Lista de causas de muerte potencialmente evitables en la niñez: una propuesta para Colombia

Rojas-Botero, Maylen Liseth; Borrero-Ramírez, Yadira Eugenia; Cáceres-Manrique, Flor de María

doi:10.1590/0102-311x00086519

Cited by 7 publications

(7 citation statements)

References 18 publications

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“…Se tomó la lista de tabulación 3 para mortalidad infantil y del niño de la OMS 12 . También se valoró el porcentaje de causas de muerte que deberían acontecer en momentos posteriores del ciclo vital, considerando los límites sugeridos por la OPS 12 y la lista de plausibilidad biológica 13 . c. Errores de digitación y actualización.…”

Section: Valoración De La Calidad De Los Registros De Defunciónunclassified

Evaluación de la calidad de las estadísticas vitales de niños menores de cinco años. Colombia, 2000-2018

Rojas-Botero

Borrero-Ramírez

Fernández-Niño

2022

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Introducción: las estadísticas vitales son fundamentales para conocer las condiciones de salud de la población y diseñar intervenciones. De su calidad depende la precisión y validez de las métricas derivadas y la relevancia de las decisiones de política pública. Objetivo: evaluar la calidad de las estadísticas vitales de niños menores de cinco años en Colombia, entre 2000 y 2018. Métodos: estudio descriptivo y exploratorio. Se analizó la calidad de los registros de nacidos vivos y defunciones publicados por el DANE, utilizando los criterios recomendados por las Naciones Unidas: exactitud (precisión), cobertura (compleción) y oportunidad. Resultados: se encontraron registros de nacimientos y defunciones con datos perdidos en categorías que indican gradiente social. El 8,2 % de los registros de defunción tenían como causa básica de muerte códigos poco útiles para la toma de decisiones en salud pública. El 97,8 % de los nacidos vivos fueron registrados durante el mismo año de ocurrencia. El subregistro de la mortalidad infantil se estimó en un 28,9 %, con diferencias entre territorios. Conclusiones: la calidad de las estadísticas vitales en niños menores de cinco años de Colombia mejoró en los 19 años evaluados, en particular en exactitud y oportunidad. Sin embargo, persisten problemas en la asignación de la causa básica de muerte y en el subregistro, con diferencias importantes entre territorios. Mejorar la calidad del sistema de estadísticas vitales debe ser un imperativo ético, en especial para comprender las poblaciones de áreas geográficas históricamente invisibilizadas en el país.

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Section: Valoración De La Calidad De Los Registros De Defunciónunclassified

Evaluación de la calidad de las estadísticas vitales de niños menores de cinco años. Colombia, 2000-2018

Rojas-Botero

Borrero-Ramírez

Fernández-Niño

2022

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“…Avoidable under-ve deaths corresponded to the number of potentially avoidable deaths in under-ve children, registered for each department and municipality for each year. To classify each death, we applied the list of potentially avoidable causes of death in childhood proposed for Colombia (13), which classi es total avoidable deaths, amenable, preventable and mixed avoidable deaths.…”

Section: Avoidable Mortality Rate In Childrenmentioning

confidence: 99%

Trends of inequalities of avoidable mortality among children in Colombia: A group-based trajectory analysis

Rojas-Botero

Fernández

Borrero-Martinez

2022

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Background In the last years, Colombia has improved most of the mayor health indicators, however, some inequalities –as those related with child health– remain over time; understanding the historical behavior of health inequalities, allows to evidence structural and persistent social inequalities that explain these trends. This study aims to describe territorial inequalities in child health among departments and municipalities of Colombia between 2000 and 2018, throughout the analysis of trajectories of under-five avoidable mortality rate. Methods We carried out a longitudinal and multi-group ecological study. We analyzed the longitudinal dynamics of avoidable mortality of Colombian under-five children by applying group-based trajectory approach and taking the Colombian departments and municipalities over time as analysis units. Results We included all the 33 departments and 1 118 municipalities in 19 years. The avoidable mortality rate in under-five children (AMRC) in the first and last year of follow-up was 23.3 and 12.2 deaths per thousand live births (lb), respectively. We identified three different trajectories of avoidable mortality at the department level: a best (57.6%; AMRC: 20.7–10.5 per thousand lb), moderate (30.3%; AMRC: 31.9–15.9) and worst trajectory (12.1%; AMRC: 56.4 − 26.9). We described the common characteristics of the departments within each identified group. At the municipality level we found five different trajectories, the worst had the greater reduction, but it was not enough to close the gap. We also found different trajectories when amenable, preventable, and mixed avoidable under-five mortality were analyzed among departments and municipalities. Conclusions The gaps in avoidable child mortality among departments and municipalities in Colombia have been reduced, however, territorial disparities persist over time, mainly in amenable mortality through timely and quality medical care. Those trajectories express inequities in child survival originated from the socioeconomic, political and health system determinants in Colombian territories.

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“…This way, the analysis of causes of death becomes a tool to both plan interventions and assess them, and is an essential resource for the management of public policies. 3 Such proposal has served as the basis for planning actions aimed Jairo Vanegas López, Ph.D. a , Fabián Vásquez Vergara, Ph.D. b and R. Mauricio Barría, Ph.D. c Original article at reducing infant mortality in different Latin American countries, including Argentina, 4,5 Uruguay, 6 and Colombia, 7 among others.…”

Section: Introductionmentioning

confidence: 99%

Evolution of infant mortality in Chile and how it has been reflected in scientific publications between 1980 and 2019

2021

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Introduction. One of the Millennium Development Goals is to reduce the child mortality rate (CMR), an indicator still present in the Sustainable Development Goals (2015Goals ( -2030. At the same time, scientific investigations and reports were necessary to assess the behavior of the infant mortality rate (IMR) and the effectiveness of interventions to approach it. Objective. To describe IMR behavior in Chile and how it has been reflected in the scientific publications made in the 1980-2019 period. Material and methods. Implementation of the multivariate adaptive regression spline (MARS) method in relation to IMR between 1980 and 2016, and search for related articles published between 1980 and 2019 in SciELO, Lilacs, PubMed, Cochrane Library, and Embase. The analysis included IMR behavior and its reflection in the publications made in that period. Results. IMR decreased from 28 % to 7.2 % per 1000 live births between 1980 and 2016 (-74 %) and 82 publications were identified in this period. Two types of studies about IMR were reported as of the cutoff point of 1996. In the first period, studies focused on preventable diseases and interventions, while IMR showed a slowing down in its reduction. After the cutoff point, studies focused on non-preventable diseases and factors related to inequalities and inequities. Conclusions. IMR prevails as a synthetic indicator of health conditions. Changes in its evolution and causes have been reflected in publications, which have shifted their focus and areas of interest in accordance with the changes in this indicator.

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Lista de causas de muerte potencialmente evitables en la niñez: una propuesta para Colombia

Cited by 7 publications

References 18 publications

Evaluación de la calidad de las estadísticas vitales de niños menores de cinco años. Colombia, 2000-2018

Evaluación de la calidad de las estadísticas vitales de niños menores de cinco años. Colombia, 2000-2018

Trends of inequalities of avoidable mortality among children in Colombia: A group-based trajectory analysis

Evolution of infant mortality in Chile and how it has been reflected in scientific publications between 1980 and 2019

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