The Determinants of Infant Mortality and Public Policies in Brazil 2004-2015: A Descriptive Study
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Résumé
Abstract BackgroundInfant mortality as a relevant indicator of population's health, social inequalities and living conditions has been fairly documented in the literature as it still represents a major challenge for emerging countries such as Brazil. While infant mortality rates have decreased in the last 30 years, some macro-regions of the country present great variability of infant mortality rates. These disparities, together with a rise in infant mortality and under-five mortality rates, and after the country experienced a political-economic crisis, draw attention to social determinants of health. MethodWe conducted a descriptive analysis of the determinants of infant mortality in Brazil between 2004 and 2015, based on the World Health Organization’s Commission on Social Determinants of Health conceptual framework aiming at analyzing the evolution of these determinants to understand the behavior of the infant mortality rate observed in recent years in the country.ResultsResults suggested that there is a correlation between infant mortality and structural determinants such as income, the Bolsa Família Program, education and employment, and intermediary determinants such as the number of livebirths by prenatal visits, the number of physicians and nurses per thousand inhabitants, fertility rate, safe water, and sewage service coverage rates.ConclusionResults suggest that inequalities in infant mortality observed among macro-regions in Brazil are related to disparities in the distribution of Social Determinants of Health such as income, Bolsa Família Program coverage, education attainment, employment, fertility rate and of health-related determinants such as quality of and accessibility to healthcare and water supply, as well as sewage services. These disparities impose different dynamics between the structural and intermediary determinants of health that likely limit further reductions in infant mortality, which would probably explain both the slowdown in the reduction and the tendency of IMR to remain at a relatively high level. Results also suggest that the increase of infant mortality rate in 2016 is attributable to the deterioration in one or more of those determinants, such as a fall in employment rate due to the economic crisis, may be pointed out as one of the causes of interruption on the trend of decline in infant mortality.
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| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,006 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,001 | 0,004 |
| Intégrité de la recherche | 0,000 | 0,004 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
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