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Table 4 Description of mental health care indicators accumulated for six months at pre- and post- intervention. SMAPS Project, Brazil, 2022‒2023

From: The effect of an intervention for organizing primary mental health care in Brazil: a study based on routine process indicators

Health Region

Unit

Number (%) of consultations

 

Number (%) of referrals

 

Rate of referrals to specialty MH care per 100 visits with MH ICD/ICPC

 

Pre-

 

Post-

Pre-

 

Post-

Pre-

Post-

Total

With MH ICD/ICPC (%)

 

Total

With MH ICD/ICPC (%)

Total

To specialty MH care (%)

 

Total

To specialty MH care (%)

Health Region 1 (Northeast)

Intervention municipality 1 (PHCu -i 1)

9235

11 (0.1)

 

6687

103 (1.5)

 

945

242 (25.6)

 

408

26 (6.4)

 

2200.0

25.2

 

Control municipality 1 (PHCu -c 1)

1902

49 (2.6)

 

1664

86 (5.2)

 

129

5 (3.9)

 

38

0 (0.0)

 

10.2

0.0

 

Control municipality 1 (PHCu -c 2)

2049

6 (0.3)

 

2480

42 (1.7)

 

245

6 (2.4)

 

95

0 (0.0)

 

100.0

0.0

 

Health Region 2 (North)

Intervention municipality 2 (PHCu -i 2)

4956

226 (4.6)

 

3142

161 (5.1)

 

503

0 (0.0)

 

299

1 (0.3)

 

0.0

0.6

 

Control municipality 2 (PHCu -c 3)

1582

54 (3.4)

 

1901

44 (2.3)

 

1223

54 (4.4)

 

215

6 (2.8)

 

100.0

13.6

 

Control municipality 2 (PHCu -c 4)

5820

300 (5.2)

 

2339

120 (5.1)

 

1182

300 (25.4)

 

231

8 (3.5)

 

100.0

6.7

 

Health Region 3 (North)

Intervention municipality 3 (PHCu -i 3)

4640

218 (4.7)

 

7302

343 (4.7)

 

417

0 (0.0)

 

803

2 (0.2)

 

0.0

0.6

 

Control municipality 3 (PHCu -c 5)

1423

227 (16.0)

 

2420

383 (15.8)

 

1698

238 (14.0)

 

376

3 (0.8)

 

104.8

0.8

 

Control municipality 3 (PHCu -c 6)

1182

68 (5.8)

 

2454

159 (6.5)

 

963

95 (9.9)

 

196

32 (16.3)

 

139.7

20.1

 

Health Region 4 (Central-West)

Intervention municipality 4 (PHCu -i 4)

4358

50 (1.1)

 

4426

80 (1.8)

 

4417

0 (0.0)

 

88

0 (0.0)

 

0.0

0.0

 

Control municipality 4 (PHCu -c 7)

6091

176 (2.9)

 

4799

74 (1.5)

 

520

161 (31.0)

 

126

36 (28.6)

 

91.5

48.6

 

Control municipality 4 (PHCu -c 8)

12,775

15 (0.1)

 

12,539

37 (0.3)

 

120

33 (27.5)

 

74

23 (31.1)

 

220.0

62.2

 

Health Region 5 (Central-West)

Intervention municipality 5 (PHCu -i 5)

2518

109 (4.3)

 

2820

137 (4.9)

 

2371

181 (7.6)

 

273

0 (0.0)

 

166.1

0.0

 

Control municipality 5(PHCu -c 9)

1612

125 (7.8)

 

4375

858 (19.6)

 

 

 

 

Control municipality 6 (PHCu -c 10)

2093

30 (1.4)

 

3611

50 (1.4)

 

119

0 (0.0)

 

36

0 (0.0)

 

0.0

0.0

 

Health Region 6 (Central-West)

Intervention municipality 6 (PHCu -i 6)

2971

78 (2.6)

 

3774

10 (0.3)

 

382

121 (31.7)

 

376

1 (0.3)

 

155.1

10.0

 

Control municipality 7 (PHCu -c 11)

2937

302 (10.3)

 

2905

292 (10.1)

 

345

17 (4.9)

 

291

13 (4.5)

 

5.6

4.5

 

Control municipality 8 (PHCu -c 12)

2335

52 (2.2)

 

2820

226 (8.0)

 

162

0 (0.0)

 

241

1 (0.4)

 

0.0

0.4

 
  1. Source: The authors. The ‘Pre-’intervention started in January 2022. The ‘Post-’ intervention started in February 2023. ICD: International Classification of Diseases; ICPC: International Classification of Primary Care; MH: mental health; PHC: primary health care. PHCu-c 9 data are not available for the referrals indicator