[Infant mortality and its preventability in Mato Grosso do Sul State, Brazil, 2000-2002].
This retrospective study describes the epidemiological profile of infant mortality in 2000-2002 in 16 counties in Mato Grosso do Sul State, Brazil, and evaluates the preventability of such deaths, using the International Statistical Classification of Diseases and Related Health Problems (ICD-10) and the List of Causes of Death Preventable by Interventions in the Setting of the Brazilian Unified National Health System in Children Under Five Years. Perinatal causes accounted for 54.3% of the 1,537 deaths, according to the Mortality Information System; congenital anomalies 14.9%; infectious and parasitic diseases 9.4%; and respiratory disorders 7%. A full 73.1% of deaths were preventable, and most (69.5%) resulted from inadequate prenatal, obstetric, and neonatal care. Additional causes were related to vaccine prevention (0.7%), diagnosis and treatment (10.4%), and health promotion (11.2%). Causes not entirely avoidable accounted for 24.3% of deaths. The findings emphasize the relevance of monitoring adverse maternal-infant conditions and events, particularly to reduce early neonatal mortality (<7 days of life).
Gastaud
Ana Lúcia Gomes da Silva
AL
Centro de Ciências Biológicas e da Saúde, Universidade Federal de Mato Grosso do Sul, Campo Grande, Brazil. anagastaud@hotmail.com
Honer
Michael Robin
MR
Cunha
Rivaldo Venancio da
RV
D017677:Age Distribution; D001938:Brazil / Q000453:epidemiology; D002423:Cause of Death / Q000639:trends*; D005260:Female; D005544:Forecasting / Q000379:methods; D006801:Humans; D007223:Infant; D007226:Infant Mortality / Q000639:trends*; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000453:epidemiology* / Q000517:prevention & control; D038801:International Classification of Diseases; D009111:Local Government; D008297:Male; D012189:Retrospective Studies