Child mortality for avoidable causes in Rondônia: temporal series study, 2008-2018
Jeanne Lúcia Gadelha Freitas1, Jéssica Cunha Alves1, Priscilla Perez da Silva Pereira1
1Fundação Universidade Federal de Rondônia (UNIR), Centro de Ensino e Pesquisa em Saúde Coletiva. Porto Velho, Rondônia, Brasil.
Revista Gaucha De Enfermagem
|July 21, 2021
Summary
Infant mortality from preventable causes in Rondônia declined annually by 2.88%, but stable rates persist for vaccine-preventable conditions. Improvements in maternal and child care quality are crucial.
Area of Science:
- Public Health
- Epidemiology
- Demography
Background:
- Infant mortality remains a critical public health indicator.
- Preventable causes contribute significantly to infant deaths, necessitating targeted interventions.
- Understanding temporal trends in infant mortality is vital for effective health policy.
Purpose of the Study:
- To analyze the trends of infant mortality from preventable causes in children under one year of age in Rondônia, Brazil.
- To assess the annual changes in infant mortality rates due to preventable factors between 2008 and 2018.
- To identify specific periods or causes within infant mortality that require focused public health attention.
Main Methods:
- An epidemiological time-series study was conducted using data from the Mortality and Live Birth Information Systems.
- Statistical analysis employed STATA® version 11.0, with trend analysis using Prais-Winsten linear regression.
- Autocorrelation was assessed using the Durbin and Watson test to ensure model validity.
Main Results:
- The overall infant mortality rate was 14.57 deaths per 1,000 live births, with 9.14 deaths per 1,000 attributed to preventable causes.
- A statistically significant annual decrease of 2.88% in infant mortality from preventable causes was observed (95% CI: -4.67; -1.06).
- However, mortality rates related to immunization-preventable conditions, maternal care during pregnancy, and fetal growth remained stable, while late neonatal deaths from preventable causes declined by 11.69%.
Conclusions:
- Healthcare managers must enhance the quality of maternal and child healthcare services.
- Improving the performance of healthcare professionals assisting the pregnant-puerperal cycle is essential.
- Enhancing the quality and accuracy of infant mortality records in Rondônia is a priority.
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