Mortalidade evitável na infância: Belo Horizonte, 1997-2006

Abstract

The causes of preventable or avoidable deaths are defined as those preventable, wholly or in part, by effective actions of the health services that are available in a given place and time. These causes should be reviewed in light of developments in knowledge and technology for the practice of health care. Objective: To analyze the trend in mortality in children and prevent these events in Belo Horizonte in the period of 1997-2006. Methodology: This is a descriptive study, using data obtained from secondary sources, time series of deaths in infancy and childhood, living in the city of Belo Horizonte, which occurred in the period from 1997 to 2006, recorded in the SIM and SINASC 1997 to 2006. The deaths were classified according to the List of Preventable Deaths in Brasil: 1 preventable causes: a) reducible by the actions of imunoprevenção, b) reducible by adequate attention to women during pregnancy and childbirth an newborn, c) reducible for shares of diagnosis and appropriate treatment, d) avoidable through health promotion actions linked to health care in health. 2 causes ill-defined and 3 not preventable causes, which correspond to other causes of deaths. It was estimated the mortality rates and the proportion of preventable deaths and not preventable. Was carried out the study of history of selected cases from the perspective of the route of the line of care. Results: It was observed that there was further reduction in deaths from preventable causes not preventable. Concentration of post-neonatal deaths weighing more than 2500g in ill-defined causes. Predominance of deaths by cause avoidable by proper attention to the newborn in less than a year and a greater involvement of the deaths avoidable by appropriate actions of diagnosis and treatment in children over one year. The study of the trajectory of the cases showed noise that point to the low effectiveness of health services and inadequate handling of some situations. Conclusion: Despite the remarkable actions that the council has been developing to minimize these deaths there is still a need for additional interventions in the light of the high number of deaths that could be reduced by effective actions of health services.