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Agreement between underlying cause and preventability of infant deaths before and after the investigation in Recife, Pernambuco State, Brazil, 2014* * This manuscript is part of the Master's thesis by Lays Janaina Prazeres Marques, entitled “Agreement between underlying cause and preventability of infant deaths”, presented to the Postgraduate Program in Public Health of the Federal University of Pernambuco in 2017. The research was funded by the National Council for Scientific Development (CNPq) of the Ministry of Science, Technology, Innovations and Communications (MCTIC) - Process No. 480718 / 2012-1 - and by the Foundation of Science and Technology Support of Pernambuco (FACEPE) Process No. 2133-40012.

Abstract

Objective:

to assess the agreement and describe the causes and preventability of infant deaths before and after the investigation.

Methods:

investigation files and death certificates of infants under one year, of mothers living in Recife, Brazil, in 2014 were used; the Cohen kappa index was adopted for agreement analysis of the underlying causes of death; the list of preventable causes of deaths by interventions of the Brazilian National Health System was also adopted.

Results:

183 infant deaths were analyzed, of which 117 (63.9%) had the underlying cause revised; before the investigation, 170 (92.2%) deaths were considered preventable, and after investigation, 178 (97.3%); there was reasonable agreement (0.338) regarding the underlying causes of death, and moderate (0.439) for preventability.

Conclusion:

infant mortality surveillance enabled the improvement of vital events information, contributing to the progress in the specification of underlying causes of death and in the preventability of infant death.

Keywords:
Mortality; Cause of Death; Epidemiological Surveillance; Vital Statistics; Health Information Systems

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