Concordância das causas básicas de morte neonatal precoce pré e pósinvestigação em Belo Horizonte/2006

Abstract

The fourth Millennium Development Goal (MDG) set in the Millennium Assembly organized by the Organization United Nations (ONU), established that the infant mortality rate (IMR), should be reduced by two thirds between the years 1990 to 2015. To reduce IMR in Brazil is essential that the information contained in the Declaration of Death (DO) are reliable because they feed the database of the National Mortality Information System. The objective of this study is to evaluate the reliability of causes of neonatal death in the city of Belo Horizonte in 2006, making the comparison between the original DO and the New DO issued after an investigation committee for the prevention of fetal and infant death by Kappa grouping causes of death in 16 categories. After comparing overall agreement was moderate (Kappa 0.51), considering the groups separately observed that three categories agreement was good (Kappa 0.81 to 1.0), two substantial (Kappa 0.61 to 0.80), 4 moderate (Kappa 0.41 to 0.60), 3 fair (kappa 0.21 to 0.40) and 4 poor (Kappa 0.20 0.0). Noting the need to improve the quality of information on death certificates.