mortalidade

ARTIGO ARTICLE

Estimação da mortalidade infantil no Brasil: o que dizem as informações sobre óbitos e nascimentos do Ministério da Saúde?
Infant mortality estimation in Brazil: what do Ministry of Health data on deaths and live births say?
Célia Landmann Szwarcwald 1
Maria do Carmo Leal 2
Carla Lourenço Tavares de Andrade
Paulo Roberto Borges de Souza Jr. 1

1 Departamento de
Informações em Saúde,
Centro de Informação
Científica e Tecnológica,
Fundação Oswaldo Cruz.
Av. Brasil 4365,
RJ 21045-900, Brasil. [e-mail] [e-mail]
2 Departamento de
Epidemiologia e Métodos
Quantitativos em Saúde,
Escola Nacional de Saúde
Pública, Fundação Oswaldo
Cruz. Rua Leopoldo Bulhões
1480, Rio de Janeiro, RJ
21041-210, Brasil. [e-mail] 1

Abstract A methodological approach to infant mortality estimation in Brazil based on vital information provided by Ministry of Health systems is presented. The study evaluated the available data to establish criteria for identifying municipalities with serious data deficiencies, proposing an adequacy index. All municipalities were classified in strata according to geographic region and adequacy of information. To estimate infant mortality by macro-geographic region, in 1998, direct calculation was performed in strata with adequate information. The United Nations model was used in the other geographic strata. The Brazilian North presented the most deficient information, with 63% of the municipalities presenting inadequate reporting (35% of the regional population), followed by the Northeast (29% of the population). In the South, only 1% of the population showed inadequate information. For the whole country, 12% of the population presented serious problems in completeness of death reports. The adequacy index varied from -28% in Maranhão to 94% in Rio de Janeiro. The infant mortality rate was estimated in the interval
30.7-32.6 per 1,000 live births and the completeness of infant deaths from 61.8% to 65.6%.
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