Mortalidade na infância no Brasil e regiões no período de 2000 a 2011: o impacto da atenção básica

Abstract

Objectives: Analyze trends in infant mortality in Brazil and regions, from 2000 to 2011, and correlate trends from two of the most prevalent causes of death in childhood, acute diarrheal disease and acute respiratory infection, with the coverage of primary care in Brazil and regions.Methods: It’s an epidemiological study to estimate the effect of primary care in the mortality rate in childhood. We collected population data coverage of the Family Health Program, health indicators and demographic information obtained in DATASUS database made available by the Department of Health, from 2000 to 2011.Results: In Brazil, the mortality rate in Childhood has been showing steady downward trend, with a reduction of 41.1% in the analyzed pe‑riod while national coverage of primary care from 2000 to 2011 increa‑sed by 36%. The infant mortality from acute diarrheal disease decreased by 78.98%; while child mortality from acute respiratory infections fell by 48.40%.Discussion: The national trend is the global decline in infant mortality during the period. In 2000, the national classification of mortality in childhood was average (30.1 / 1,000 live births), while in 2011, low (17.7 / 1,000 live births). The population coverage by primary care was higher in regions with the highest IMR (North and Northeast) which showed greater decreases. The data indicate that the expansion of the PSF, along with other improvements in socioeconomic conditions, is associated with reductions in mortality in childhood.