scholarly journals Infant mortality by color or race from Rondônia, Brazilian Amazon

2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Caroline Gava ◽  
Andrey Moreira Cardoso ◽  
Paulo Cesar Basta

ABSTRACT OBJECTIVE To analyze the quality of records for live births and infant deaths and to estimate the infant mortality rate for skin color or race, in order to explore possible racial inequalities in health. METHODS Descriptive study that analyzed the quality of records of the Live Births Information System and Mortality Information System in Rondônia, Brazilian Amazonian, between 2006-2009. The infant mortality rates were estimated for skin color or race with the direct method and corrected by: (1) proportional distribution of deaths with missing data related to skin color or race; and (2) application of correction factors. We also calculated proportional mortality by causes and age groups. RESULTS The capture of live births and deaths improved in relation to 2006-2007, which required lower correction factors to estimate infant mortality rate. The risk of death of indigenous infant (31.3/1,000 live births) was higher than that noted for the other skin color or race groups, exceeding by 60% the infant mortality rate in Rondônia (19.9/1,000 live births). Black children had the highest neonatal infant mortality rate, while the indigenous had the highest post-neonatal infant mortality rate. Among the indigenous deaths, 15.2% were due to ill-defined causes, while the other groups did not exceed 5.4%. The proportional infant mortality due to infectious and parasitic diseases was higher among indigenous children (12.1%), while among black children it occurred due to external causes (8.7%). CONCLUSIONS Expressive inequalities in infant mortality were noted between skin color or race categories, more unfavorable for indigenous infants. Correction factors proposed in the literature lack to consider differences in underreporting of deaths for skin color or race. The specific correction among the color or race categories would likely result in exacerbation of the observed inequalities.

2004 ◽  
Vol 38 (6) ◽  
pp. 773-779 ◽  
Author(s):  
Valdinar S Ribeiro ◽  
Antônio A M Silva ◽  
Marco A Barbieri ◽  
Heloisa Bettiol ◽  
Vânia M F Aragão ◽  
...  

OBJECTIVE: To obtain population estimates and profile risk factors for infant mortality in two birth cohorts and compare them among cities of different regions in Brazil. METHODS: In Ribeirão Preto, southeast Brazil, infant mortality was determined in a third of hospital live births (2,846 singleton deliveries) in 1994. In São Luís, northeast Brazil, data were obtained using systematic sampling of births stratified by maternity unit (2,443 singleton deliveries) in 1997-1998. Mothers answered standardized questionnaires shortly after delivery and information on infant deaths was retrieved from hospitals, registries and the States Health Secretarys' Office. The relative risk (RR) was estimated by Poisson regression. RESULTS: In São Luís, the infant mortality rate was 26.6/1,000 live births, the neonatal mortality rate was 18.4/1,000 and the post-neonatal mortality rate was 8.2/1,000, all higher than those observed in Ribeirão Preto (16.9, 10.9 and 6.0 per 1,000, respectively). Adjusted analysis revealed that previous stillbirths (RR=3.67 vs 4.13) and maternal age <18 years (RR=2.62 vs 2.59) were risk factors for infant mortality in the two cities. Inadequate prenatal care (RR=2.00) and male sex (RR=1.79) were risk factors in São Luís only, and a dwelling with 5 or more residents was a protective factor (RR=0.53). In Ribeirão Preto, maternal smoking was associated with infant mortality (RR=2.64). CONCLUSIONS: In addition to socioeconomic inequalities, differences in access to and quality of medical care between cities had an impact on infant mortality rates.


2021 ◽  
Vol 110 ◽  
pp. 02006
Author(s):  
Ludmila Borisova ◽  
Galina Zhukova ◽  
Anna Kuznetsova ◽  
Julie Martin

The paper analyzes the socio-economic and demographic indicators of life expectancy in the countries of the world. Methods of regression analysis and machine learning are used. Statistically significant indicators that affect life expectancy around the world have been identified. When analyzing the data using machine learning methods, 13 of the 14 analyzed indicators were statistically significant. Significant indicators, in addition to those selected in the regression analysis, were 3: the under-five infant mortality rate (per 1,000 live births), the Net Barter Terms of Trade Index (2000 = 100), and Imports of goods and services (in % of GDP) (in the regression analysis, only the infant death rate was significant). In addition, it should be noted that there is a significant decrease in the under-five infant mortality rate (per 1,000 live births) for the EU, CIS and South-East Asian countries compared to the border set in the study for all countries: 4.65 vs. 34.9, a decrease in the birth rate from 2.785 to 1.85, a sharp increase in exports of goods and services: from 23.17 to 80.59, a halving in imports of goods and services, a drop in population growth from 2.105 to 0.85. The performed statistical analysis strongly supports the use of machine learning methods in identifying statistically significant relationships between various indicators that characterize the development of countries, if there are gaps in the data.


Author(s):  
Ekaterina Kvasha

Infant mortality in Russia has been decreasing for several decades. In 2011, however, Russia’s infant mortality rate reached a level (7.4 per 1000 live births) more than three times higher than in countries with minimal levels. In April 2012, Russia adopted new definitions of live births and stillbirths, which are much closer to the corresponding WHO definitions than those used before. The transition to these new definitions was meant to increase the rates of perinatal, early neonatal and infant mortality in general for children weighing up to 1000 grams – those concerned by the changed definition. This paper analyzes the changes in the structure and dynamics of death in children under one year of age since the transition to the new definitions of live births and stillbirths, according to birth weight and period of death based on official and medical statistics. It looks at the possibility of distortion of both infant and perinatal mortality and their components. Particular attention is given to an analysis of the structure of infant mortality by age and cause of death in Russia in comparison with other countries. The regional aspect of changes in infant mortality for 2011-2012 is also studied herein. The analysis is based on data from official and medical statistics.


2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Supiati Supiati

Abstract: Age, Parity, Incidence of LBW. One indicator to determine the degree of public health is the infant mortality rate (IMR). Infant mortality rate in Indonesia is still relatively high, which recorded 31 per 1,000 live births in 2008. This study aims to determine the relationship between maternal age and parity with LBW in the Maternity Hospital (RB) Juweni Village Pandes Wedi Klaten This study uses descriptive analytic correlation with retrospective approach. The study population all mothers delivered in January 2011-September 2012 with a total population of 142 mothers. The study was conducted in October 2012. The results of the study obtained the highest maternal age age is not at risk of 124 respondents (87.3%), most mothers Parity multi 75 respondents (52.8%), the highest incidence of low birth weight is not 133 respondents (93.7% ). It can be concluded that there is no relationship between the age of mothers with LBW and there is no relationship between the parity of mothers with LBW.


Populasi ◽  
2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Kasto Kasto

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.


2016 ◽  
Vol 4 (3) ◽  
pp. 206-213
Author(s):  
Rosmala Kurnia Dewi ◽  
Sri Achadi Nugraheni ◽  
Ayun Sriatmi

Chronic Energy Deficiency (CED) is one of the causes of maternal and infant mortality indirectly. Maternal Mortality Rate (MMR) in Grobogan District increased gradually during the period of 2011 – 2012 from 26 cases (114.03/100,000 live births) to 34 cases (151.15/100,000 live births), and decreased sharply to be 22 cases (102.03/100,000 live births) in 2013. Meanwhile, Infant Mortality Rate (IMR) was 194 cases in 2011, rose dramatically in 2012 to be 240 cases, and declined sharply in 2013 to be 166 cases. Low Birthweight Babies (LBWB) was one of the causes of infant mortality because pregnant women suffered from CED during their pregnancies. The aim of this study was to analyse internal and external factors with performance of village midwives in conducting early detection and handling pregnant women with CED. This was an observational-analytic study using cross-sectional approach. Data were collected using structured questionnaires. Population was 243 village midwives at health centres in Grobogan District. As many as 71 village midwives were selected randomly using a technique of stratified random sampling. Data were analysed using analyses of bivariate (chi square test) and multivariate (logistic regression test). The results of this research showed that most of the respondents aged ranging from 20-35 years old (76.1%), had working period less than or equal to 6 years (53.5%), ever handled CED (81.7%). Variables of health facilities (p=0.001), fellow worker support (p=0.016), community support (p=0.001), leader support (p=0.0001) had significant relationship with the performance of village midwives in conducting early detection of pregnant women with CED. Factors jointly influencing the performance were health facilities (p=0.000; Exp(B)=25.395), and leader support (p=0.001; Exp(B)=10.278). As suggestions, health centres and District Health Office need to provide complete health facilities to improve performance of health workers in providing services.


Author(s):  
Krishan Kumar ◽  
Rajiv Srivastava ◽  
S. K. Mishra

Background: One of the most important indicator or index of socio-economic development of a country or region is infant mortality rate. The present study was undertaken to assess the quantum of childhood mortality and to find out the social factors associated with these deaths by verbal autopsies. Methods: This one year cross-sectional study was undertaken in a purposively selected community Development Block Sainyan, district Agra among children aged between 0-5 years using multistage random sampling technique. Suitable statistical methods were applied. Results: Out of total 8355 families surveyed, a total of 185 deaths were reported among children. Number of deaths was higher among those belonging to nuclear family and lower socioeconomic status. The neonatal mortality rate was estimated to be 33.55/1000 live births. The post neonatal mortality rate was found to be 40.78/1000 live births and infant mortality rate was 74.33/1000 live births. Mortality rate in 1-5 year age group children was 10.6/1000 same age group children, while 0-5 yrs. mortality was estimated to be 22.39/1000 children of same age group. Out of 185 children who died, 52.7% were unimmunized and another 35.67% were partially immunized. Conclusions: Female education and socioeconomic well-being should be strengthened. 


2021 ◽  
Vol 69 (1) ◽  
Author(s):  
Firooz Esmaeilzadeh ◽  
Yousef Alimohamadi ◽  
Mojtaba Sepandi ◽  
Farzad Khodamoradi ◽  
Parisa Jalali

Abstract Background Infant mortality rate is an important index of community health status and mortality rate. It is also one of the most prominent indexes showing the development of various societies. Regarding the importance of infant mortality rate (IMR), the purpose of current study was to compare and trend analysis of IMR in different areas of the WHO during 1990–2017. In current ecological study, IMR per 1000 live births in different WHO regions from 1990 to 2017 data were derived from the WHO website. The required information included the data about IMR per 1000 live births in different WHO regions from 1990 to 2017. The analysis was performed by using descriptive and analytical methods. Results The IMR during the study period had a significant decreasing trend in all the regions (p < 0.001) but the slope of decrease was greater in Africa than in other regions. The African and European regions had the highest (55.7%) and lowest (17.2%) annual decrease in the infant mortality rate (from 106.3 cases in 1990 to 50.6 in 2017, and from 24.9 in 1990 to 7.7 in 2017), respectively. Conclusion Our results showed that the trend of IMR had a decreasing trend in all WHO regions. It can be due to improving the public health situation in different areas. But the identification of effective factors on IMR needs individuals based studies.


2018 ◽  
Vol 3 (1) ◽  
pp. 50-59
Author(s):  
Putri Miseri Cordias Domini Hulu ◽  
Oktafiana Manurung

According to Word Health Organization (WHO) data, infant mortality caused by Succedaneum Caput infection decreased by 0.05% from 4 million infants who died at 30 days (advanced neonatal). While in Indonesia the infant mortality rate due to infection of Caput succedaneum in 2013 amounted to 11% from 35 per 1000 live births. Goals: To have real experience in implementing Care of Newborn Gynecology Born on By. Mrs. S age of 1 day with Caput Succedaneum at Santa Elisabeth Lubuk Baja Batam Hospital in 2017. Method: Based on a case study on By. Mrs. S, the method uses Varney Midwifery Management approach, for data collection that is primary data consisting of physical examination include examination of caput extension, general condition, vital signs, and anthropometry. Result: Based on By case. Mrs. S with Caput Succedaneum performed handling and treatment for 4 days at Santa Elisabeth Hospital Batam. After the treatment of Caput Succedaneum and giving 20 gram Trombophop gel therapy, the baby's condition has improved and the caput problem has been resolved. Conclusion: Based on By case. Mrs. S after the management of Succedaneum Caput and minimize the removal of baby's head, the baby's condition has improved.


2003 ◽  
Vol 35 (2) ◽  
pp. 201-212 ◽  
Author(s):  
P. WILLIAMSON ◽  
R. I. WOODS

This paper considers the age pattern of mortality between conception and first birthday. It highlights the various problems that still limit our understanding of the ways in which the age components of mortality are associated, especially during the perinatal period. A mathematical function is fitted which captures the interaction between six mortality components for a typical high mortality society, one in which the infant mortality rate is 150 per thousand live births. This experiment helps to clarify the need to link infant with fetal mortality, to conduct further research on the level of risk in each component, and to consider the cumulative early-age mortality profile in its entirety.


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