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Tackling health inequities in Chile: maternal, newborn, infant, and child mortality between 1990 and 2004.

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Title: Tackling health inequities in Chile: maternal, newborn, infant, and child mortality between 1990 and 2004.
Authors: Gonzalez R (AUTHOR), Requejo JH (AUTHOR), Nien JK (AUTHOR), Merialdi M (AUTHOR), Bustreo F (AUTHOR), Betran AP (AUTHOR), Chile Maternal, Newborn, and Child Health Writing Group (CORPORATE AUTHOR)
Source: American Journal of Public Health. Jul2009, Vol. 99 Issue 7, p1220-1226. 7p.
Subjects: Maternal & infant welfare, Maternal health services, Child health services, Women's health services, Health equity, Social conditions in Chile, 1970-, Government policy, Prevention
Geographic Terms: Chile
Abstract: OBJECTIVES: We analyzed trends in maternal, newborn, and child mortality in Chile between 1990 and 2004, after the introduction of national interventions and reforms, and examined associations between trends and interventions. METHODS: Data were provided by the Chilean Ministry of Health on all pregnancies between 1990 and 2004 (approximately 4,000,000). We calculated yearly maternal mortality ratios, stillbirth rates, and mortality rates for neonates, infants (aged > 28 days and < 1 year), and children aged 1 to 4 years. We also calculated these statistics by 5-year intervals for Chile's poorest to richest district quintiles. RESULTS: During the study period, the maternal mortality ratio decreased from 42.1 to 18.5 per 100,000 live births. The mortality rate for neonates decreased from 9.0 to 5.7 per 1000 births, for infants from 7.8 to 3.1 per 1000 births, and for young children from 3.1 to 1.7 per 1000 live births. The stillbirth rate declined from 6.0 to 5.0 per 1000 births. Disparities in these mortality statistics between the poorest and richest district quintiles also decreased, with the largest mortality reductions in the poorest quintile. CONCLUSIONS: During a period of socioeconomic development and health sector reforms, Chile experienced significant mortality and inequity reductions. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Tackling health inequities in Chile: maternal, newborn, infant, and child mortality between 1990 and 2004.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Gonzalez+R%22&quot;&gt;Gonzalez R&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Requejo+JH%22&quot;&gt;Requejo JH&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Nien+JK%22&quot;&gt;Nien JK&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Merialdi+M%22&quot;&gt;Merialdi M&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Bustreo+F%22&quot;&gt;Bustreo F&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Betran+AP%22&quot;&gt;Betran AP&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Chile+Maternal%2C+Newborn%2C+and+Child+Health+Writing+Group%22&quot;&gt;Chile Maternal, Newborn, and Child Health Writing Group&lt;/searchLink&gt; (CORPORATE AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22American+Journal+of+Public+Health%22&quot;&gt;American Journal of Public Health&lt;/searchLink&gt;. Jul2009, Vol. 99 Issue 7, p1220-1226. 7p.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Maternal+%26+infant+welfare%22&quot;&gt;Maternal &amp; infant welfare&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Maternal+health+services%22&quot;&gt;Maternal health services&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Child+health+services%22&quot;&gt;Child health services&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Women&#39;s+health+services%22&quot;&gt;Women&#39;s health services&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Health+equity%22&quot;&gt;Health equity&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Social+conditions+in+Chile%2C+1970-%22&quot;&gt;Social conditions in Chile, 1970-&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Government+policy%22&quot;&gt;Government policy&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Prevention%22&quot;&gt;Prevention&lt;/searchLink&gt;
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Chile%22&quot;&gt;Chile&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
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  Data: OBJECTIVES: We analyzed trends in maternal, newborn, and child mortality in Chile between 1990 and 2004, after the introduction of national interventions and reforms, and examined associations between trends and interventions. METHODS: Data were provided by the Chilean Ministry of Health on all pregnancies between 1990 and 2004 (approximately 4,000,000). We calculated yearly maternal mortality ratios, stillbirth rates, and mortality rates for neonates, infants (aged &gt; 28 days and &lt; 1 year), and children aged 1 to 4 years. We also calculated these statistics by 5-year intervals for Chile&#39;s poorest to richest district quintiles. RESULTS: During the study period, the maternal mortality ratio decreased from 42.1 to 18.5 per 100,000 live births. The mortality rate for neonates decreased from 9.0 to 5.7 per 1000 births, for infants from 7.8 to 3.1 per 1000 births, and for young children from 3.1 to 1.7 per 1000 live births. The stillbirth rate declined from 6.0 to 5.0 per 1000 births. Disparities in these mortality statistics between the poorest and richest district quintiles also decreased, with the largest mortality reductions in the poorest quintile. CONCLUSIONS: During a period of socioeconomic development and health sector reforms, Chile experienced significant mortality and inequity reductions. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.2105/AJPH.2008.143578
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: 1220
    Subjects:
      – SubjectFull: Maternal & infant welfare
        Type: general
      – SubjectFull: Maternal health services
        Type: general
      – SubjectFull: Child health services
        Type: general
      – SubjectFull: Women's health services
        Type: general
      – SubjectFull: Health equity
        Type: general
      – SubjectFull: Social conditions in Chile, 1970-
        Type: general
      – SubjectFull: Government policy
        Type: general
      – SubjectFull: Prevention
        Type: general
      – SubjectFull: Chile
        Type: general
    Titles:
      – TitleFull: Tackling health inequities in Chile: maternal, newborn, infant, and child mortality between 1990 and 2004.
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            NameFull: Gonzalez R
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            NameFull: Nien JK
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            NameFull: Merialdi M
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            NameFull: Betran AP
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              Text: Jul2009
              Type: published
              Y: 2009
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              Value: 00900036
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              Value: 99
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