BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

304 Patternsof Mortalityin Childhood
Fin. 152. Percentage of Infants Dying in Neonatal
Period Who Were Hospitalized for Under­
lowered the percentages of hospitalizations
lying Cause of Death in 24 Areas of 15 Projects. of children from 28 days through 4 years
Pu. CAHT
of age.
0 20 , 60 so o Length of time hospitalized is another
I _I I I I -- I indicator of the medical attention given to
= ,.,__these children. In the neonatal period the
MelloWho1
duration l
of hospitalization depended prin­
__._____ - cipally on the proportion of deaths occurring
___ _ ,_. in the first day or first few days of life.
9M JUM:Jlulll
__ _ ,_ _ ,_ Appendix 5 provides detailed information
Ko ., ++'I on deaths by age.
MAM Ma
AM___
__________..
So SILVA"
C1LACOl4MAL
.At
U ....
AVCM .... F
= HOSPITALIZED
DEATH
t,.o
"and
OTHE
HOSPITALIZATION
For children (lying in the postneonatal
period and at 1-4 years, the median numbers
of days hospitalized were obtained for
the 15 projects. In Sherbrooke the medians
were high (29 days for postneonatal deaths
10 days for those at 1-4 years), owing
in part to the long hospitalization of children
suffering from congenital anomalies.
In the California project the medians were
12 and 13 days, respectively. In the 13
situation was found to be quite different.
In fact, the overall percentages of children
hospitalized for underlying cause were fairly
similar for the Northern and the Latin
American projects, 52.7 and 57.0, respectively.
The low percentages in certain areas
of the Latin American projects may be due
to lack of medical care resources and also
lack of awareness of the seriousness of illness
until too late. In reviewing time questionnaires
it was noted that inany times
the family would state that as they were
taking the sick child to the hospital, the
child died on the way. In areas with low
mortality, as in the Northern American
projects, the high proportions of deaths due
to external causes and sudden death decreased
the clhnces for hospitalization. The
high rates in a few other projects for sudden
period likewise
death in the postneonatal
Fla. 153. Percentage of Children Under 5 Years
of Age Dying After Neonatal Period Who Were
Hospitalized for Underlying Cause of Death in 24
Areas of 15 Projects.
PERCENT
0 20 40 60 so Ioo
t.nmo ca. . . . .
SAN Auto , . . .
tmto (CRY)
SIRjun. t . .
mmm..
A0uA
Cw. a.L
LIMA.
cM M
S.A,.11W.WILL
U P.AZA.
fAtWW
IhM Wo
........
. ..