Desenvolvimento de um índice de vulnerabilidade em saúde nos municípios do Ceará

Abstract

Health is very important for promoting sustainable development and reducing social vulnerability, and is largely determined by environmental,economic and social factors. The general aim of this article is to assess the health vulnerability of municipalities in Ceará by constructing theHealth Vulnerability Index (HVI). The index was calculated using statistical multivariate analysis techniques, making it possible to hierarchize themunicipalities of Ceará in terms of the vulnerability studied. To complement the study, the Global and Local Moran indices were also calculated,allowing us to visualize the spatial autocorrelation of the HVI in relation to the state's municipalities, verifying whether or not these localities aresimilar to their respective close neighbors. The results indicated that the majority of Ceará's municipalities fall into the most vulnerable healthgroup and a minority belong to the intermediate and lowest HVI groups. The cities in the interior and furthest away from the capital are the oneswith the highest rates, highlighting the reality present in many places in Brazil. The study also showed that the high HVI regime stood out amongthe state's cities, forming high-high agglomerations, which means that the high vulnerability in these locations is related to the high vulnerabilitiesof their neighbors.