scholarly journals Infant mortality due to perinatal causes in Brazil: trends, regional patterns and possible interventions

2001 ◽  
Vol 119 (1) ◽  
pp. 33-42 ◽  
Author(s):  
Cesar Gomes Victora ◽  
Fernando Celso Barros
Keyword(s):  
Infant Mortality ◽  
Rural Areas ◽  
Infant Mortality Rate ◽  
Mortality Data ◽  
Brazilian Literature ◽  
Regional Patterns ◽  
Infant Deaths ◽  
The North ◽  
High Death

CONTEXT: Brazilian infant and child mortality levels are not compatible with the country's economic potential. In this paper, we provide a description of levels and trends in infant mortality due to perinatal causes and malformations and assess the likely impact of changing intermediate-level determinants, many of which are amenable to direct interventions through the health or related sectors. TYPE OF STUDY: Review paper. METHODS: Two main sources of mortality data were used: indirect mortality estimates based on censuses and surveys, and rates based on registered deaths. The latter were corrected for under-registration. Combination of the two sources of data allowed the estimation of cause-specific mortality rates. Data on current coverage of preventive and curative interventions were mostly obtained from the 1996 Demographic and Health Survey. Other national household surveys and Ministry of Health Statistics were also used. A thorough review of the Brazilian literature on levels, trends and determinants of infant mortality led to the identification of a large number of papers and books. These provided the background for the analyses of risk factors and potential interventions. RESULTS: The indirect infant mortality rate estimate for 1995-97 is of 37.5 deaths per thousand live births, about six times higher than in the lowest mortality countries in the world. Perinatal causes account for 57% of all infant deaths, and congenital malformations are responsible for 11.2% of these deaths. Mortality levels are highest in the Northeast and North, and lowest in the South and Southeast; the Center-West falls in between. Since surveys of the North region do not cover rural areas, mortality for this region may be underestimated. CONCLUSIONS: A first priority for the further reduction in infant mortality in Brazil is to improve equality among regions, since the North and Northeast, and particularly rural areas, still show very high death rates. Further reductions in infant mortality will largely depend on decreasing deaths due to perinatal causes. Improvements in the coverage and particularly in the quality of antenatal and delivery care are urgently needed. Another intervention with a potential important impact on infant mortality is the promotion of family planning. Improving birth weight might lead to an 8% reduction in infant mortality but the efficacy of available interventions is low.

scholarly journals VARIASI TINGKAT KEMATIAN BAYI DAN HARAPAN HIDUP DI INDONESIA MENURUT PROPINSI: HASIL SENSUS PENDUDUK 1990

Populasi ◽  
2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Kasto Kasto
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Rural Areas ◽  
Public Health Service ◽  
Child Survival ◽  
Infant Mortality Rate ◽  
Population Census ◽  
The Public ◽  
Urban And Rural Areas

This study tries to investigate the infant mortality rate and life expectancy based on the 1990 Population Census, and to observe its variations among provinces that take place in the urban as well as in the rural areas of Indonesia. As a whole, the estimate of infant mortality rate and the expectation of life based on the 1990 Population Census is 69 per one thousand life births and 60 years for both urban and rural areas. The variation in the rural areas is larger than in the urban regions.During the period from 1980 to 1990 the infant mortality rate in Indonesia decreased by 4.29 percent annually. If this rate continued to increase till the end of 2000, the infant mortality rate by this time would be 45 per one thousand life births, whereas the expectation of life at birth would become 68 years.Many determinants of infant mortality rates should be taken into account to reduce the figures, particularly the coverage and the quality of the public health service which directly influences the child survival, as well as other determinants which indirectly,yet simultaneously, influence it.

Trends in and determinants of neonatal and infant mortality in Nigeria based on Demographic and Health Survey data

2020 ◽  
pp. 1-11
Author(s):  
Kamalesh Kumar Patel ◽  
Jang Bahadur Prasad ◽  
Rajeshwari A. Biradar
Keyword(s):  
Infant Mortality ◽  
Health Survey ◽  
Mortality Rates ◽  
Demographic And Health Survey ◽  
Infant Mortality Rate ◽  
North West ◽  
Infant Deaths ◽  
Live Births ◽  
The North ◽  
West Region

Abstract This study aimed to assess the changes in neonatal and infant mortality rates in Nigeria over the period 1990 to 2018 using Nigerian Demographic and Health Survey (NDHS) data, and assess their socio-demographic determinants using data from the most recent survey conducted in 2018. The infant mortality rate was 87 per 1000 live births in 1990, and this increased to 100 per 1000 live births in 2003 – an increase of around 15% over 13 years. Neonatal and infant mortality rates started to decline steadily thereafter and continued to do so until 2013. After 2013, neonatal morality rose slightly by the year 2018. Information for 27,465 infants under 1 year of age from the NDHS-2018 was analysed using bivariate and multivariate analysis and the Cox proportional hazard technique. In 2018, infant deaths decreased as wealth increased, and the incidence of infant deaths was greater among those of Islam religion than among those of other religions. A negative association was found between infant deaths and the size of a child at birth. Infant mortality was higher in rural than in urban areas, and was higher among male than female children. Both neonatal and infant death rates varied by region and were found to be highest in the North West region and lowest in the South region. An increasing trend was observed in neonatal mortality in the 5-year period from 2013 to 2018. Policy interventions should be focused on the poor classes, women with a birth interval of less than 2 years and those living in the North West region of the country.

Perbandingan Linieritas Dalam Pendeteksian Faktor-Faktor Yang Mempengaruhi Angka Kematian Bayi Di Provinsi Aceh

2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Desfira Ahya ◽  
Inas Salsabila ◽  
Miftahuddin
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Linear Model ◽  
Health Workers ◽  
Additive Model ◽  
Infant Mortality Rate ◽  
Mortality Data ◽  
Important Indicator ◽  
Penalized Spline ◽  
Aceh Province

Angka Kematian Bayi/ Infant Mortality Rate (IMR) merupakan indikator penting dalam mengukur keberhasilan pengembangan kesehatan. Nilai IMR juga dapat digunakan untuk mengetahui tingkat kesehatan ibu, kondisi kesehatan lingkungan dan secara umum, tingkat pengembangan sosio-ekonomi masyarakat. Penelitian ini bertujuan untuk memperoleh model IMR terbaik menggunakan tiga pendekatan: Model Linear, Model Linear Tergeneralisir dan Model Aditif Tergeneralisir dengan basis P-spline. Sebagai tambahan, berdasarkan model tersebut akan terlihat variabel yang mempengaruhi tingkat kematian bayi di provinsi Aceh. Penelitian ini menggunakan data jumlah kematian bayi di tahun 2013-2015. Data dalam penelitian ini diperoleh dari Profil Kesehatan Aceh. Hasil menunjukkan bahwa model terbaik dalam menjelaskan angka kematian bayi di provinsi Aceh tahun 2013-2015 ialah Model Linear Tergeneralisir dengan basis P-spline menggunakan parameter penghalusan 100 dan titik knots 8. Faktor yang sangat mempengaruhi angka kematian ialah jumlah pekerja yang sehat.   Infant mortality rate (IMR) is an important indicator in measuring the success of health development. IMR also can be used to knowing the level of maternal health, environmental health conditions and generally the level of socio-economic development in community. This research aims to get the best model of infant mortality data using three approaches: Linear Model, Generalized Linear Model and Generalized Additive Model with Penalized Spline (P-spline) base. In addition, based on the model can be seen the variables that affect to infant mortality in Aceh Province. This research uses data number of infant mortality in Aceh Province period 2013-2015. The data in this research were obtained from Aceh’s Health Profile. The results show that the best model can be explain infant mortality rate in Aceh Province period 2013-2015 is GAM model with P-spline base using smoothing parameter 100 and knots 8. Factor that high effect to infant mortality is number of health workers.

Systemic School Improvement Interventions in South Africa

2014 ◽  
Keyword(s):  
School Improvement ◽  
South African ◽  
Rural Areas ◽  
Eastern Cape ◽  
North West ◽  
Household Level ◽  
The North ◽  
Improvement Interventions ◽  
Academic Review

Looking at two smaller-scale systemic school improvement projects implemented in selected district circuits in the North West and Eastern Cape by partnerships between government, JET Education Services, and private sector organisations, this book captures and reflects on the experiences of the practitioners involved. The Systemic School Improvement Model developed by JET to address an identified range of interconnected challenges at district, school, classroom and household level, is made up of seven components. In reflecting on what worked and what did not in the implementation of these different components, the different chapters set out some of the practical lessons learnt, which could be used to improve the design and implementation of similar education improvement projects. Many of the lessons in this field that remain under-recorded to date relate to the step-by-step processes followed, the relationship dynamics encountered at different levels of the education system, and the local realities confronting schools and districts in South Africa's rural areas. Drawing on field data that is often not available to researchers, the book endeavours to address this gap and record these lessons. It is not intended to provide an academic review of the systemic school improvement projects. It is presented rather to offer other development practitioners working to improve the quality of education in South African schools, an understanding of some of the real practical and logistical challenges that arise and how these may be resolved to take further school improvement projects forward at a wider district, provincial and national scale.

scholarly journals Quality of children's death records for regionalized spaces: a methodological route

2021 ◽  
Vol 24 ◽  
Author(s):  
Neir Antunes Paes ◽  
Carlos Sérgio Araújo dos Santos ◽  
Tiê Dias de Farias Coutinho
Keyword(s):  
Information System ◽  
Rural Areas ◽  
Vital Statistics ◽  
Operating Costs ◽  
Missing Information ◽  
Unknown Variable ◽  
Neonatal Deaths ◽  
Infant Deaths ◽  
Information Index

ABSTRACT: Objectives: To propose a methodological path to investigate the coverage and information filling of maternal-infant deaths recorded in the Ministry of Health's Mortality Information System for regional spaces. Methods: Four steps were proposed: 1) Assessment of the completeness of the maternal and child variables, which was measured using the deterministic linkage technique between the Mortality Information System (Sistema de Informações sobre Mortalidade – SIM) and the Live Birth Information System (Sistema de Informações sobre Nascidos Vivos – SINASC); 2) Application of the multiple imputation technique to achieve the total filling of the missing information of the variables; 3) Estimation of death coverage; 4) The Unknown Variable Information Index (Índice de Informação Desconhecida da Variável – IIDV) was measured, which represents the combined effect of data completeness and coverage of deaths. The proposal of the methodological path was exemplified for neonatal deaths in the municipalities of Paraíba that are part of the new classification proposed by the Brazilian Institute of Geography and Statistics (Instituto Brasileiro de Geografia e Estatística – IBGE), as adjacent rural areas, in three triennium periods from 2009 to 2017. Results: The percentage of matching records was 45%. Most of the variables had a percentage of non-completion below 10% and around 17% for the mother's education. Coverages ranged from 75 to 83%. The IIDV for all variables was between 21 and 36% after the linkage. Conclusion: The path of the methodological proposal proved to be effective, which can be replicated to other regions, and can be extended to other categories of deaths such as post-neonatal. The combination of the proposed procedures demands low operating costs and their uses are relatively simple to be applied by the managers and technicians of the vital statistics information systems.

scholarly journals Smoke-free legislation and neonatal and infant mortality in Brazil: longitudinal quasi-experimental study

2019 ◽  
pp. tobaccocontrol-2019-054923 ◽  
Author(s):  
Thomas Hone ◽  
Andre Salem Szklo ◽  
Filippos T Filippidis ◽  
Anthony A Laverty ◽  
Isabela Sattamini ◽  
...  
Keyword(s):  
Experimental Study ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Neonatal Mortality ◽  
Fixed Effects ◽  
Infant Health ◽  
Infant Mortality Rate ◽  
Infant Deaths ◽  
Quasi Experimental ◽  
Fixed Effects Regression

ObjectiveTo examine the associations of partial and comprehensive smoke-free legislation with neonatal and infant mortality in Brazil using a quasi-experimental study design.DesignMonthly longitudinal (panel) ecological study from January 2000 to December 2016.SettingAll Brazilian municipalities (n=5565).ParticipantsInfant populations.InterventionSmoke-free legislation in effect in each municipality and month. Legislation was encoded as basic (allowing smoking areas), partial (segregated smoking rooms) or comprehensive (no smoking in public buildings). Associations were quantified by immediate step and longer term slope/trend changes in outcomes.Statistical analysesMunicipal-level linear fixed-effects regression models.Main outcomes measuresInfant and neonatal mortality.ResultsImplementation of partial smoke-free legislation was associated with a −3.3 % (95% CI −6.2% to −0.4%) step reduction in the municipal infant mortality rate, but no step change in neonatal mortality. Comprehensive smoke-free legislation implementation was associated with −5.2 % (95% CI −8.3% to −2.1%) and −3.4 % (95% CI −6.7% to −0.1%) step reductions in infant and neonatal mortality, respectively, and a −0.36 (95% CI −0.66 to−0.06) annual decline in the infant mortality rate. We estimated that had all smoke-free legislation introduced since 2004 been comprehensive, an additional 10 091 infant deaths (95% CI 1196 to 21 761) could have been averted.ConclusionsStrengthening smoke-free legislation in Brazil is associated with improvements in infant health outcomes—particularly under comprehensive legislation. Governments should accelerate implementation of comprehensive smoke-free legislation to protect infant health and achieve the United Nation’s Sustainable Development Goal three.

Sri Lanka: report on its children’s environmental health

2020 ◽  
Vol 35 (1) ◽  
pp. 65-70
Author(s):  
Himan Galappaththi
Keyword(s):  
Air Pollution ◽  
Sri Lanka ◽  
Infant Mortality ◽  
Environmental Health ◽  
Indoor Air ◽  
Rural Areas ◽  
Information Dissemination ◽  
Agricultural Waste ◽  
Infant Mortality Rate ◽  
Children’S Environmental Health

AbstractSri Lanka is an island country located in the Indian Ocean, characterized by tropical weather, with an estimated population of 21.4 million in 2017, one third of them being children. Advancing and rapidly changing technology, novel industries, consumer goods and equipment have introduced new health hazards of a chemical, biological and physical nature to future generations. The infant mortality rate has declined to around 8–9 per 100,000 since 2015. Congenital malformations were the most significant cause of neonatal death. Thus, there might be unproven environmental factors which affect infant mortality rates despite robust field and hospital services. Air pollution is a major environmental health hazard to children, largely due to hazardous industries, vehicular emissions and traditional cooking stoves. The health of children living in urban households and attending schools in cities is adversely affected by air pollution. Usage of polythene and plastic for toys, utensils, bags, lunch sheets and other daily essentials leads to overusage and improper waste management and open burning. This emits dioxins, which are carcinogens, hormone disruptors, and which can be transferred to the fetus via the placenta. In rural areas, the burning of agricultural waste and certain agro-forestry activities have also led to air pollution. Indoor air pollution (IAP) remains a large threat as 66% of the population use biomass for cooking. Use of inefficient stoves and biomass, poor ventilation and absence of chimneys, contribute to IAP. Other indoor air pollutants such as tobacco smoke, volatile organic compounds, asbestos, pesticides, kerosene, mercury, mosquito coils and biological pollutants also prevail. Biological pollutants, such as dust mites, droppings and urine from pets, insects and rodents, pollen from indoor plants and outdoor air, and fungi, including moulds in poorly maintained buildings, can trigger asthma or cause allergic reactions and infections among children inhabiting these environments. In rural areas, chemicals were accountable for 30.2% of acute poisonings, with kerosene oil being the most common cause, followed by paracetamol. More than 80% of agricultural workers in the country work in the informal sector with limited personal protective equipment use, while pesticide usage is increasing. Children who engage in agriculture-related work and hazardous industries are at risk of developing health consequences at early stages. Dengue remains a major environmental health problem as the reduction of mosquito breeding sites has been a challenging task for many years. It is essential to gain more evidence of existing environmental risk factors and their associations with the health of children. Information dissemination among local and international experts on Children’s Environmental Health (CEH) issues needs to be enhanced and properly established. Training programs should be conducted for healthcare workers to update their knowledge. Pediatricians are needed for remote hospitals and primary healthcare centers. Environmental parameters and biological parameters are not routinely monitored in most of the hazardous environments.

Infant Mortality Among Singletons and Twins in Japan During 1999–2008 on the Basis of Risk Factors

2013 ◽  
Vol 16 (2) ◽  
pp. 639-644 ◽  
Author(s):  
Yoko Imaizumi ◽  
Kazuo Hayakawa
Keyword(s):  
Infant Mortality ◽  
Maternal Age ◽  
Survival Rates ◽  
Mortality Rates ◽  
Vital Statistics ◽  
Infant Mortality Rate ◽  
Age Group ◽  
Neonatal Deaths ◽  
Infant Deaths ◽  
Live Births

The infant mortality rate (IMR) among single and twin births from 1999 to 2008 was analyzed using Japanese Vital Statistics. The IMR was 5.3-fold higher in twins than in singletons in 1999 and decreased to 3.9-fold in 2008. The reduced risk of infant mortality in twins relative to singletons may be related, partially, to survival rates, which improved after fetoscopic laser photocoagulation for twin — twin transfusion syndrome. The proportion of neonatal deaths among total infant deaths was 54% for singletons and 74% for twins. Thus, intensive care of single and twin births may be very important during the first month of life to reduce the IMR. The IMR decreased as gestational age (GA) rose in singletons, whereas the IMR in twins decreased as GA rose until 37 weeks and increased thereafter. The IMR was significantly higher in twins than in singletons from the shortest GA (<24 weeks) to 28 weeks as well as ≥38 weeks, whereas the IMR was significantly higher in singletons than in twins from 30 to 36 weeks. As for maternal age, the early neonatal and neonatal mortality rates as well as the IMR in singletons were significantly higher in the youngest maternal age group than in the oldest one, whereas the opposite result was obtained in twins. The lowest IMR in singletons was 1.1 per 1,000 live births for ≥38 weeks of gestation and heaviest birth weight (≥2,000 g), while the lowest IMR in twins was 1.8 at 37 weeks and ≥2,000 g.

Quality of Elementary Education in India’s Rural Areas: Results from Annual Status of Education Report (ASER) 2014

Social Change ◽  
2016 ◽  
Vol 46 (4) ◽  
pp. 544-559
Author(s):  
Sangram Charan Panigrahi
Keyword(s):  
Elementary Education ◽  
Rural Areas ◽  
Tamil Nadu ◽  
Critical Role ◽  
Principal Component ◽  
Elementary Level ◽  
North East ◽  
The North ◽  
Two Factors

The quality of elementary education plays a critical role in an individual’s growth. Thus it has the capacity to develop a nation’s human resources. This study has examined the capabilities of young students who enrolled at the elementary level in schools located in India’s rural areas and their proficiency in different subjects, specifically their own regional language, mathematics and their knowledge of English. In order to measure the performances of students enrolled in Classes 1–VIII, the study used the principal component analysis (PCA) on original, 12 correlated variables. A standardised regression score of two factors, generated from PCA, was used to measure the status of education at the elementary level for different states. By considering the total score of two factors, using the PCA, it was found that most of the states in the southern parts of the country, that is, Kerala, Andhra Pradesh, Telangana, Karnataka and Tamil Nadu, and the North-East region, that is, Assam, Mizoram, Tripura, Sikkim, Meghalaya, Nagaland and Arunachal Pradesh, exhibited better academic performances as compared to other states.

scholarly journals Spatial analysis of inequalities in fetal and infant mortality due to avoidable causes

2020 ◽  
Vol 73 (suppl 4) ◽  
Author(s):  
Cristine Vieira do Bonfim ◽  
Amanda Priscila de Santana Cabral Silva ◽  
Conceição Maria de Oliveira ◽  
Mirella Bezerra Rodrigues Vilela ◽  
Neison Cabral Ferreira Freire
Keyword(s):  
Spatial Analysis ◽  
Infant Mortality ◽  
Social Inequalities ◽  
Social Deprivation ◽  
Infant Mortality Rate ◽  
Scan Statistics ◽  
Deprivation Index ◽  
Fetal Mortality ◽  
Infant Deaths ◽  
The Social

ABSTRACT Objectives: to analyze social inequalities in spatial distribution of fetal and infant mortality by avoidable causes and identify the areas of greater risk of occurrence. Methods: avoidable deaths of fetal and infant residents of Recife/Brazil were studied. The rates of avoidable fetal and infant mortality were calculated for two five-year periods, 2006-2010 and 2011-2015. The scan statistics was used for spatial analysis and related to the social deprivation index. Results: out of the total 2,210 fetal deaths, 80% were preventable. Avoidable fetal mortality rates increased by 8.1% in the five-year periods. Of the 2,846 infant deaths, 74% were avoidable, and the infant mortality rate reduced by 0.13%. Conclusions: in the spatial analysis, were identified clusters with higher risk for deaths. The social deprivation index showed sensibility with areas of worse living conditions.

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