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Avoidable deaths until 48 [corrected] months of age among children from the 2004 Pelotas birth cohort

Luis Ramon Marques da Rocha Gorgot1, Iná Santos, Neiva Valle

  • 1Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas, Rua General Osório 1227, Pelotas, RS, Brazil. lrmrgorgot@yahoo.com.br

Revista De Saude Publica
|February 24, 2011
PubMed

Insights

A high proportion of child deaths in the Pelotas Birth Cohort were avoidable. Improving death certificate quality is crucial for monitoring child health care effectiveness.

Area of Science:

  • Pediatrics
  • Public Health
  • Epidemiology

Background:

  • Child mortality remains a significant public health concern globally.
  • Identifying avoidable deaths is key to improving healthcare interventions and outcomes.
  • The Pelotas Birth Cohort provides a valuable dataset for studying child health trends in Southern Brazil.

Purpose of the Study:

  • To determine the proportion of avoidable child deaths within the 2004 Pelotas Birth Cohort.
  • To classify causes of avoidable mortality in children under five.
  • To compare avoidable mortality data between different healthcare systems.

Main Methods:

  • Analysis of 92 child deaths (2004-2008) from the Pelotas Birth Cohort.
  • Classification of causes using the Brazilian List of Avoidable Causes of Mortality.
  • Comparison of infant mortality data from a sub-study and the Mortality Information System (SIM).

Main Results:

  • The overall mortality coefficient was 22.2 per 1,000 live births.
  • Over three-quarters (70/92) of child deaths were classified as avoidable.
  • Avoidable infant deaths were attributed to inadequate maternal care during pregnancy and insufficient newborn care.

Conclusions:

  • A substantial proportion of child deaths in the cohort were preventable.
  • Enhancing the quality of death certificate data is essential for accurate monitoring.
  • Improved data quality can better utilize avoidable mortality as an indicator for maternal and child health services.
Abstract

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