Secular trends in infant mortality by age-group and avoidable components in the State of São Paulo, 1996–2012

Areco, Kelsy Catherina Nema; Konstantyner, Túlio; Taddei, José Augusto de Aguiar Carrazedo

doi:10.1016/j.rppede.2016.03.009

Cited by 7 publications

(6 citation statements)

References 21 publications

(38 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…and 2014 4 and in the state of São Paulo. 15 This decline has also been observed worldwide, although many regional disparities still persist. 2 Some developed countries have infant mortality rates close to two per 1,000 live births, while many countries in sub-Saharan Africa reach values above 60 per 1,000 live births, 16 highlighting inequities in access to health around the world, reflecting social and economic inequalities.…”

Section: Discussionmentioning

confidence: 90%

Infant Mortality and Family Health Strategy in the 3rd Health Regional of Paraná, From 2005 to 2016

Broday

Kluthcovsky

2022

Rev. paul. pediatr.

View full text Add to dashboard Cite

Objective: To analyze the temporal trend in infant mortality and in populational coverage by the Family Health Strategy and associated factors with infant mortality in the municipalities of the 3rd Health Regional of Paraná, Southern Brazil. Methods: Ecological time series study, with data from the Mortality Information System (Sistema de Informação Sobre Mortalidade - SIM), the Live Birth Information System (Sistema de Informação Sobre Nascidos Vivos - SINASC) and the Support Room for Strategic Management (Sala de Apoio à Gestão Estratégica - SAGE), from 2005 to 2016. Trends were calculated using polynomial regression. The associated factors with infant mortality were maternal, perinatal and obstetric variables. The significance level adopted was 5%. Results: Between 2005 and 2016, there were 115,796 births and 1,575 deaths of children under 1 year of age. Considering the municipalities together, the populational coverage by the Family Health Strategy went from 43.8% in 2005 to 66.4% in 2016 and the infant mortality from 17.1/1,000 live births in 2005 to 10.7/1,000 live births in 2016. The trend over time of populational coverage by the Family Health Strategy was crescent and of infant mortality was decrescent, for most municipalities. The factors associated with greater chances of death in children under 1 year of age were preterm gestational age (Odds Ratio - OR=15.05; 95% confidence interval - 95CI% 13.54-16.72), low birth weight (OR=15.14; 95%CI 13.61-16.84), multiple gestation (OR=4.51; 95%CI 3.74-5.45) and mother with up to 7 years of study (OR=1.93; 95%CI 1.74-2.14). Conclusions: Crescent trend in coverage by the Family Health Strategy was accompanied by a decrescent trend in infant mortality. The results can be a source of information for the strengthening of mother-child health actions, considering local and regional specificities.

show abstract

Section: Discussionmentioning

confidence: 90%

Infant Mortality and Family Health Strategy in the 3rd Health Regional of Paraná, From 2005 to 2016

Broday

Kluthcovsky

2022

Rev. paul. pediatr.

View full text Add to dashboard Cite

show abstract

“…According to the results of Ebrahimvandi's study [14], reduced PMR by 0.9 deaths per 1000 people could reduce IMR by 56% in some regions, and PMR reduction was itself affected by increased prenatal care. The trend of IMR is declining in all areas, but there is a long way to go, as in some countries preventable deaths account for more than three quarters of infant deaths, with more than half of these deaths being prevented by caring for women during pregnancy and around childbirth [15]. The pattern of infant mortality has varied with interventions conducted in developed countries.…”

Section: Discussionmentioning

confidence: 99%

The comparing of infant mortality rate in different World Health Organization regions during 1990–2017

Esmaeilzadeh

Alimohamadi

Sepandi

et al. 2021

Egypt Pediatric Association Gaz

View full text Add to dashboard Cite

Background Infant mortality rate is an important index of community health status and mortality rate. It is also one of the most prominent indexes showing the development of various societies. Regarding the importance of infant mortality rate (IMR), the purpose of current study was to compare and trend analysis of IMR in different areas of the WHO during 1990–2017. In current ecological study, IMR per 1000 live births in different WHO regions from 1990 to 2017 data were derived from the WHO website. The required information included the data about IMR per 1000 live births in different WHO regions from 1990 to 2017. The analysis was performed by using descriptive and analytical methods. Results The IMR during the study period had a significant decreasing trend in all the regions (p < 0.001) but the slope of decrease was greater in Africa than in other regions. The African and European regions had the highest (55.7%) and lowest (17.2%) annual decrease in the infant mortality rate (from 106.3 cases in 1990 to 50.6 in 2017, and from 24.9 in 1990 to 7.7 in 2017), respectively. Conclusion Our results showed that the trend of IMR had a decreasing trend in all WHO regions. It can be due to improving the public health situation in different areas. But the identification of effective factors on IMR needs individuals based studies.

show abstract

“…Com decréscimo do Coeficiente de Mortalidade Infantil (CMI) no período pós-neonatal, estudo realizado no estado de São Paulo revelou um coeficiente divergente ao do presente estudo, de 7,7% para 3,6% NV (22) . Dados semelhantes foram obtidos em pesquisa realizada na 21ª RS do Paraná, com 62% dos óbitos infantis concentrados no período pós-neonatal (23) .…”

Section: Discussionunclassified

Mortalidade Infantil: Avaliação Do Programa Rede Mãe Paranaense Em Regional De Saúde Do Paraná

et al. 2017

View full text Add to dashboard Cite

RESUMO: Objetivou-se analisar a mortalidade infantil em uma regional de saúde do estado do Paraná, antes e após a implantação do programa Rede Mãe Paranaense. Utilizou-se o método descritivo, retrospectivo com dados secundários dos Sistemas de Informação da Secretaria de Saúde do Estado, com dados de crianças menores de 1 ano e causas de óbitos, entre 2009 e 2014. Observou-se que no período neonatal precoce, houve aumento para o porte populacional entre 15.000 e 50.000 de 31% para 36% óbitos pós-implantação. Apesar da implantação do programa visando à melhoria da atenção à saúde da mulher na gestação, parto e ao recém-nascido, os óbitos evitáveis mantiveram-se elevados, 63% pré-implantação e 51% pós-implantação. Os resultados não evidenciaram redução significativa na mortalidade infantil após a implantação do programa, porém, sua implantação ainda é recente sendo necessário maior tempo para adequações dos municípios em relação ao programa e investimentos nas capacitações dos profissionais envolvidos. DESCRITORES: Mortalidade infantil; Avaliação em saúde; Sistemas de informação em saúde; Causas de morte. The objective was to analyze childhood mortality at a regional health department in the State of Paraná before and after the implementation of the Rede Mãe Paranaense program. The descriptive and retrospective method was used with secondary data from the Information System of the State Secretary of Health, using data from children younger than one year and causes of death, between 2009 and 2014. It was observed that, in the early neonatal period, the population size increased from 15,000 to 50,000, from 31% to 36% of deaths after the implementation. Despite the implementation of the program to improve women's health during pregnancy and birth and infant health, the avoidable deaths remained high, i.e. 63% before and 51% after the implementation. The results did not evidence a significant reduction in childhood mortality after the implementation of the program, but its implementation is still recent, demanding further time for the cities to adapt to the program and invest in the training of the professionals involved. DESCRIPTORS: Infant mortality; Health evaluation; Health information systems; Cause of death. .000 y 50.000 del 31% al 36% de óbitos postimplantación. A pesar de la implantación del programa, visando mejorar la atención de salud de la mujer en el embarazo, parte y al recién-nacido, las muertes evitables siguieron altas, 63% pre-implantación y 51% post-implantación. Los resultados no evidenciaron reducción significativa en la mortalidad infantil después de la implantación del programa. Sin embargo, su implantación es reciente, demandando mayor tiempo para adecuaciones de los municipios con relación al programa e inversiones en las capacitaciones de los profesionales involucrados. DESCRIPTORES: Mortalidad infantil; Evaluación en salud; Sistemas de información en salud; Causas de muerte.

show abstract

Secular trends in infant mortality by age-group and avoidable components in the State of São Paulo, 1996–2012

Cited by 7 publications

References 21 publications

Infant Mortality and Family Health Strategy in the 3rd Health Regional of Paraná, From 2005 to 2016

Infant Mortality and Family Health Strategy in the 3rd Health Regional of Paraná, From 2005 to 2016

The comparing of infant mortality rate in different World Health Organization regions during 1990–2017

Mortalidade Infantil: Avaliação Do Programa Rede Mãe Paranaense Em Regional De Saúde Do Paraná

Contact Info

Product

Resources

About