In Brazil, two out of three deaths of 1-year-olds can be avoided through measures such as vaccination, breastfeeding and access to primary health care. In this age group, the country registers more than 20,000 deaths annually from preventable causes such as diarrhea and pneumonia, and the health risks to children increase as vaccination coverage decreases. The data comes from the Childhood Health Observatory – Observatory Infancy, which brings together researchers from the Fiocruz and Arthur de Saarpe Neto University Center (UNIFES), the National Council for Scientific and Technological Development (NSEP) and the Bill & Melinda. Gates.
Based on the connection of large databases and national information systems, the Observer identifies preventable causes of death in children under 5 years of age. “Our job is to ask these bases what society cannot ignore: what kills our children? What can we do to prevent this death? ” Patricia Bokolini, a researcher at Observa Infancy, affiliated with the Center for Information, Public Policy and Inclusion (NIPIS), a collaboration between Fiocruz and UNIFES.
Patricia investigates factors that may affect immunization coverage, such as access to primary health care and social protection programs, such as the Balsa family. “From a large national database, we look at each of Brazil’s more than 5,500 municipalities. What we do understand is that there is a lot of inequality in vaccination coverage. And this inequality is mainly related to access to primary care. Where primary care does not reach, the drop in vaccination coverage is even more pronounced, ”the researchers observed.
“More than half of all infant deaths each year could be saved from pregnant women through adequate antenatal care and good postnatal care,” added Cristiano Bokolini, a researcher at Observa Infencier who works at the Instituto de Comunicaso’s Health Information Laboratory. And scientific and technological information on health (ICCT / Fiocruz). He highlighted that breastfeeding is directly related to the prevention of most infant deaths and that public policies need to be strengthened to promote exclusive breastfeeding in the first hours and first six months of life.
“One of the challenges is controlling the marketing of artificial formulas, pacifiers and bottle-feeding products. In some countries, 8 out of 10 women who see promotional material for these products have access to these ads on the Internet,” Cristiano warned. Has highlighted that the reach of these publications is three times more than the informative post about breastfeeding.
“This kind of marketing gets out of control, because it doesn’t work well with advertising. They are digitally influential, mother and child teams, personalized campaigns. Therefore, new ways of controlling and monitoring the marketing of products that compete with breastfeeding are needed, “said Cristiano.
Diarrhea and pneumonia
Between 2018 and 2020, the city of Rio de Janeiro was the Brazilian municipality with the highest number of deaths from diarrhea among children under 1 year of age. In this same age group, Rio de Janeiro ranks second among the capital municipalities with the highest number of deaths from pneumonia, second only to Sao Paulo.
Diarrhea – cities with the highest number of deaths of children under 1 year
Rio de Janeiro
Duke of Caxius
Pneumonia – The city with the highest number of deaths of children under 1 year of age
Rio de Janeiro
Duke of Caxius
The Observatório de Saúde na Infância – Observa Infância is a scientific propaganda initiative that brings information and information about the health of children up to 5 years of age to the society. The purpose is to expand access to qualified information and to facilitate the understanding of data obtained from the national information system. The scientific evidence has been worked out by researchers Patricia and Cristiano Bock in the scope of the Institute of Communication and Scientific and Technological Information in Health (ICICT / Fiocruz) and the Medicine Faculty of Medicine (FMP). Funded by the National Council for Scientific and Technological Development (CNPQ) and the Bill & Melinda Gates Foundation. Neto (UNIFES).