[Mortality by avoidable causes in preschool children].
BACKGROUND
The infant-mortality rate in children aged less than five is an indicator of the general state of health of a population and directly reflects the quality of life and the level of socio-economic development of a country.


OBJECTIVE
Avoidable mortality was assessed in preschool children as a reflection of Colombia quality of life and socio-economic development.


METHODS
Mortality trends were analyzed in preschool children aged less than five throughout Colombia during a 20-year period from 1985-2004, and focused on mortality causes that were considered avoidable. This was a descriptive, retrospective study; the sources of information were Departamento Administrativo Nacional de Estadística records of deaths and population projections 1985-2004. Mortality rate due to avoidable causes was the statistical indicator.


RESULTS
In children aged less than one, the reducible mortality due to "early diagnosis and medical treatment" occupied the first place amongst causes for every year of the study period and accounted for more than 50% of recorded deaths. In children aged 1 to 4, the category "other important reducible causes" was associated with 40% of recorded deaths-deaths due mainly to respiratory diseases. Over the 20-year period, the avoidable mortality rate decreased by 34% in children aged less than one, in children 1-4, it decreased by 23%.


CONCLUSIONS
Although the infant-mortality rate in preschool children was reduced, the decrease was small, from 80% to 77%. The situation requires more analysis with respect to strategies in public health, particularly concerning preventable diseases of the infancy.
Lurán
Albenia
A
Grupo Sociedad y Salud, Subdirección de Investigación, Instituto Nacional de Salud, Bogotá, D.C., Colombia. aluran@ins.gov.co
López
Elizabeth
E
Pinilla
Consuelo
C
Sierra
Pedro
P
D002423:Cause of Death; D046688:Child Mortality / Q000639:trends; D002675:Child, Preschool; D003105:Colombia / Q000453:epidemiology; D003644:Death Certificates; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D006920:Hygiene; D007223:Infant; D007226:Infant Mortality / Q000639:trends; D038801:International Classification of Diseases; D008297:Male; D044342:Malnutrition / Q000453:epidemiology / Q000517:prevention & control; D011322:Primary Prevention / Q000379:methods*; D012189:Retrospective Studies