Better prospects for child survival.
World Health Forum
; 10(2): 222-7, 1989.
Article
em En
| MEDLINE
| ID: mdl-2610834
ABSTRACT
PIP: Between 1973-83 infant and child mortality rates in Sao Paulo, Brazil fell about 50% and 70% 2 health surveys were done: one in 1973-74 and a second one in 1984-85. Results from both surveys showed that moderate and severe cases of malnutrition were rare; the prevalence of severe cases was below 1%. The most important finding regarding causes of declines in mortality rates for children under 5 was that this was not accompanied by any significant changes in the prevalence of malnutrition. Therefore, reductions in the prevalence of malnutrition may not be an essential ingredient in lessening the death rates in developing countries. The authors used data on the relative risks for infant mortality (IM) from 2 studies in similar urban areas to assess the possible impact of other factors on mortality. The 1st study was a cohort study of risk factors for IM and the 2nd was a case-control study of IM due to infectious diseases. The indicators used were socioeconomic status, demographic, environmental, health care, and breastfeeding. The outcomes of the study demonstrated that changes in socioeconomic variables and in the prevalence of malnutrition do not explain reductions in infant and child mortality in Sao Paulo. However, expansion of the water supply and increase in breastfeeding could account for 20% of the IMR. One can also state that the expansion and quality of health care were instrumental in lowering the mortality rates.
Palavras-chave
Americas; Brazil; Breast Feeding; Child Mortality; Correlation Studies; Data Analysis; Delivery Of Health Care; Demographic Factors; Developing Countries; Diseases; Environment; Health; Health Services; Health Surveys; Infant Mortality; Infant Nutrition; Intermediate Variables; Latin America; Malnutrition; Mortality; Natural Resources; Nutrition; Nutrition Disorders; Population; Population Characteristics; Population Dynamics; Research Methodology; Research Report; South America; Statistical Studies; Studies; Urban Population; Water Supply
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Serviços de Saúde da Criança
/
Mortalidade Infantil
/
Mortalidade
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Equity_inequality
Limite:
Child, preschool
/
Humans
/
Infant
País/Região como assunto:
America do sul
/
Brasil
Idioma:
En
Revista:
World Health Forum
Ano de publicação:
1989
Tipo de documento:
Article
País de publicação:
Suíça