenium database/State Secretariat of Public Security of the Federal District - Banco Millenium/ Secretaria de Estado de Segurança Pública do Distrito Federal; and Denominator: Federal District Planning Company - Companhia de Planejamento do Distrito Federal (CODEPLAN).
REFERENCE YEAR
2017
Water system supply
IMPORTANCE
Safe potable water is especially important for young children both to prevent infectious diseases that inhibit their physical growth and to ensure active exploration of the environmet by which they learn. Safe water" includes treated water and the absence of fecal contamination."
DEFINITION
Coverage of adequate water supply network in the Administrative Region per year
SOURCE
District Household Sample Survey - Pesquisa Distrital por Amostra de Domicílios (PDAD)
REFERENCE YEAR
2018
Sewage system
IMPORTANCE
Basic sanitation is especially important for young children both to prevent infectious diseases that inhibit their physical growth and to ensure active exploration of the environment by which they learn. It involves adequate collection, treatment and final disposal.
DEFINITION
Coverage of adequate sewage system network in the Administrative Region per year
SOURCE
District Household Sample Survey - Pesquisa Distrital por Amostra de Domicílios (PDAD)
REFERENCE YEAR
2018
Ao preencher nosso cadastro, você terá acesso à base de dados com os resultados IMAPI geral e por domínios para os 5.570 municípios.
IMAPI (EARLY CHILDHOOD DEVELOPMENT FRIENDLY INDEX) DATASET (2020), MENDELEY DATA, V1. DOI: https://data.mendeley.com/datasets/8cy7v679zv/2