Titre :
|
Circumstances of post-neonatal deaths in Ceara, Northeast Brazil : mothers'health care-seeking behaviors during their infants'fatal illness. (2000)
|
Auteurs :
|
A.C. TERRA DE SOUZA ;
F.M.O. ANDRADE ;
A. ASCHERIO ;
J. GARDNER ;
K.E. PETERSON ;
Harvard School of Public Health. Department of Maternal and Child Health. Boston. MA. USA ;
Harvard School of Public Health. Department of Nutrition. Boston. MA. USA
|
Type de document :
|
Article
|
Dans :
|
Social science and medicine (vol. 51, n° 11, 2000)
|
Pagination :
|
1675-1693
|
Langues:
|
Anglais
|
Mots-clés :
|
Brésil
;
Amérique
;
Epidémiologie
;
Nourrisson
;
Homme
;
Mortalité maternelle
;
Mortalité
;
Facteur risque
;
Etiologie
;
Hospitalisation
;
Qualité
;
Soins
;
Soins domicile
;
Recommandation
;
Education santé
;
Mère
;
Amérique du Sud
|
Résumé :
|
[BDSP. Notice produite par INIST 4P9rCR0x. Diffusion soumise à autorisation]. Promotion of oral rehydration therapy (ORT) for the treatment of diarrheal diseases and the WHO case management strategy for acute respiratory infections (ARI) have contributed to significant reductions in infant mortality, but these two conditions remain the leading causes of infant deaths in most developing countries. Identification of the factors contributing to these deaths may contribute to reduce infant mortality from preventable causes. To gain insight into the circumstances and maternal and health services factors that may contribute to infant deaths we used a verbal autopsy method to interview mothers of all infants who died during the previous 12 months (June 1995-May 1996) in 11 municipalities in the State of Ceara, Northeast Brazil. Our results revealed that one-third of the deaths occurred in a hospital and two-thirds at home. Almost all the infants who died at home, however, had been examined one or more times by a doctor, and 36% of them had been hospitalized during the disease episode that resulted in death. For most (85%) of these children the causes of death were diarrhea or acute respiratory infection, and it is likely that death could have been averted if appropriate treatment had been initiated promptly. (...)
|