Mortes evitáveis em menores de um ano, Brasil, 1997 a 2006: contribuições para a avaliação de desempenho do Sistema Único de Saúde
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2010-03
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Resumo
Infant deaths were classified as avoidable, nonavoidable,
and resulting from ill-defined conditions,
from 1997 to 2006, using the Brazilian
List of Avoidable Causes of Mortality. Non-linear
regression was used to calculate trends in causespecific
infant mortality rates. There was a significant
decline in both avoidable deaths and
deaths from ill-defined causes (p < 0.001). Avoidable
deaths decreased by 37% overall. Mortality
avoidable through adequate intrapartum care
and adequate neonatal care decreased by 27.7%
and 42.5%, respectively, while mortality avoidable
through adequate prenatal care increased by
28.3%. In conclusion, health services contributed
to the reduction in infant mortality. The decrease
in ill-defined causes of death indicates expanded
access to health services. The increase in access
to intrapartum and neonatal care contributed
to the reduction in infant deaths. The increase in
mortality avoidable through adequate prenatal
care indicates the need for improvement in prenatal
care.
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Single health system, Infant mortality, Cause of death, Health services evaluation, Sistema Único de Saúde, Mortalidade infantil, Causas de morte, Avaliação de serviços de saúde
Citação
MALTA, Deborah Carvalho et al. Mortes evitáveis em menores de um ano, Brasil, 1997 a 2006: contribuições para a avaliação de desempenho do Sistema Único de Saúde. Cadernos de Saúde Pública, Rio de Janeiro, v. 26, n. 3, p. 481-491, 2010.