Abstract
The epidemiological study aimed to investigate the mortality of children under one year and the classification of preventability by skin color or ethnicity in Mato Grosso do Sul state in the period 2005-2013 retrieved from the Mortality and Live Births Information Systems. The annual child mortality coefficient and the description of deaths by components and by group of preventable, ill-defined and non-preventable causes for the three triennia were elaborated. The child mortality coefficient declined for all skin color or ethnicity categories, with a predominance of brown and black children. The early neonatal component had higher mortality rates for all categories, except for the indigenous population, which recorded predominance of the post-neonatal component. Deaths were mainly due to preventable causes, and they were not homogeneous among skin color or ethnicity categories. Deaths from ill-defined causes predominated among indigenous and brown children. The investigation of deaths pointed to differences in the components of mortality and preventable causes according to racial and ethnic contour, which could contribute to the direction of public policies that qualify the mother and child care network, especially for ethnic minorities.
Highlights
MethodsThe Child Mortality Coefficient (CMC) is an important indicator for the assessment of children’s health and living conditions, since it shows the effectiveness of public health policies and the socioeconomic development of the country[1].Child deaths causes are mostly classified as either totally or partially preventable or reducible by effective and accessible actions of the health services in a given place and period[2].In view of its relevance, child mortality was one of the Millennium Development Goals (MDGs), with a commitment to reduce it by two thirds by 2015
366,985 live births (LB) were recorded for the period, with a proportion of ignored skin color or ethnicity field of 0.48% (575/119,560) for the triennium 2005-2007; 0.07% (90/121,635) for 2008-2010 and 0.9% (245/126,700) for 2011-2013
CMC for the indigenous skin color or ethnicity was around twice as high when compared to the State ratio for the study period
Summary
MethodsThe Child Mortality Coefficient (CMC) is an important indicator for the assessment of children’s health and living conditions, since it shows the effectiveness of public health policies and the socioeconomic development of the country[1].Child deaths causes are mostly classified as either totally or partially preventable or reducible by effective and accessible actions of the health services in a given place and period[2].In view of its relevance, child mortality was one of the Millennium Development Goals (MDGs), with a commitment to reduce it by two thirds by 2015. The Child Mortality Coefficient (CMC) is an important indicator for the assessment of children’s health and living conditions, since it shows the effectiveness of public health policies and the socioeconomic development of the country[1]. Child deaths causes are mostly classified as either totally or partially preventable or reducible by effective and accessible actions of the health services in a given place and period[2]. In view of its relevance, child mortality was one of the Millennium Development Goals (MDGs), with a commitment to reduce it by two thirds by 2015. This goal was achieved ahead of the deadline, falling from 47.1/1,000 live births (LB) to 15.3/1,000 LB in the period 1990-20113. In Chile, the reduction of child mortality rate in the last three decades has neared developed country rates, but there is still an increased risk of child deaths when analyzing the socioeconomic, ethnic-derived and unequal coverage of vital statistics[6] aspects
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