Josane Rosenilda da Costa

Aspectos da mortalidade infantil, conforme informações da investigação do óbito

Objective: To analyze some characteristics of infant mortality of residents in the area of the 15th Health Region of Parana, from 2005 to 2008. Methods: A descriptive exploratory study covering 397 deaths investigated by the Committee for the Prevention of Infant Mortality, using data from the research data sheets. Results: In 82.3% of families, monthly income was up to three times the minimum wage; 65.1% of the mothers received prenatal care through the public network; 83.4% of births were financed by the National Health System; and, 59 2% of women began prenatal care in the first trimester. Of the mothers, 68.5% had complications during pregnancy: 18.2% had preterm labor; 18.2% had a urinary tract infection, and 16.5% had arterial hypertension. Conclusion: Low income, the use of public services for prenatal care and childbirth shows that public institutions, public health workers and nurses are improving the care of pregnant women with attributes of gestational risk, and contribute to the continued reduction of infant mortality.

Hospitalization of children under five years of age due to avoidable causes

El objetivo de este estudio fue caracterizar el perfil de la morbilidad hospitalaria segun el diagnostico principal de internacion, en menores de cinco anos, residentes en las ciudades de Maringa, Sarandi y Paicandu. Fueron utilizadas informaciones registradas en los formularios de Autorizacion de Internacion Hospitalaria, en los anos de 1998 a 2009. Se analizaron 41.220 internaciones en menores de 5 anos. Los resultados evidencian una disminucion de 16,1% de internaciones de menores de cinco anos en relacion al total de internaciones en todos los intervalos de edad. En cuanto a las principales causas de hospitalizacion se encontraron las enfermedades del aparato respiratorio (55,6%), enfermedades infecciosas y parasitarias (14,8%) y afecciones originadas en el periodo perinatal (12,9%); estas enfermedades pueden evitadas con medidas de atencion basica, senalando la necesidad de intensificar las acciones preconizadas por los programas dirigidos a la salud del nino.Descriptores: Hospitalizacion; Nino Hospitalizado; Salud del Nino.This study characterizes the profile of hospital morbidity according to the main diagnosis upon admission, in individuals younger than five years old, residents of three cities (Maringá, Sarandi and Paiçandu) in the Paraná state, Brazil. Information contained in hospital admission forms from 1998 to 2009 was used. The hospitalizations of 41,220 individuals younger than five years old were analyzed. The results indicate a decline of 16.1% in hospital admissions of patients younger than five years old in relation to the total number of admissions in all age groups. As for the main diagnoses, there were diseases of the respiratory system (55.6%), infectious and parasitic diseases (14.8%) and diseases originating in the perinatal period (12.9%). Such conditions can be avoided by implementing primary health care measures, which shows the need to intensify the actions recommended by the programs directed to child health.

Hospitalizações de menores de cinco anos por causas evitáveis

El objetivo de este estudio fue caracterizar el perfil de la morbilidad hospitalaria segun el diagnostico principal de internacion, en menores de cinco anos, residentes en las ciudades de Maringa, Sarandi y Paicandu. Fueron utilizadas informaciones registradas en los formularios de Autorizacion de Internacion Hospitalaria, en los anos de 1998 a 2009. Se analizaron 41.220 internaciones en menores de 5 anos. Los resultados evidencian una disminucion de 16,1% de internaciones de menores de cinco anos en relacion al total de internaciones en todos los intervalos de edad. En cuanto a las principales causas de hospitalizacion se encontraron las enfermedades del aparato respiratorio (55,6%), enfermedades infecciosas y parasitarias (14,8%) y afecciones originadas en el periodo perinatal (12,9%); estas enfermedades pueden evitadas con medidas de atencion basica, senalando la necesidad de intensificar las acciones preconizadas por los programas dirigidos a la salud del nino.Descriptores: Hospitalizacion; Nino Hospitalizado; Salud del Nino.This study characterizes the profile of hospital morbidity according to the main diagnosis upon admission, in individuals younger than five years old, residents of three cities (Maringá, Sarandi and Paiçandu) in the Paraná state, Brazil. Information contained in hospital admission forms from 1998 to 2009 was used. The hospitalizations of 41,220 individuals younger than five years old were analyzed. The results indicate a decline of 16.1% in hospital admissions of patients younger than five years old in relation to the total number of admissions in all age groups. As for the main diagnoses, there were diseases of the respiratory system (55.6%), infectious and parasitic diseases (14.8%) and diseases originating in the perinatal period (12.9%). Such conditions can be avoided by implementing primary health care measures, which shows the need to intensify the actions recommended by the programs directed to child health.

Aspects of infant mortality, according to an investigation of death

Objective: To analyze some characteristics of infant mortality of residents in the area of the 15th Health Region of Parana, from 2005 to 2008. Methods: A descriptive exploratory study covering 397 deaths investigated by the Committee for the Prevention of Infant Mortality, using data from the research data sheets. Results: In 82.3% of families, monthly income was up to three times the minimum wage; 65.1% of the mothers received prenatal care through the public network; 83.4% of births were financed by the National Health System; and, 59 2% of women began prenatal care in the first trimester. Of the mothers, 68.5% had complications during pregnancy: 18.2% had preterm labor; 18.2% had a urinary tract infection, and 16.5% had arterial hypertension. Conclusion: Low income, the use of public services for prenatal care and childbirth shows that public institutions, public health workers and nurses are improving the care of pregnant women with attributes of gestational risk, and contribute to the continued reduction of infant mortality.

Mortalidade infantil e fatores associados: estudo por tipologias sócio-ocupacionais/Infant mortality and associated factors: a study according to socio-occupational typologies

Analisar a mortalidade infantil em municipios da Regiao Metropolitana de Maringa, segundo Tipologias Socio-Ocupacionais. Estudo ecologico com populacao constituida por todos os obitos infantis, de residentes em Maringa, Sarandi e Paicandu, de 2004 a2008. Foram utilizados dados do Sistema de Informacoes sobre Mortalidade e Sistema de Informacoes sobre Nascidos Vivos. As divisoes do territorio por Tipologias Socio-Ocupacionais foram definidas a partir da variavel “ocupacao do chefe da familia”. As demais variaveis foram categorizadas para posterior analise de regressao logistica. Para as Tipologias Socio-Ocupacionais cuja ocupacao e ganho do chefe de familia sao inferiores, os coeficientes de mortalidade infantil sao mais elevados, destacando-se a Tipologia Agricola Medio Inferior (18,2 obitos por mil nascidos vivos) e a Operario (16,4 obitos por mil nascidos vivos). Associacao forte com a ocorrencia do obito infantil foi observada com Apgar no 1o e 5o minutos inferior a sete (OR=23,2, e 71,8; p <0,001, respectivamente), peso ao nascer inferior a 2500g (OR=20,7; p <0,001), menos de 37 semanas gestacionais (OR=22,7; p<0,001) e anomalia congenita (OR=23,5; p <0,001). A segregacao espacial resultou em condicoes heterogeneas de acesso e resolutividade aos servicos de saude, mostrando necessidade de acoes de saude direcionadas aos aglomerados urbanos formados pelas Tipologias Socio-Ocupacionais Agricola Medio Inferior e Operario.

Hospitalizaciones en menores de cinco años por causas evitables

El objetivo de este estudio fue caracterizar el perfil de la morbilidad hospitalaria segun el diagnostico principal de internacion, en menores de cinco anos, residentes en las ciudades de Maringa, Sarandi y Paicandu. Fueron utilizadas informaciones registradas en los formularios de Autorizacion de Internacion Hospitalaria, en los anos de 1998 a 2009. Se analizaron 41.220 internaciones en menores de 5 anos. Los resultados evidencian una disminucion de 16,1% de internaciones de menores de cinco anos en relacion al total de internaciones en todos los intervalos de edad. En cuanto a las principales causas de hospitalizacion se encontraron las enfermedades del aparato respiratorio (55,6%), enfermedades infecciosas y parasitarias (14,8%) y afecciones originadas en el periodo perinatal (12,9%); estas enfermedades pueden evitadas con medidas de atencion basica, senalando la necesidad de intensificar las acciones preconizadas por los programas dirigidos a la salud del nino.Descriptores: Hospitalizacion; Nino Hospitalizado; Salud del Nino.This study characterizes the profile of hospital morbidity according to the main diagnosis upon admission, in individuals younger than five years old, residents of three cities (Maringá, Sarandi and Paiçandu) in the Paraná state, Brazil. Information contained in hospital admission forms from 1998 to 2009 was used. The hospitalizations of 41,220 individuals younger than five years old were analyzed. The results indicate a decline of 16.1% in hospital admissions of patients younger than five years old in relation to the total number of admissions in all age groups. As for the main diagnoses, there were diseases of the respiratory system (55.6%), infectious and parasitic diseases (14.8%) and diseases originating in the perinatal period (12.9%). Such conditions can be avoided by implementing primary health care measures, which shows the need to intensify the actions recommended by the programs directed to child health.

Aspectos de la mort alidad infantil, conforme informaciones de la investigación del óbito

Objective: To analyze some characteristics of infant mortality of residents in the area of the 15th Health Region of Parana, from 2005 to 2008. Methods: A descriptive exploratory study covering 397 deaths investigated by the Committee for the Prevention of Infant Mortality, using data from the research data sheets. Results: In 82.3% of families, monthly income was up to three times the minimum wage; 65.1% of the mothers received prenatal care through the public network; 83.4% of births were financed by the National Health System; and, 59 2% of women began prenatal care in the first trimester. Of the mothers, 68.5% had complications during pregnancy: 18.2% had preterm labor; 18.2% had a urinary tract infection, and 16.5% had arterial hypertension. Conclusion: Low income, the use of public services for prenatal care and childbirth shows that public institutions, public health workers and nurses are improving the care of pregnant women with attributes of gestational risk, and contribute to the continued reduction of infant mortality.