The Arctic regions are currently undergoing transformative changes linked to globalization and climate change, which pose challenges for current governance structures. This thesis investigates governance in times of change through the lens of reindeer pastoralism, and the traditional ecological knowledge (TEK)- based management in reindeer herding. While studies increasingly highlight the benefits of incorporating TEK into governance, a central challenge remains in finding ways to ensure integration. To contribute such knowledge, this thesis analyses how reindeer-herding local management systems interact with multiple processes of governance steering reindeer pastoralism, and the ways TEK is negotiated in such interactions. Theoretically, the thesis draws on literature on multi-level governance as an analytical framework for engaging with different types of governance processes and actors, and the literature on TEK to conceptualize local social institutions. Methodologically, a qualitative bottom-up methodological strategy (with local reindeer-herding groups and constellations – siidas, brigadas – forming the central starting point for the research) was adopted, focusing on cases from reindeer pastoralism in western Finnmark in northern Norway and Yamal in northwest Siberia. The results show that local reindeer herding organizations are incorporated into processes of governance through participatory, representative and deliberative processes for decision-making. Yet, such incorporation has not facilitated integration of the TEK to processes of governance. A central challenge is that current governance processes are formalized in a way that do not accommodate non-scientific ways of knowing, or non hierarchical consensus-based decision- making. The thesis thus highlights the need for holistic strategies for how to include TEK in governance. Co-management and participatory processes alone are not enough. / IPY EALÁT, the Reindeer Herders Vulnerability Network Study / RUF: Forvaltning i endring

Since the origin of the automotive at the end of the 19th century, the traffic flow is subject to a constant increase and, unfortunately, involves a constant augmentation of road accidents. Research studies such as the one performed by the World Health Organization, show alarming results about the number of injuries and fatalities due to these accidents. To reduce these figures, a solution lies in the development of Advanced Driver Assistance Systems (ADAS) which purpose is to help the Driver in his driving task. This research topic has been shown to be very dynamic and productive during the last decades. Indeed, several systems such as Anti-lock Braking System (ABS), Electronic Stability Program (ESP), Adaptive Cruise Control (ACC), Parking Manoeuvre Assistant (PMA), Dynamic Bending Light (DBL), etc. are yet market available and their benefits are now recognized by most of the drivers. This first generation of ADAS are usually designed to perform a specific task in the Controller/Vehicle/Environment framework and thus requires only microscopic information, so requires sensors which are only giving local information about an element of the Vehicle or of its Environment. On the opposite, the next ADAS generation will have to consider more aspects, i.e. information and constraints about of the Vehicle and its Environment. Indeed, as they are designed to perform more complex tasks, they need a global view about the road context and the Vehicle configuration. For example, longitudinal control requires information about the road configuration (straight line, bend, etc.) and about the eventual presence of other road users (vehicles, trucks, etc.) to determine the best reference speed. [...]

This research examines a multi-level language ability ESL secondary school classroom in relation to Lave and Wenger’s (1991) community of practice and Dörnyei and Ottó’s (1998) L2 motivation conceptual frameworks. Both qualitative and quantitative methodologies were employed. Case study data were collected through monthly interviews, semi-monthly observations, and monthly written journals over 3 months in Toronto from 6 participants (5 students and 1 teacher). Also, students who had been in Canada 5 years or less, and ESL teachers were invited to complete an on-line questionnaire. Results indicate that the multi-level classroom positively and negatively impacts participation and motivation. Participants define the most striking factor to impact participation and motivation as themselves; this links the two conceptual frameworks because “self-regulation” in the Actional Phase (Dörnyei & Ottó, 1998) can be better understood by legitimate peripheral participation or the ability to “imagine” and “align” oneself (Lave & Wenger, 1991). In this multi-level classroom, self-regulation is when students actively imagine possible selves who are aligned with their family or peer goals, or when faced with disengagement, students envision new roles for themselves in the classroom to overcome barriers and realign themselves with shared family or peer goals. In these cases, alignment drives imagination; however, students also use imagination to create alignment. When lower level learners see advanced students as possible selves, they feel hope for their future. Similarly, advanced learners recall their past selves when seeing their lower level peers and feel empathy for them. This interaction cements student alignment and sets a context conducive to cooperative learning which enhances students’ abilities to remain aligned with their families. Overall, this research highlights the interplay of imagination and alignment which impacts student identity. Moreover, it reveals that one aspect of the Post-actional Phase in Dörnyei and Ottó’s (1998) model, “self-concept beliefs,” can be enhanced by the notion of identity in Lave and Wenger’s (1991) framework. Finally, these findings could serve to change policy and improve programming and serve as an archive for future research.

Despite a plethora of empirical evidence on the work-family interface in 'the West', very little research has been carried out on the experiences of women in the context of Pakistan. Gender inequalities persist in the Pakistani labour market and women's employment is skewed towards agriculture and 'respectable' professions, such as academia and medicine. However, following the privatisation of the banking industry, women have been gaining visibility in this profession despite societal pressures to either conform to the homemaker role or remain in 'women's work'. What makes the Pakistani context unique is the interplay between gender, culture, religion, class and family structure. This affects reconciliation of work and family roles among working women. This thesis contributes to an understanding of the experiences of working women in a gendered, patriarchal, Muslim society. It offers an indigenous conceptualisation of the contours, causes, consequences and coping strategies (Four C's) of work-family conflict (WFC) among women working in Pakistani banks through a multi-layered, feminist, intersectional approach that gives voice to women. The study foregrounds women's experiences at the individual-level; however, it also considers the broader structures such as the extended family system, the male-dominated banking industry and the contradiction of Islamic teachings with the societal norms regarding women's paid employment. Consequently, the conceptual model of Four C's of WFC offers a systematic and coherent categorisation of the causes, consequences and coping strategies of WFC in a context-sensitive, multi-level, intersectional, feminist approach framework. Such indigenous manifestations of WFC in the Pakistani context can inform research in similar contexts. Based on a mixed method approach the fieldwork collected empirical evidence through 280 scoping questionnaires and 47 in-depth, semi-structured, face-to-face interviews in four different banks in Punjab province of Pakistan. The study reveals the most extreme, yet masked, forms of oppression and the subtleties of agency in the context of religious, patriarchal and cultural understandings of 'work' that also impact the salience of other social categories, e.g. class and family structure. In the main, the findings suggest a gendered culture of silence in Pakistan in which women working in Pakistani banks lack opportunities to vocalise their subjugated positions in the work and family spheres. More specifically, the thesis points to the fact that these women are subject to, sometimes conflicting, organisational and societal pressures to conform to the respective images of 'ideal worker' and 'good woman' simultaneously. This, of course, has implications for the intensity. In doing so the study extends the existing WFC theoretical framework to include and consider not just the Four C's of WFC but the intensity, duration and types experienced by women in particular contexts. However, the research also revealed that women in Pakistani banks are not passive victims, but active agents, making context dependent constrained choices to prevent or cope with WFC. For policymakers, the findings suggest the need for the formulation of context-specific initiatives to address work-family issues in patriarchal Muslim societies.

The study of health disparities and the social determinants of health has resulted in the call for public health researchers to investigate the mid- and upstream factors that influence the incidence of chronic diseases (Adler & Rehkopf, 2008; Berkman, 2009; Braveman P. , 2006; Braveman & Gottlieb, 2014; Krieger, 2011; Rose, 1985). Social ecological models (SEMs) provide important conceptual tools to inform this research and practice (Krieger, 2011; Golden & Earp, 2012; Story, Kaphingst, Robinson O'Brien, & Glanz, 2008; Glanz, Rimer, & Lewis, 2002). These models can help us look at the social and physical environments in rural Arizona communities and consider how health policies and environmental interventions address mediating factors, such as disparities in access to fresh food, that contribute to ill health in marginalized, rural, populations. Rural residents are at greater risk for obesity than their urban counterparts (Jackson, Doescher, Jerant, & Hart, 2006; Story, Kaphingst, Robinson O'Brien, & Glanz, 2008). And while human life expectancy has steadily increased over the past thousand years, current projections indicate that the rise in obesity-related illnesses will soon result in its decline (Olshansky, et al., 2005). One reason for this decline, may be the reduced availability of healthy food – an important predictor of positive health outcomes including reduced obesity and chronic disease - in many parts of the United States (Brownson, Haire-Joshu, & Luke, 2006; Ahen, Brown, & Dukas, 2011; Braveman & Gottlieb, 2014; Braveman, Egerter, & Williams, 2011). The United States Department of Agriculture (USDA) defines food deserts as geographic areas in which there is limited access to grocery stores and whose populations have a high rate of poverty. In Arizona, 24% of the rural census tracts are considered food deserts; compared to an average of eight percent of rural census tracts across the nation (United States Department of Agriculture, 2013). Food deserts are one example of the upstream factors influencing the health of rural populations. Local health departments have been encouraged through the National Association for City and County Health Officials (NACCHO) and through the Public Health Accreditation Board (PHAB) to conduct community health assessments (CHAs) in order to identify unique contexts and community resources, health disparities, and the social determinants of health as well as potential areas for advocacy, policy change, environmental interventions, and health promotion interventions. Public health challenges like chronic diseases, which have multiple causes, can be explored in-depth through CHAs. CHAs often contain recommendations for action and/or are followed by community health improvement plans (CHIPs) which help local health departments prioritize resources and set measurable goals. In Florence, AZ recommendations made in a CHA are being acted upon by a non-profit agency, the Future Forward Foundation (3F). This investigation explores two interrelated issues regarding the use of CHAs and CHIPs as practical tools to set public health priorities. First, what makes a CHA useful to rural public health practitioners? What methods of conducting a CHA and subsequently analyzing the data results in actionable policy recommendations and/or environmental level interventions? Second, to what extent can public health agencies engage nontraditional partners to work in partnership to address the social determinants of health? As an example, I will look at the impact of a volunteer-based non-profit agency, located in a rural food desert on improving the social and physical nutrition environment as recommended by a local CHA. This inquiry will provide insights to public health practitioners seeking to identify and implement policy and environmental change addressing complex, multi-causal, public health issues, and provide insights regarding engaging nontraditional partners who may not self-identify as public health agencies.

Renewable energy is harnessed from continuously replenishing natural processes. Some commonly known are sunlight, water, wind, tides, geothermal heat and various forms of biomass. The focus on renewable energy has over the past few decades intensified greatly. This thesis contributes to the research on developing renewable energy technologies, within the wind power, wave power and marine current power projects at the division of Electricity, Uppsala University. In this thesis grid connection of permanent magnet generator based renewable energy sources is evaluated. A tap transformer based grid connection system has been constructed and experimentally evaluated for a vertical axis wind turbine. Full range variable speed operation of the turbine is enabled by using the different step-up ratios of a tap transformer. This removes the need for a DC/DC step or an active rectifier on the generator side of the full frequency converter and thereby reduces system complexity. Experiments and simulations of the system for variable speed operation are done and efficiency and harmonic content are evaluated.  The work presented in the thesis has also contributed to the design, construction and evaluation of a full-scale offshore marine substation for wave power intended to grid connect a farm of wave energy converters. The function of the marine substation has been experimentally tested and the substation is ready for deployment. Results from the system verification are presented. Special focus is on the transformer losses and transformer in-rush currents. A control and grid connection system for a vertical axis marine current energy converter has been designed and constructed. The grid connection is done with a back-to-back 2L-3L system with a three level cascaded H-bridge converter grid side. The system has been tested in the laboratory and is ready to be installed at the experimental site. Results from the laboratory testing of the system are presented. / Wind Power / Wave Power / Marine Currnet Power

Objetivo: A presente tese é apresentada no formato de três artigos que se articulam através do objetivo geral que foi estudar a associação entre o encarceramento e o risco de tuberculose ativa (TB) no Brasil. Os objetivos específicos dos artigos foram: (artigo-1) identificar um conjunto de macrodeterminantes socioeconômicos associados à incidência da TB, dentre eles, a proporção da população privada de liberdade (PPL) na população do município; (artigo-2) quantificar a importância relativa da exposição às prisões na incidência de TB e avaliar sua interação com a desigualdade da distribuição de renda; (artigo-3) estimar o efeito dos fatores ambientais dos presídios no tempo até o diagnóstico de TB. Métodos: Foram realizados dois estudos ecológicos (artigos-1 e 2) e um estudo de coorte retrospectiva (artigo-3). No artigo-1, relacionamos as taxas de incidência de TB (2010) dos 5565 municípios aos indicadores socioeconômicos e de saúde e à proporção de PPL. No artigo-2, as taxas de incidência de TB das populações prisional e não prisional dos 954 municípios com pelo menos uma unidade prisional (2014), foram relacionadas às variáveis contextuais dos municípios. Avaliamos também a interação da desigualdade da distribuição de renda nesta associação; e estimamos a fração atribuível à população (FAP). No artigo-3, analisamos os casos de TB na PPL do estado de São Paulo (2014 e 2015) segundo o tempo entre o encarceramento e o diagnóstico de TB. O efeito total das condições ambientais foi analisado por modelos de riscos de Cox. Todas as análises foram orientadas por diagramas causais para a seleção de variáveis de ajuste. Resultados: No artigo-1, após o ajuste por fatores individuais e região geográfica, esteve associada positivamente à incidência da TB, a proporção de PPL (razão de taxas de incidência [RTI]: 1,11; intervalo com 95% de confiança [IC95%]: 1,09-1,14), e fatores socioeconômicos e de saúde. No artigo-2, comparada com a população não prisional, a PPL apresentou (RTI) 22,07 vezes (IC95%: 20,38-23,89) o risco de TB em municípios com coeficiente de Gini <0,60; e 14,96 vezes (IC95%: 11,00-18,92) este risco onde o Gini foi >=0,60. A FAP foi gradativamente menor em municípios com maior desigualdade da distribuição de renda. No artigo-3, estimou-se que a cada aumento de 50% na taxa de ocupação carcerária, houve um aumento na velocidade de ocorrência da TB de 16% (IC95%: 8%-25%) nos modelos até dois anos. Um aumento de uma unidade do logaritmo da área da cela por pessoa resultou em uma redução na velocidade até o diagnóstico de TB de 13% (IC95%: 2%-23%) nos modelos até dois anos. Conclusão: Evidenciou-se a importância da PPL na ocorrência da TB nos municípios brasileiros; o potencial impacto que teriam intervenções para reduzir a exposição aos presídios, o qual varia segundo as condições socioeconômicas; e o efeito das condições ambientais dos presídios na velocidade do tempo até o diagnóstico de TB. Intervenções nas prisões como a redução drástica das condições de superlotação e o aumento do espaço físico, teriam elevado impacto na incidência de TB na população gerla, principalmente em municípios com menor coeficiente de Gini. / Objective: This thesis is presented in the form of three articles that are articulated through the general objective of studying the association between incarceration and the risk of active tuberculosis (TB) in Brazil. The specific objectives of the articles were: (article-1) to identify a set of socioeconomic macrodeterminants associated with the TB incidence, among them, the proportion of the prison population in the population of the municipality; (article-2) to quantify the relative importance of exposure to prisons in TB incidence and to assess their interaction with population income distribution inequality; (article-3) to estimate the effect of the environmental factors of prisons in time until the diagnosis of TB. Methods: Two ecological studies (articles-1 and 2) and one retrospective cohort study (article-3) were performed. In article-1, we related the TB incidence rates (2010) of the 5565 municipalities to socioeconomic and health indicators and to the proportion of prison population. In article-2, the TB incidence rates of the prison and non-prison populations of the 954 municipalities with at least one prison (2014) were related to the contextual variables of the municipalities. We also evaluated the interaction of the income distribution inequality in this association; and we estimated the fraction of tuberculosis in the population attributable to the exposure to prisons (PAF). In article-3, we analyzed the TB cases in the prison population of the São Paulo state (2014 and 2015) according to the time between incarceration and the diagnosis of TB. The total effect of the environmental conditions was analyzed by Cox risk models. All the analyzes were oriented by causal diagrams for the selection of adjustment variables. Results: In article-1, after adjustment for individual factors and geographic region, it was positively associated with the TB incidence, the proportion of prison population (incidence rate ratio [IRR]: 1.11, 95% confidence interval [ 95%CI: 1.09-1.14), and socioeconomic and health factors. In article-2, compared to the non-prison population, the prison population presented 22.07 times (95%CI: 20,38-23,89) the risk of TB in municipalities with a Gini coefficient <0.60; and 14.96 times (95%CI: 11.00-18.92) this risk where the Gini was >=0.60. The PAF was gradually lower in municipalities with greater income distribution inequality. In article-3, it was estimated that with each increase of 50% in the prison occupation rate, there was an increase in the speed of TB occurrence of 16% (95%CI: 8% -25%) in the models up to two years. An increase of one unit in the logarithm of the cell area per person resulted in a reduction in the speed to TB diagnosis of 13% (95%CI: 2% -23%) in the models up to two years. Conclusion: It was evidenced the importance of prison population in the occurrence of TB in Brazilian municipalities; the potential impact of interventions to reduce exposure to prisons, which varies according to socioeconomic conditions; and the effect of prisons\' environmental conditions on the speed of time to TB diagnosis. Interventions in prisons such as the drastic reduction of overcrowding conditions and the increase in physical space, would have a high impact on the TB incidence in general population, especially in municipalities with lower Gini coefficients.

Introdução A mortalidade infantil (MI) no Município de São Paulo (MSP) apresenta queda, principalmente a partir da década de 80, entretanto é possível que existam diferenças regionais importantes entre Subprefeituras uma vez que estas apresentam características sócio-ambientais que podem influenciar neste indicador. Objetivo Descrever e analisar a evolução da MI no período de 2000 a 2007, segundo Subprefeituras do MSP. Métodos Estudo ecológico longitudinal, com 31 unidades de análise (Subprefeituras). Utilizou-se, para a análise estatística, o modelo de regressão linear multinível, considerando-se, como variável resposta, o CMI e oito anos de observação (2000 a 2007). O modelo incluiu variáveis relacionadas aos serviços de saúde. Resultados A queda da MI não ocorre de modo homogêneo entre as Subprefeituras evidenciadas pelas diferentes inclinações das retas e interceptos observados e estimados. Após a análise pelo modelo multinível observou-se redução da MI no período de 18,8% com declínio médio de 0,300/00nv ao ano Pelo modelo, 51% da variabilidade da MI se explica por características contextuais das Subprefeituras. No período de estudo, o CMI aumenta: 0,0560/00nv para cada 1% de aumento na proporção de mães com pré-natal inadequado, 0,2140/00nv para cada 1% de aumento na proporção da população exclusivamente usuária SUS, 0,0390/00nv para cada aumento na taxa de leitos obstétricos SUS. O CMI diminui: 0,1910/00nv para cada 1% de aumento na proporção de recuperação da vitalidade do nv. Conclusão A MI apresenta tendência de queda no período de 2000 a 2007 de modo não homogêneo segundo Subprefeitura. As variáveis que apresentaram associação com a MI são: o ano de observação, proporção de nascidos vivos de mães que realizaram até 6 consultas pré-natal (pré-natal inadequado); taxa de leitos obstétricos do Sistema Único de Saúde (SUS); proporção da população exclusivamente usuária do SUS e proporção de recuperação da vitalidade do nascido vivo. Na região periférica do MSP onde se encontram as maiores proporções da população exclusivamente usuária SUS, é também onde se apresentam os maiores CMI. / Introduction - Infant mortality (IM) in São Paulo (MSP) has declined, especially from the 80s. However, there may be important regional differences between Districts as their socio-environmental characteristics may influence this indicator. Objective - To describe and analyze IM trend in the period from 2000 to 2007, according to the Districts of MSP. Method - Ecological longitudinal study comprising 31 units of analysis (Districts). Linear multilevel regression model was used for statistical analysis. Infant Mortality Rate (IMR) and eight years of observation (2000-2007) were used as dependent variables. The model included variables related to health services. Results The decrease in IM does not occur homogeneously between Districts as evidenced by the different slopes and intercepts of the observed and estimated lines. A multilevel model showed an 18.8% reduction in IM in the period with an average decline of 0,300/00 living born (lb) per year. According to the model, 51% of the IM variability can be explained by contextual features of districts. During the study period, IMR increases: 0,0560/00lb for every 1% increase among mothers with inadequate prenatal care, 0,2140/00lb for every 1% increase among users of the Unified Health System (UHS), 0,0390/00lb for each increase in the UHS obstetric beds rate. IMR decreases 0,1910/00lb for every 1% increase in the vitality proportion of recovery of live births. Conclusion - IM shows a declining trend over the period from 2000 to 2007 in a non-homogeneous way according to District. The variables that were associated with IMR: year of observation, proportion of live births from mothers who had up to 6 prenatal visits (inadequate prenatal care), Unified Health System (UHS) obstetric beds rate, proportion of UHS users and vitality recovery of live birth proportion. The highest IMR is found in peripheral region of MSP where the largest proportion of UHS users is found.

As a purposive sustainability transition requires environmental innovation and innovation policy, we discuss potentials and limitations of three dominant strands of literature in this field, namely the multi-level perspective on socio-technical transitions (MLP), the innovation systems approach (IS), and the long-wave theory of techno-economic paradigm shifts (LWT). All three are epistemologically rooted in an evolutionary understanding of socio-technical change. While these approaches are appropriate to understand market-driven processes of change, they may be deficient as analytical tools for exploring and designing processes of purposive societal transformation. In particular, we argue that the evolutionary mechanism of selection is the key to introducing the strong directionality required for purposive transformative change. In all three innovation theories, we find that the prime selection environment is constituted by the market and, thus, normative societal goals like sustainability are sidelined. Consequently, selection is depoliticised and neither strong directionality nor incumbent regime destabilisation are societally steered. Finally, we offer an analytical framework that builds upon a more political conception of selection and retention and calls for new political institutions to make normatively guided selections. Institutions for transformative innovation need to improve the capacities of complex societies to make binding decisions in politically contested fields.

Introdução A mortalidade infantil (MI) no Município de São Paulo (MSP) apresenta queda, principalmente a partir da década de 80, entretanto é possível que existam diferenças regionais importantes entre Subprefeituras uma vez que estas apresentam características sócio-ambientais que podem influenciar neste indicador. Objetivo Descrever e analisar a evolução da MI no período de 2000 a 2007, segundo Subprefeituras do MSP. Métodos Estudo ecológico longitudinal, com 31 unidades de análise (Subprefeituras). Utilizou-se, para a análise estatística, o modelo de regressão linear multinível, considerando-se, como variável resposta, o CMI e oito anos de observação (2000 a 2007). O modelo incluiu variáveis relacionadas aos serviços de saúde. Resultados A queda da MI não ocorre de modo homogêneo entre as Subprefeituras evidenciadas pelas diferentes inclinações das retas e interceptos observados e estimados. Após a análise pelo modelo multinível observou-se redução da MI no período de 18,8% com declínio médio de 0,300/00nv ao ano Pelo modelo, 51% da variabilidade da MI se explica por características contextuais das Subprefeituras. No período de estudo, o CMI aumenta: 0,0560/00nv para cada 1% de aumento na proporção de mães com pré-natal inadequado, 0,2140/00nv para cada 1% de aumento na proporção da população exclusivamente usuária SUS, 0,0390/00nv para cada aumento na taxa de leitos obstétricos SUS. O CMI diminui: 0,1910/00nv para cada 1% de aumento na proporção de recuperação da vitalidade do nv. Conclusão A MI apresenta tendência de queda no período de 2000 a 2007 de modo não homogêneo segundo Subprefeitura. As variáveis que apresentaram associação com a MI são: o ano de observação, proporção de nascidos vivos de mães que realizaram até 6 consultas pré-natal (pré-natal inadequado); taxa de leitos obstétricos do Sistema Único de Saúde (SUS); proporção da população exclusivamente usuária do SUS e proporção de recuperação da vitalidade do nascido vivo. Na região periférica do MSP onde se encontram as maiores proporções da população exclusivamente usuária SUS, é também onde se apresentam os maiores CMI. / Introduction - Infant mortality (IM) in São Paulo (MSP) has declined, especially from the 80s. However, there may be important regional differences between Districts as their socio-environmental characteristics may influence this indicator. Objective - To describe and analyze IM trend in the period from 2000 to 2007, according to the Districts of MSP. Method - Ecological longitudinal study comprising 31 units of analysis (Districts). Linear multilevel regression model was used for statistical analysis. Infant Mortality Rate (IMR) and eight years of observation (2000-2007) were used as dependent variables. The model included variables related to health services. Results The decrease in IM does not occur homogeneously between Districts as evidenced by the different slopes and intercepts of the observed and estimated lines. A multilevel model showed an 18.8% reduction in IM in the period with an average decline of 0,300/00 living born (lb) per year. According to the model, 51% of the IM variability can be explained by contextual features of districts. During the study period, IMR increases: 0,0560/00lb for every 1% increase among mothers with inadequate prenatal care, 0,2140/00lb for every 1% increase among users of the Unified Health System (UHS), 0,0390/00lb for each increase in the UHS obstetric beds rate. IMR decreases 0,1910/00lb for every 1% increase in the vitality proportion of recovery of live births. Conclusion - IM shows a declining trend over the period from 2000 to 2007 in a non-homogeneous way according to District. The variables that were associated with IMR: year of observation, proportion of live births from mothers who had up to 6 prenatal visits (inadequate prenatal care), Unified Health System (UHS) obstetric beds rate, proportion of UHS users and vitality recovery of live birth proportion. The highest IMR is found in peripheral region of MSP where the largest proportion of UHS users is found.