Infant mortality among indigenous people in the state of Pará
DOI:
https://doi.org/10.5216/ree.v22.61719Keywords:
Infant Mortality, Population Groups, Epidemiology, Public HealthAbstract
Objective: To analyze the profile of indigenous infant mortality. Method: Cross-sectional epidemiological study conducted with 254 deaths in indigenous children under one year of age, notified to the Indigenous Health Care Information System, in the state of Pará, from 2013 to 2018. Results: A higher proportion of deaths in male children (53.9%; n=137), Kaiapó (38.2%; n=97), Munduruku (27.6%; n=70) and Xicrim (13.8%; n=35) were identified. The deaths occurred in hospitals (53.9%; n=137), and in homes (24%; n=61), and the main causes were: perinatal diseases (27.2%; n=69); respiratory system diseases (18.9%; n=48), infectious and parasitic diseases (15.7%; n=40). Conclusion: The indigenous infant mortality is higher in some ethnicities, which favors actions of confrontation in those more affected. It is necessary to value the indigenous culture and recognize the socioeconomic problems to be contemplated in an action plan to reduce this indicator.
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Ministério da Saúde, Departamento de Informática do SUS (BR). Indicadores de Mortalidade. DATASUS [Internet]. Brasília (DF): Ministério da Saúde; 2019 [access at: Nov. 09, 2019]. Available at: http://tabnet.datasus.gov.br/cgi/idb2000/fqc01.htm.
Ministério da Saúde, Departamento de Informática do SUS (BR). DATASUS [Internet]. Brasília (DF): Ministério da Saúde; 2019 [access at: Sept. 07, 2018]. Available at: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sim/cnv/obt10uf.def.
Gava C, Cardoso AM, Basta PC. Infant mortality by color or race from Rondônia, Brazilian Amazon. Rev Saúde Pública [Internet]. 2017 [access at: Oct. 15, 2018];51:35. Available at: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000100222. http://dx.doi.org/10.1590/s1518-8787.2017051006411.
Marinho GL, Borges GM, Paz EPA, Santos RV. Infant mortality among indigenous and non-indigenous people in the Brazilian microregions. Rev Bras Enferm [Internet]. 2019 [access at: Oct. 03, 2019];72(1):57- 63. Available at: http://www.scielo.br/pdf/reben/v72n1/0034-7167-reben-72-01-0057.pdf. https://doi.org/10.1590/0034-7167-2017-0646.
Teixeira JJMB, Santos DR, Rocha MSFM, Silva SCR. Aspects of infant mortality: a contribution to the promotion of deaths in the indigenous and non-indigenous population in Pará. PRMJ [Internet]. 2019 [access at: Sept. 14, 2019];3(2):e14. Available at: https://www.prmjournal.org/article/doi/10.4322/prmj.2019.014. http://dx.doi.org/10.4322/prmj.2019.014.
Instituto Brasileiro de Geografia e Estatística. Pirâmide etária [Internet]. [access at: Sept. 06, 2018]. Rio de Janeiro: IBGE; 2010. Available at: https://indigenas.ibge.gov.br/piramide-etaria-2.html.
Pinto LF, Rocha CMF. Innovations in Primary Health Care: the use of communications technology and information tools to support local management. Ciênc Saúde Coletiva [Internet]. 2016 [access at: Sept. 06, 2018];21(5):1433-48. Available at: http://www.scielo.br/pdf/csc/v21n5/1413-8123-csc-21-05-1433.pdf. http://dx.doi.org/10.1590/1413-81232015215.26662015.
Brasil. Ministério da Saúde (BR). SIASI – Sistema de Informação da Atenção à Saúde Indígena [Internet]. 2017 [access at: Oct. 08, 2019]. Available at: http://www.ccms.saude.gov.br/saudeindigena/asesai/sistemasdeinformacao.html#.
Instituto Brasileiro de Geografia e Estatística. Cidades e estados [Internet]. [access at: Nov. 03, 2019]. Rio de Janeiro: IBGE; 2018. Available at: https://www.ibge.gov.br/cidades-e-estados/pa.html.
Brasil. Ministério da Saúde (BR). Saúde Indígena. Distritos Sanitários Especiais Indígenas (DSEI’s). [Internet]. 2017 [access at: Dec. 10, 2019]. Available at: http://www.saudeindigena.net.br/coronavirus/dsei/.
Brasil, Lei no 9836, de 23 de setembro de 1999. Acrescenta dispositivos à Lei no 8.080, de 19 de setembro de 1990, que “dispõe sobre as condições para a promoção, proteção e recuperação da saúde, a organização e o funcionamento dos serviços correspondentes e dá outras providências”, instituindo o Subsistema de Atenção à Saúde Indígena [Internet]. [access at: July 07, 2020]. Diário Oficial da União, Brasília, DF, 24 set. 1999. Available at: http://www.planalto.gov.br/ccivil_03/leis/L9836.htm.
Sousa JF, Santos KF, Santos DR, Silva AVC, Pereira IS, Silva RC. Mortalidade infantil por doenças infecciosas e parasitárias no estado do Pará: vigilância de óbitos entre 2008 a 2017. PRMJ [Internet]. 2019 [access at: July 07, 2020];3(3-4):e27. Available at: https://www.prmjournal.org/article/doi/10.4322/prmj.2019.027. http://dx.doi.org/10.4322/prmj.2019.027.
Campos MB, Borges GM, Queiroz BL, Santos RV. Diferenciais de mortalidade entre indígenas e não indígenas no Brasil com base no Censo Demográfico de 2010. Cad Saúde Pública [Internet]. 2017 [access at: Nov. 25, 2018];33(5):e00015017. Available at: https://www.scielosp.org/pdf/csp/2017.v33n5/e00015017/pt. http://dx.doi.org/10.1590/0102- 311X00015017.
Teixeira JAM, Araujo WRM, Maranhão AGK, Cortez- Escalante JJ, Rezende LFM, Matijasevich A. Mortality in the first day of life: trends, causes of death and avoidability in eight Brazilian Federative Units, between 2010 and 2015. Epidemiol Serv Saúde [Internet]. 2019 [access at: Nov. 03, 2019];28(1):e2018132. Available at: http://www.scielo.br/pdf/ress/v28n1/2237-9622-ress-28-01-e2018132.pdf. http://dx.doi.org/10.5123/S1679-49742019000100006.
ALkema L, Chao F, You D, Pedersen J, Sawyer CC. National, regional, and global sex ratios of infant, child, and under-5 mortality and identification of countries with outlying rations: a systematic assessment. Lancet [Internet]. 2014 [access at: Nov. 14, 2019];2(9):e521- 30. Available at: https://www.thelancet.com/action/showPdf?pii=S2214-109X%2814%2970280-3. https://doi.org/10.1016/S2214-109X(14)70280-3.
Lansky S, Friche AAL, Silva AAM, Campos D, Bittencourt SDA, Carvalho ML, et al. Birth in Brazil survey: neonatal mortality, pregnancy and childbirth quality of care. Cad Saúde Pública [Internet]. 2014 [access at: Nov. 14, 2019];30(Suppl 1):S192-S207. Available at: http://www.scielo.br/pdf/csp/v30s1/en_0102-311X-csp-30-s1-0192.pdf. http://dx.doi.org/10.1590/0102-311X00133213.
Caldas ADR, Santos RV, Borges GM, Valente JG, Portela MC, Marinho GL. Infant mortality according to color or race based on the 2010 Population Census and national health information systems in Brazil. Cad Saúde Pública [Internet]. 2017 [access at: Nov. 14, 2019];33(7):e00046516. Available at: https://www.scielosp.org/pdf/csp/2017.v33n7/e00046516/pt. http://dx.doi.org/10.1590/0102-311X00046516.
Assis JMV, Souza TJ, Atanaka M, Souza RAG. Mortalidade por causas externas em indígenas de Mato Grosso, Brasil, de 2010 a 2016. Conection Line [Internet]. 2018 [access at: Nov. 03, 2019];19:37-51. Available at: http://www.periodicos.univag.com.br/index.php/CONNECTIONLINE/article/view/1193/1369. http://dx.doi.org/10.18312%2Fconnectionline.v0i19.1193.
Souza PG, Cardoso AM, Sant’Anna CC,March MFBP. Acute lower respiratory infection in Guarani indigenous children, Brazil. Rev Paul Pediatr [Internet]. 2018 [access at: Nov. 03, 2019];36(2):123-31. Available at: http://www.scielo.br/pdf/rpp/v36n2/0103-0582-rpp-2018-36-2-00017.pdf. http://dx.doi.org/10.1590/1984-0462/;2018;36;2;00017.
Silva JB, Bossolani GDP, Brisa CPG, Ferreira JG, Rossoni DF, Mota LT, Toledo MJO. Spatial distribution of intestinal para- sitic infections in a Kaingáng indigenous village from South- ern Brazil. International Journal of Environmental Health Research [Intenet]. 2016 [access at: Nov. 03, 2019];26(5- 6):578-88. Available at: https://www.tandfonline.com/doi/full/10.1080/09603123.2016.1217312?scroll=top&needAccess=true. https://doi.org/10.1080/09603123.2016.1217312.
Oliveira RA, Gurgel-Gonçalves R, Machado ER. Intestinal parasites in two indigenous ethnic groups in northwestern Amazonia. Acta Amaz [Internet]. 2016 [access at: Nov. 03, 2019];46(3):241-6. Available at: http://www.scielo.br/pdf/aa/v46n3/1809-4392-aa-46-03-00241.pdf. http://dx.doi.org/10.1590/1809-4392201505883.
Gaviria LM, Soscue D, Campo-Polanco LF, Cardona-Arias J, Galván-Díaz AL. Prevalence of intestinal parasites, anemia and malnutrition among the children of a Nasa indigenous reservation, Cauca-Colombia, 2015. Rev Fac Nac Salud Pública [Internet]. 2017 [access at: Nov. 03, 2019];35(3):390- 9. Available at: http://www.scielo.org.co/scielo.php?script=sci_abstract&pid=S0120-386X2017000300390. http://dx.doi. org/10.17533/udea.rfnsp.v35n3a09.
Mendes AM, Leite MS, Langdon EJ, Grisotti M. The challenge of providing health care to indigenous people in Brazil. Rev Panam Salud Publica [Internet]. 2018 [access at: Nov. 03, 2019];42:e184. Available at: https://iris.paho.org/handle/10665.2/49563. https://doi.org/10.26633/RPSP.2018.184.
Mendonça SBM, Rodrigues D, Pereira PPG. Modelo de atenção à saúde indígena: o caso do DSEI Xingu. Cad Saúde Pública [Internet]. 2019 [access at: July 07, 2020];35(Sup 3):e00008119. Available at: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2019001500301&tlng=pt. https://doi.org/10.1590/0102-311x00008119.
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