Download or read book Child health and infant mortality in Brazil written by Denisard Alves and published by . This book was released on 2005 with total page 29 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Brazil written by Weltbank and published by . This book was released on 2013 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The health care system in Brazil has established the important principle of universal coverage, yet, it faces several key challenges: its expenditure patterns favor the regions that are already better off, and healthier, and, needs to take into account diverse practices, and cultures, in addition to considerations for the weak referral system. The report focuses on the health care system, particularly on enhancing maternal and prenatal health, certain health care interventions, such as immunizations, oral rehydration therapy, and case management. Chapter 1 argues that the major reason for the maternal and child health risks is the concentration of illness and death among the poor : infant mortality rates jump 80-100 percent from the next to lowest income quintile, to the lowest. Several interventions, such as strategies to promote productivity, increase economic opportunities, and enhance maternal education among the poor, could help reduce inequalities. Chapter 2 uses estimates of avoidable child deaths to prioritize health interventions in the country, and, Chapter 3 argues that the federal government programs in women and children's health could be expanded by prioritizing on failed expenditure patterns, improving referral systems, and emphasizing the importance of utilizing nutrition education. Chapter 4 makes policy recommendations on sector goals, suggests basic actions to achieve such goals, and provides measures to improve the quality of care, and evaluation.
Download or read book Health Capabilities Public Policies and the Determinants of Infant Mortality in Brazil written by Alexandre Bugelli and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract The infant mortality rate is an indicator of population health and the effectiveness of health systems that is also capable of estimating the extent of social and health inequalities between populations. Over the last 30 years, Brazil has recorded significant reductions in child mortality rates. Between 1990 and 2017, the under-five mortality rate dropped from 53.7 to 15.6 deaths per thousand live births, a 71% reduction over the period. The national reduction average was 6% per year in the 1990s, decreasing to 4.8% in the 2000s and to 3.2% per year between 2011 and 2015, and many factors have been reported as the cause of these improvements. Even after the implementation of health and social policies that positively affected the health of the populations in Brazil in the last decades, since 2009 the country has experienced a slow decrease in the decline in infant mortality that remained at high levels, registering great regional disparities. After an economic crisis that evolved into a troubled period of political crisis, in 2016 the country recorded increases in under-one-year infant mortality and under-five-year infant mortality rates, that raised from 12.43 deaths to 12.72 deaths per thousand live births and from 14.28 deaths to 14.89 deaths per thousand live births, respectively. These facts call attention to the possible impact of social determinants of health on infant mortality rates in Brazil after the implementation of these health and social policies. This anomaly in the trend of child mortality, particularly when combined with regional disparities and a slow decrease in the decline in infant mortality rates is of great concern and raise questions about what is the extent of these health and social policies on the country's ability to maintain a longer-term decline in the infant mortality rate, is it capable of placing this rate at the level of developed countries and what are the determinants of infant mortality in Brazil after the implementation of these public policies. The overarching goal of this thesis was to identify the determinants of infant mortality in Brazil after the implementation of the Family Health Strategy and the Bolsa Família programs in order to raise plausible hypotheses for the slowdown, the regional disparities, and the anomaly observed in the trend of declines in the infant mortality rate in Brazil. To attain this objective, we conducted three research papers: 1. a scoping review that aimed at identifying and summarizing the determinants of infant mortality in Brazil under the influence of Family Health Strategy and Bolsa Família programs, with a view of raising hypothesis for the recent changes in the infant mortality rates in Brazil and identifying gaps in terms of research concerning the determinants of infant mortality in the country, 2. a descriptive retrospective analysis according to the perspective of Public Health and health inequalities by adopting the analytical framework proposed by the World Health Organization's Commission on Social Determinants of Health, using data from under-one-year old infant mortality rate and from possible determinants of infant mortality in Brazil according to the findings of our scoping review (article 1), and 3. a methodological proposal in order to overcome the challenges to developing a panel data model using aggregated data from the 26 Brazilian states and different subregions according to the Conceptual Model of Health Capability, with a view of inferring possible associations between our independent variables and infant mortality rates in Brazil, aiming at reviewing the hypothesis raised in the scoping review about the recent changes in the country's infant mortality indicators. The global results of these studies demonstrated that in the light of the Conceptual Model of Health Capability and the social determinants of health, regional disparities related to inequalities in factors such as income, education, employment, fertility rate, access, and quality of health services, account for inequalities in infant mortality rates, especially in the north and Northeast macro-regions of the country, which likely hamper further reductions of infant mortality. Those inequalities would explain both the slowdown in the reduction and the tendency of the infant mortality rate to remain at relatively high levels. Results also demonstrated that variations in those factors for reasons relating to the economic and political crisis, likely have interrupted the secular trend of declining infant mortality rates. In this regard, results suggest that a sharp reduction in employment rate observed between 2014 and 2015, among other factors, may have had a delayed impact on infant mortality rates in 2016. The results also identified an association between employment and different infant mortality indicators, with employment rate possibly impacting child mortality up to three years. Finally, the studies have shown that a household income threshold acts as a protective factor against child mortality, the bigger the proportion of households below this income bracket, the greater the risk of an increase in child mortality.
Download or read book Community Characteristics Individual Attributes and Child Survival in Brazil written by Narayan Sastry and published by . This book was released on 1994 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Disease Control Priorities Third Edition Volume 2 written by Robert Black and published by World Bank Publications. This book was released on 2016-04-11 with total page 419 pages. Available in PDF, EPUB and Kindle. Book excerpt: The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.
Download or read book Breastfeeding the Health of Children and Infant Mortality in Northeast Brazil written by Tais de Freitas Santos and published by . This book was released on 1996 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Death Without Weeping written by Nancy Scheper-Hughes and published by Univ of California Press. This book was released on 2023-11-10 with total page 632 pages. Available in PDF, EPUB and Kindle. Book excerpt: When lives are dominated by hunger, what becomes of love? When assaulted by daily acts of violence and untimely death, what happens to trust? Set in the lands of Northeast Brazil, this is an account of the everyday experience of scarcity, sickness and death that centres on the lives of the women and children of a hillside "favela". Bringing her readers to the impoverished slopes above the modern plantation town of Bom Jesus de Mata, where she has worked on and off for 25 years, Nancy Scheper-Hughes follows three generations of shantytown women as they struggle to survive through hard work, cunning and triage. It is a story of class relations told at the most basic level of bodies, emotions, desires and needs. Most disturbing - and controversial - is her finding that mother love, as conventionally understood, is something of a bourgeois myth, a luxury for those who can reasonably expect, as these women cannot, that their infants will live.
Download or read book Evaluation of the Epidemiologic Impact of a National Primary Health Care Policy on Infant Health Outcomes in Brazil from 1999 to 2002 written by and published by . This book was released on 2006 with total page 466 pages. Available in PDF, EPUB and Kindle. Book excerpt: Programa de Saude da Familia-PSF was initially proposed as a novel model of primary health care in Brazil in 1994 as it was implemented in several Brazilian municipalities. This national policy embraces different dimensions of primary care, but has a primary reliance on maternal and child health, especially on the survival of infants, given the unfavorable Brazilian child health scenario. This study has proposed that an improvement on infant health is expected to occur through three major mechanisms: overcoming of socio-cultural and geographical barriers of access to maternal and child health services; integrality of care; and community empowerment. An ecological longitudinal study design was utilized to assess the impact of the policy implementation on municipal indicators of infant health of 1201 municipalities, from 1999 to 2002. A group of municipalities that first implemented PSF in 1999 and were covered continuously from 1999 from 2002 were compared to a group of municipalities that didn't implement this policy within the same time period. This study has found that PSF has had an overall positive impact on infant health. Overall, it might be concluded that PSF implementation has brought an important short-term improvement on municipal indicators of infant health from 1999 to 2002, especially on the infant mortality rate. Such beneficial impact tended to be stronger in socially disadvantaged municipalities, commonly with unfavorable health care scenario. Thus, the expansion of primary health care capacity and overcoming of major gaps within the access to MCH services might explain such beneficial impact of PSF implementation in Brazilian municipalities.
Download or read book National Colors written by Mara Loveman and published by Oxford University Press, USA. This book was released on 2014 with total page 398 pages. Available in PDF, EPUB and Kindle. Book excerpt: National Colors analyzes the politics and practices of official ethnoracial classification in the censuses of nineteen Latin American countries over nearly two centuries. It shows that, in addition to domestic politics, the ways that states classify their citizens are strongly influenced by shifting international criteria for how to construct modern nations and promote national development.
Download or read book Determinants of Infant Mortality and Inadequate Weight Gain in Children Among Municipalities in the State of Ceara Northeast Brazil written by Ana Cristina Terra de Souza and published by . This book was released on 1997 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Progressive Mothers Better Babies written by Okezi T. Otovo and published by University of Texas Press. This book was released on 2016-05-31 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: In Bahia, Brazil, the decades following emancipation saw the rise of reformers who sought to reshape the citizenry by educating Bahian women in methods for raising “better babies.” The idealized Brazilian would be better equipped to contribute to the labor and organizational needs of a modern nation. Backed by many physicians, politicians, and intellectuals, the resulting welfare programs for mothers and children mirrored complex debates about Brazilian nationality. Examining the local and national contours of this movement, Progressive Mothers, Better Babies investigates families, medical institutions, state-building, and social stratification to trace the resulting policies, which gathered momentum in the aftermath of abolition (1888) and the declaration of the First Republic (1889), culminating during the administration of President Getúlio Vargas (1930–1945). Exploring the cultural discourses on race, gender, and poverty that permeated medical knowledge and the public health system for almost a century, Okezi T. Otovo draws on extensive archival research to reconstruct the implications for Bahia, where family patronage politics governed poor women’s labor as the mothers who were the focus of medical interventions were often the nannies and nursemaids of society’s wealthier families. The book reveals key transition points as the state of Bahia transformed from being a place where poor families could expect few social services to becoming the home of numerous programs targeting the poorest mothers and their children. Negotiating crucial questions of identity, this history sheds new light on larger debates about Brazil’s past and future.
Download or read book Reducing Birth Defects written by Institute of Medicine and published by National Academies Press. This book was released on 2003-10-27 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: Each year more than 4 million children are born with birth defects. This book highlights the unprecedented opportunity to improve the lives of children and families in developing countries by preventing some birth defects and reducing the consequences of others. A number of developing countries with more comprehensive health care systems are making significant progress in the prevention and care of birth defects. In many other developing countries, however, policymakers have limited knowledge of the negative impact of birth defects and are largely unaware of the affordable and effective interventions available to reduce the impact of certain conditions. Reducing Birth Defects: Meeting the Challenge in the Developing World includes descriptions of successful programs and presents a plan of action to address critical gaps in the understanding, prevention, and treatment of birth defects in developing countries. This study also recommends capacity building, priority research, and institutional and global efforts to reduce the incidence and impact of birth defects in developing countries.
Download or read book The State of the World s Children 2009 written by UNICEF. and published by UNICEF. This book was released on 2008 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt: Having a child remains one of the biggest health risks for women worldwide. Fifteen hundred women die every day while giving birth. That's a half a million mothers every year. UNICEF's flagship publication, The State of the World's Children 2009, addresses maternal mortality, one of the most intractable problems for development work.The difference in pregnancy risk between women in developing countries and their peers in the industrialised world is often termed the greatest health divide in the world. A woman in Niger has a one in seven chance of dying during the course of her lifetime from complications during pregnancy or delivery. That's in stark contrast to the risk for mothers in America, where it's one in 4,800 or in Ireland, where it's just one in 48,000. Addressing that gap is a multidisciplinary challenge, requiring an emphasis on education, human resources, community involvement and social equality. At a minimum, women must be guaranteed antenatal care, skilled birth attendants and emergency obstetrics, and postpartum care. These essential interventions will only be guaranteed within the context of improved education and the abolition of discrimination.
Download or read book From Death to Birth written by National Research Council and published by National Academies Press. This book was released on 1998-01-12 with total page 438 pages. Available in PDF, EPUB and Kindle. Book excerpt: The last 35 years or so have witnessed a dramatic shift in the demography of many developing countries. Before 1960, there were substantial improvements in life expectancy, but fertility declines were very rare. Few people used modern contraceptives, and couples had large families. Since 1960, however, fertility rates have fallen in virtually every major geographic region of the world, for almost all political, social, and economic groups. What factors are responsible for the sharp decline in fertility? What role do child survival programs or family programs play in fertility declines? Casual observation suggests that a decline in infant and child mortality is the most important cause, but there is surprisingly little hard evidence for this conclusion. The papers in this volume explore the theoretical, methodological, and empirical dimensions of the fertility-mortality relationship. It includes several detailed case studies based on contemporary data from developing countries and on historical data from Europe and the United States.
Download or read book Infant and Child Mortality in the Third World written by CICRED. and published by . This book was released on 1983 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Reaching the Poor with Health Nutrition and Population Services written by Davidson R. Gwatkin and published by World Bank Publications. This book was released on 2005-01-01 with total page 380 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume presents eleven case studies that document how well or poorly health, nutrition, and population programs have reached disadvantaged groups in the countries of Africa, Asia, and Latin America where they were undertaken. The studies were commissioned by the Reaching the Poor Program, undertaken by the Word Bank in cooperation with the Bill and Melinda Gates Foundation and the Dutch and Swedish governments, in an effort to find better ways of ensuring that health, nutrition, and population programs benefit the neediest. These case studies, reinforced by other material gathered by the.
Download or read book Investigation of Sudden Infant Death Syndrome written by Marta C. Cohen and published by Cambridge University Press. This book was released on 2019-06-13 with total page 291 pages. Available in PDF, EPUB and Kindle. Book excerpt: A scientifically rigorous, multidisciplinary approach to Sudden Infant Death Syndrome, for practitioners, researchers and families alike.
