Epidemiological characteristics of neonatal mortality in Peru, 2011-2012

Authors

  • Jeannette Ávila Direccion General de Epidemiologia, Ministerio de Salud. Lima, Peru
  • Mario Tavera UNICEF. Lima. Peru
  • Marco Carrasco Hospital Regional de Cusco. Cusco, Peru

DOI:

https://doi.org/10.17843/rpmesp.2015.323.1670

Keywords:

Infant, newborn, Neonatal mortality, Cause of death, Epidemiology, Peru

Abstract

Objectives. Describe the epidemiological characteristics of neonatal deaths in Peru. Materials and methods. Descriptive study based on notifications to the Perinatal and Neonatal National Epidemiological Surveillance Subsystem (PNNESS) made in 2011-2012. The capture-recapture method was used to calculate the registration of the notification and estimate the neonatal mortality rate (NMR) nationally and by regions. Responses were made to the questions: where, when, who and why the newborns died. Results. 6,748 neonatal deaths were reported to PNNESS, underreport 52.9%. A national NMR of 12.8 deaths/1,000 live births was estimated. 16% of deaths occurred at home and 74.2% of these were in the highlands region, predominantly in rural areas and poor districts. 30% died in the first 24 hours and 42% between 1 and 7 days of life. 60.6% were preterm infants and 39.4% were term infants. 37% had normal weight, 29.4% low weight, and 33.6% very low weight. Preventable neonatal mortality was 33%, being higher in urban and highland areas. 25.1% died of causes related with prematurity-immaturity; 23.5% by infections; 14.1% by asphyxiation and causes related to care during childbirth and 11% by lethal congenital malformation. Conclusions. Neonatal mortality in Peru is differentiated by setting; harms related to prematurity-immaturity dominated on the coast, while the highlands and jungle recorded more preventable neonatal mortality with a predominance of asphyxia and infections.

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Published

2015-09-24

Issue

Section

Original Article

How to Cite

1.
Ávila J, Tavera M, Carrasco M. Epidemiological characteristics of neonatal mortality in Peru, 2011-2012. Rev Peru Med Exp Salud Publica [Internet]. 2015 Sep. 24 [cited 2024 Jun. 19];32(3):423-30. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/1670

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