title: Child Health in the Peruvian Amazon: Prevalence and Factors Associated with Referred Morbidity and Health Care Access in the City of Iñapari.
abstract: Introduction. Children under 5 years of age are more susceptible to developing morbidities such as diarrhea, respiratory infections, anemia, and malnutrition. The objective of the study is to evaluate the prevalence of reported morbidities in this age group in the city of Iñapari (Peru) and the access to health services in this municipality. Methods. Data collection using interviews that assessed socioeconomic and demographic conditions, child morbidity, and access to health services was performed in 2011. Statistical analysis was performed using SPSS 13.0. Results. Regarding morbidities that occurred during lifetime, 39.8% reported previous anemia and intestinal parasite infection. About 53.7% of the children reported any type of morbidities in the last 15 days before interview, being most frequent respiratory symptoms (38.9%), diarrhea (23,4%), and fever (23,1%). Only 63.1% of those reporting recent morbidities sought health care. These morbidities were associated with precarious sanitation and lack of infrastructure, the presence of other comorbidities, and poor access to health services. Conclusion. The main referred morbidities in Amazonian Peruvian children were diarrhea, respiratory symptoms, anemia, and vomiting. Incentives and improvements in the health and sanitation conditions would be important measures to improve the quality of life of the Amazonian child population.
authors.affiliation: Centro de Ciências da Saúde e do Desporto, Universidade Federal do Acre, Campus Universitário, BR 364, km 04, Bairro Distrito Industrial, 69920-900 Rio Branco, AC, Brazil.
authors.forename: Maria Gabriela Silva
authors.initials: MG
authors.lastname: Guimarães
authors.affiliation: Centro de Ciências da Saúde e do Desporto, Universidade Federal do Acre, Campus Universitário, BR 364, km 04, Bairro Distrito Industrial, 69920-900 Rio Branco, AC, Brazil.
authors.forename: Athos Muniz
authors.initials: AM
authors.lastname: Braña
authors.affiliation: Centro de Ciências da Saúde e do Desporto, Universidade Federal do Acre, Campus Universitário, BR 364, km 04, Bairro Distrito Industrial, 69920-900 Rio Branco, AC, Brazil.
authors.forename: Humberto
authors.initials: H
authors.lastname: Oliart-Guzmán
authors.affiliation: Centro de Ciências da Saúde e do Desporto, Universidade Federal do Acre, Campus Universitário, BR 364, km 04, Bairro Distrito Industrial, 69920-900 Rio Branco, AC, Brazil.
authors.forename: Fernando Luiz Cunha Castelo
authors.initials: FL
authors.lastname: Branco
authors.affiliation: Centro de Ciências da Saúde e do Desporto, Universidade Federal do Acre, Campus Universitário, BR 364, km 04, Bairro Distrito Industrial, 69920-900 Rio Branco, AC, Brazil.
authors.forename: Breno Matos
authors.initials: BM
authors.lastname: Delfino
authors.affiliation: Centro de Ciências da Saúde e do Desporto, Universidade Federal do Acre, Campus Universitário, BR 364, km 04, Bairro Distrito Industrial, 69920-900 Rio Branco, AC, Brazil.
authors.forename: Thasciany Moraes
authors.initials: TM
authors.lastname: Pereira
authors.affiliation: Centro de Ciências da Saúde e do Desporto, Universidade Federal do Acre, Campus Universitário, BR 364, km 04, Bairro Distrito Industrial, 69920-900 Rio Branco, AC, Brazil.
authors.forename: Saulo Augusto Silva
authors.initials: SA
authors.lastname: Mantovani
authors.affiliation: Centro de Ciências da Saúde e do Desporto, Universidade Federal do Acre, Campus Universitário, BR 364, km 04, Bairro Distrito Industrial, 69920-900 Rio Branco, AC, Brazil.
authors.forename: Antonio Camargo
authors.initials: AC
authors.lastname: Martins
authors.affiliation: Centro de Ciências da Saúde e do Desporto, Universidade Federal do Acre, Campus Universitário, BR 364, km 04, Bairro Distrito Industrial, 69920-900 Rio Branco, AC, Brazil.
authors.forename: Ana Paula
authors.initials: AP
authors.lastname: Santos
authors.affiliation: Centro de Ciências da Saúde e do Desporto, Universidade Federal do Acre, Campus Universitário, BR 364, km 04, Bairro Distrito Industrial, 69920-900 Rio Branco, AC, Brazil.
authors.forename: José Alcântara
authors.initials: JA
authors.lastname: Filgueira-Júnior
authors.affiliation: Centro de Ciências da Saúde e do Desporto, Universidade Federal do Acre, Campus Universitário, BR 364, km 04, Bairro Distrito Industrial, 69920-900 Rio Branco, AC, Brazil.
authors.forename: Alanderson Alves
authors.initials: AA
authors.lastname: Ramalho
authors.affiliation: Centro de Ciências da Saúde e do Desporto, Universidade Federal do Acre, Campus Universitário, BR 364, km 04, Bairro Distrito Industrial, 69920-900 Rio Branco, AC, Brazil.
authors.forename: Andreia da Silva
authors.initials: Ada S
authors.lastname: Guimarães
authors.affiliation: Centro de Ciências da Saúde e do Desporto, Universidade Federal do Acre, Campus Universitário, BR 364, km 04, Bairro Distrito Industrial, 69920-900 Rio Branco, AC, Brazil.
authors.forename: Cristieli Sérgio de Menezes
authors.initials: CS
authors.lastname: Oliveira
authors.affiliation: Centro de Ciências da Saúde e do Desporto, Universidade Federal do Acre, Campus Universitário, BR 364, km 04, Bairro Distrito Industrial, 69920-900 Rio Branco, AC, Brazil.
authors.forename: Thiago Santos
authors.initials: TS
authors.lastname: de Araújo
authors.affiliation: Dirección Regional de Salud de Madre de Dios, Avenida Ernesto Rivero N° 475, Puerto Maldonado, Peru.
authors.forename: Carlos Hermógenes Manrique de Lara
authors.initials: CH
authors.lastname: Estrada
authors.affiliation: Instituto Nacional de Salud, Cápac Yupanqui 1400, Jesus María, 15072 Lima 11, Peru.
authors.forename: Nancy
authors.initials: N
authors.lastname: Arróspide
authors.affiliation: Centro de Ciências da Saúde e do Desporto, Universidade Federal do Acre, Campus Universitário, BR 364, km 04, Bairro Distrito Industrial, 69920-900 Rio Branco, AC, Brazil.
authors.forename: Mônica
authors.initials: M
authors.lastname: da Silva-Nunes