Preventable newborn deaths: analysis of the newborn infection component in Brazil from 2007 to 2017

Abstract The Universal Agenda 2030 was developed by representatives of all countries as an action plan covering the three dimensions of sustainable development: economic, social and environmental. 17 objectives were agreed upon, highlighting objective 03, which aims to ensure a healthy life and promote well-being for all at all ages, having as one of the established goals to end preventable deaths of newborns by 2030. Infections neonatal care reflects deficits in health care, covering the entire perinatal period, and it is necessary to understand its causes in order to promote quality preventive and health promotion actions. The question is: what are the causes that make up the indicator of early neonatal mortality, due to preventable causes in Brazil between 2007 to 2017? Retrospective study carried out between September and October 2019 using secondary data collection from Department of Informatics of the Unified Health System - SUS (DATASUS). The outcome variable was early neonatal mortality from preventable causes and the independent variable was the infections component of the newborn). Twelve preventable causes of death have been identified in this category: congenital rubella syndrome; congenital syphilis; neonatal tetanus; diphtheria; haemophilus and non-haemophilus meningitis; human immunodeficiency virus diseases; neonatal infections; pneumonia; acute infections of lower airways; bacterial diseases and intestinal infectious diseases. The main cause of preventable death was infections from the neonatal period, which include congenital viral diseases (cytomegalovirus and herpes simplex); newborn bacterial septicemia; congenital parasitic diseases; omphalitis of newborn with or without mild hemorrhage; intra-amniotic infection of the fetus, neonatal infection of the urinary tract and/or skin. There is a need for more effective public health actions to modify the neonatal mortality situation, as well as health surveillance actions. Key messages Warn about causes of perinatal mortality that can be avoided. Strengthen the fulfillment of objective 3 of the 2030 Agenda to ensure and promote health in the perinatal period.

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Early Neonatal Mortality’s Determinants in the Neonatology Department of Mohamed V Hospital in Tangier, Morocco

Integrative Journal of Medical Sciences ◽

10.15342/ijms.2021.590 ◽

2021 ◽

Vol 8 ◽

Author(s):

Ettoini Kaoutar ◽

Yousra El Boussaadni ◽

Abdallah Oulmaati

Keyword(s):

Neonatal Mortality ◽

Perinatal Asphyxia ◽

Neonatal Infection ◽

Effective Management ◽

Third Place ◽

Pediatric Department ◽

Early Neonatal Mortality ◽

Prenatal Consultation ◽

Education Of Women ◽

A Prospective Study

Objective: This study aims to identify the determinants of early neonatal mortality in the neonatology department of Mohamed V hospital in Tangier.Material and methods: This is a prospective study including all newborns hospitalized and deceased in the pediatric department of the hospital Mohammed V from June 1 to December 31, 2019. The recorded cases were processed and analyzed by SPSS software.Results: 529 newborns were hospitalized in the pediatric department during the study period, of which 92 died (17.39%) between 0 and 7 days. Four leading causes justified this frequency: prematurity occupies first place (59%), followed by perinatal asphyxia (22%), neonatal infection (15%) in third place, congenital malformations (3%) in fourth place. Parturients aged between 20 and 35 years are the most affected (76%). The majority of women (71.4%) in our series had not undergone prenatal consultation (PNC) or had done so in insufficient numbers.Conclusion: Neonatal mortality remains high. Improvement of this situation requires education of women, reinforcement of surveillance before, during pregnancy, during delivery, and the postpartum period, as well as effective management of premature newborns in the first week of life, should improve the neonatal prognosis by reducing the intra-hospital incidence of neonatal mortality in our setting.

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Effect of antenatal care and social well-being on early neonatal mortality in Bangladesh

BMC Pregnancy and Childbirth ◽

10.1186/s12884-018-2129-y ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 5

Author(s):

Sanjit Roy ◽

Md. Aminul Haque

Keyword(s):

Antenatal Care ◽

Neonatal Mortality ◽

Well Being ◽

Early Neonatal Mortality

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Socio-Economic Inequalities in Early Neonatal Mortality in India

Artha Vijnana Journal of The Gokhale Institute of Politics and Economics ◽

10.21648/arthavij/2017/v59/i1/164436 ◽

2017 ◽

Vol 59 (1) ◽

pp. 77

Author(s):

Binod Jena ◽

Ananta Basudev Sahu

Keyword(s):

Neonatal Mortality ◽

Early Neonatal Mortality ◽

Economic Inequalities

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Exploring Residents’ Perceptions of the Socio-Cultural Benefits of Tourism Development in the Mountain Area

Societies ◽

10.3390/soc11030083 ◽

2021 ◽

Vol 11 (3) ◽

pp. 83

Author(s):

Iulia C. Muresan ◽

Rezhen Harun ◽

Felix H. Arion ◽

Ava Omar Fatah ◽

Diana E. Dumitras

Keyword(s):

Positive Attitude ◽

Statistical Tests ◽

Tourism Development ◽

Principal Component ◽

Local Communities ◽

Three Dimensions ◽

Development Economic ◽

Mountain Area ◽

Sustainable Tourism Development ◽

The Impact

Development of tourism affected the socio-cultural environment of many destinations. Previous studies have focused more on analyzing the impact of tourism on all three dimensions of sustainable development (economic, environment and socio-cultural); therefore, the present paper examines tourism development’s impact with regard to the socio-cultural benefits that enhance sustainable tourism development. A survey based on a questionnaire was employed in June 2018 in a mountain village in Cluj County, Romania. The collected data were analyzed using principal component analysis, and several statistical tests were conducted. The results indicated that the respondents have a positive attitude towards tourism development and socio-cultural perceived benefits. Older people and those running a business tend to perceive more positively the benefits of tourism development. The findings of the research could contribute to future development strategies, as it is well known that supporting local communities influences the success of tourism destination.

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A Faith to Move Mountains? Childhood Abuse, Religious Change, and Mental Health at Midlife

Innovation in Aging ◽

10.1093/geroni/igaa057.1493 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 461-461

Author(s):

Laura Upenieks

Keyword(s):

Mental Health ◽

Life Course ◽

Childhood Abuse ◽

Childhood Maltreatment ◽

Well Being ◽

The United States ◽

Religious Attendance ◽

Three Dimensions ◽

Religious Importance ◽

The Life Course

Abstract Of all the various forms of adversity experienced during childhood, childhood maltreatment (emotional and physical abuse) is shown to have the largest impacts on mental health and well-being. Yet we still have a limited understanding of why some victims of early maltreatment suffer immense mental health consequences later on in the life course, while others are able to cushion the blow of these early insults. Using two waves of data from the National Survey of Midlife Development in the United States (MIDUS), this study considers change in religiosity as a buffer across three dimensions for victims of childhood abuse: religious importance, attendance, and the specific act of seeking comfort through religion. Results suggest that increases in religious comfort during adulthood are positively associated with adult mental health for victims of abuse, while decreases in religious comfort over time were associated with worse mental health. Changes in religious attendance and religious importance were not significant associated with mental health for victims of abuse. Taken together, my results show that the stress-moderating effects of religion for victims of childhood maltreatment are contingent on the stability or increases or decreases in religiosity over the life course, which has been overlooked in previous work.

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Social Representations of Drinking Water in Schoolchildren and Parents from Two Schools in Zapopan, Mexico

Nutrients ◽

10.3390/nu13061871 ◽

2021 ◽

Vol 13 (6) ◽

pp. 1871

Author(s):

Alejandra María Corona-Romero ◽

María Fernanda Bernal-Orozco ◽

Gabriela Alejandra Grover-Baltazar ◽

Barbara Vizmanos

Keyword(s):

Drinking Water ◽

Water Consumption ◽

Social Representations ◽

Well Being ◽

Three Dimensions ◽

Functional Dimension ◽

Health And Nutrition ◽

Children And Parents ◽

Unhealthy Diet ◽

Practical Dimension

Childhood obesity and children being overweight has increased recently; although they are multi-causal problems, an unhealthy diet is a critical component. In Mexico, drinking water consumption in children from 9 to 18 years only reaches 30% of total fluid consumption. The aim of our study was to describe the social representations (SR) of drinking water in school-children and parents of two schools in Zapopan, Mexico. Associative free listing was used as an information gathering technique. Schoolchildren aged 8 to 12 years (n = 50) and parents (n = 23) from two elementary schools were selected by a convenience sampling from April to June 2015. A similarity analysis was performed using the co-occurrence index; with this, a similarity graph was obtained. Prototypical analysis was performed to explore the structure of the SR. Three dimensions were described in the children’s SR: a functional dimension related to health and nutrition, a practical dimension that describes the instruments used for its consumption, and a theoretical dimension that specifies the characteristics of water and its relationship with nature. In the parents’ SR, a functional dimension was also found; another dimension was described regarding the integral well-being that drinking water provides. A practical dimension describes the features related to its consumption. The investigation describes the structure of the water SR, which help to contextualize and explain the actions of schoolchildren and their parents regarding drinking water consumption.

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The Determinants of Telehealth Provision: Empirical Evidence from OECD Countries

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18168288 ◽

2021 ◽

Vol 18 (16) ◽

pp. 8288

Author(s):

Fuhmei Wang ◽

Jung-Der Wang

Keyword(s):

Health Services ◽

Health Spending ◽

Well Being ◽

Oecd Countries ◽

Outcome Variable ◽

Explanatory Variables ◽

Telehealth Service ◽

Increase Productivity ◽

Number Of Individuals ◽

Health And Well Being

Health services provided through the telecommunications system aim to improve the population’s health and well-being. This research aims to explore what digital, economic, and health factors are associated with the provision of telehealth services, especially in ageing communities. Applying Organization for Economic Cooperation and Development (OECD) countries’ experiences, this research tries to construct a logistic regression model between adopting a telehealth system or not, a binary outcome variable, and a group of potentially explanatory variables. Estimation results showed that there were thresholds for telehealth provision: The demand for telehealth service usually began when the provision of telecommunication accessibility reached 50%, the proportion of elders exceeded 10%, or the proportion of health spending occupied more than 3–5% of the gross domestic product (GDP); the slope of each variable seemed to correspond with an increase in demand for such a provision. A growing number of individuals in OECD countries are now readily served by telehealth systems under the COVID-19 pandemic. These findings could be regarded as a model for other countries for implementing the necessary infrastructure early on when any of these parameters reaches its threshold. Moreover, telehealth applied in developing countries could be elevated for wider populations to access basic health services and for the remote delivery of health care. A rational decision could be made to appropriately use additional resources in telehealth provision. With accessible e-health services, the population’s health could be improved, which in turn would possibly increase productivity and social welfare.

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Military spouses with deployed partners are at greater risk of poor perinatal mental health: a scoping review

Journal of the Royal Army Medical Corps ◽

10.1136/jramc-2018-001069 ◽

2019 ◽

Vol 165 (5) ◽

pp. 363-370 ◽

Cited By ~ 1

Author(s):

Lauren Rose Godier-McBard ◽

L Ibbitson ◽

C Hooks ◽

M Fossey

Keyword(s):

Mental Health ◽

Social Support ◽

Scoping Review ◽

Healthcare Providers ◽

Well Being ◽

Perinatal Period ◽

Poor Mental Health ◽

Adverse Outcomes ◽

Military Spouses ◽

Perinatal Mental Health

BackgroundPoor mental health in the perinatal period is associated with a number of adverse outcomes for the individual and the wider family. The unique circumstances in which military spouses/partners live may leave them particularly vulnerable to developing perinatal mental health (PMH) problems.MethodsA scoping review was carried out to review the literature pertaining to PMH in military spouses/partners using the methodology outlined by Arksey and O’Malley (2005). Databases searched included EBSCO, Gale Cengage Academic OneFile, ProQuest and SAGE.ResultsThirteen papers fulfilled the inclusion criteria, all from the USA, which looked a PMH or well-being in military spouses. There was a strong focus on spousal deployment as a risk factor for depressive symptoms and psychological stress during the perinatal period. Other risk factors included a lack of social/emotional support and increased family-related stressors. Interventions for pregnant military spouses included those that help them develop internal coping strategies and external social support.ConclusionsUS literature suggests that military spouses are particularly at risk of PMH problems during deployment of their serving partner and highlights the protective nature of social support during this time. Further consideration needs to be made to apply the findings to UK military spouses/partners due to differences in the structure and nature of the UK and US military and healthcare models. Further UK research is needed, which would provide military and healthcare providers with an understanding of the needs of this population allowing effective planning and strategies to be commissioned and implemented.

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