principais causas básicas da mortalidade infantil no distrito federal, brasil: 1990 a 2000 underlying cause of infant mortality in distrito federal, brazil: 1990 to 2000
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2004
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Abstract
OBJETIVOS: caracterizar a tendência da mortalidade infantil no Distrito Federal por causa básica de morte e segundo causas evitáveis entre 1990 e 2000. MÉTODOS: estudo ecológico a partir do total de óbitos infantis e nascimentos ocorridos, utilizando-se os sistemas de informação produzidos pelo Ministério da Saúde. Para avaliação, segundo causa básica de morte, usou-se a Classificação Internacional de Doenças. Para a análise, segundo causas evitáveis, foi utilizado o critério estabelecido pela Fundação SEADE. RESULTADOS: predominaram os óbitos devido a afecções perinatais, seguidos das mortes em decorrência de anomalias congênitas, porém a maior redução ocorreu no coeficiente de mortalidade por doenças infecciosas e parasitárias. Quando se avalia cada coeficiente em separado, destacam-se, nos óbitos neonatais, aqueles redutíveis por meio de ações de diagnóstico e tratamento precoces e os não evitáveis. Entre as mortes pós-neonatais, destacam-se aquelas também redutíveis por ações precoces de diagnóstico e tratamento e por meio de parcerias com outros setores, como aqueles óbitos por diarréia e infecções respiratórias agudas. CONCLUSÕES: verifica-se a necessidade de intervenção efetiva nas causas de morte e componentes da mortalidade infantil, principalmente naquelas relacionadas ao cuidado durante a gravidez, parto e puerpério, além daquelas que implicam na ação conjunta de vários setores.
OBJECTIVES: to characterize the tendency of infant mortality in Distrito Federal (DF) considering underlying causes of death and the avoidable causes criteria between 1990 and 2000. METHODS: an ecological study using total infant deaths and births. Information systems of the Ministry of Health were used to obtain data. Assessment of underlying death causes was based on the International Classification of Disease. For avoidable causes analysis related to the criteria established by the SEADE foundation was used. RESULTS: deaths from perinatal problems were predominant, followed by deaths related to congenital anomalies. However, greater reduction occurred in the mortality rate resulting from parasitic and infection diseases. When each coefficient was analyzed separately, neonatal deaths, avoidable deaths through early diagnosis and treatment and non-avoidable deaths are outstanding CONCLUSIONS: the need for effective interventions in the causes of death and child mortality, specially related with the care during pregnancy, delivery and after-birth in addition to intervention by civil society sectors was determined.
OBJECTIVES: to characterize the tendency of infant mortality in Distrito Federal (DF) considering underlying causes of death and the avoidable causes criteria between 1990 and 2000. METHODS: an ecological study using total infant deaths and births. Information systems of the Ministry of Health were used to obtain data. Assessment of underlying death causes was based on the International Classification of Disease. For avoidable causes analysis related to the criteria established by the SEADE foundation was used. RESULTS: deaths from perinatal problems were predominant, followed by deaths related to congenital anomalies. However, greater reduction occurred in the mortality rate resulting from parasitic and infection diseases. When each coefficient was analyzed separately, neonatal deaths, avoidable deaths through early diagnosis and treatment and non-avoidable deaths are outstanding CONCLUSIONS: the need for effective interventions in the causes of death and child mortality, specially related with the care during pregnancy, delivery and after-birth in addition to intervention by civil society sectors was determined.
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monteiro2004revistaprincipais
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| Authors | ;Renata Alves Monteiro;Bethsáida de Abreu Soares Schmitz |
| Journal | sociology |
| Year | 2004 |
| DOI |
10.1590/S1519-38292004000400011
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