Dataset Information

Patterns of amenable child mortality over time in 34 member countries of the Organisation for Economic Co-operation and Development (OECD): evidence from a 15-year time trend analysis (2001-2015).

ABSTRACT:

Objectives

To analyse the trends of amenable mortality rates (AMRs) in children over the period 2001-2015.

Design

Time trend analysis.

Setting

Thirty-four member countries of the Organisation for Economic Co-operation and Development (OECD).

Participants

Midyear estimates of the resident population aged ?14 years.

Primary and secondary outcome measures

Using data from the WHO Mortality Database and Nolte and McKee's list, AMRs were calculated as the annual number of deaths over the population/100 000 inhabitants. The rates were stratified by age groups (<1, 1-4, 5-9 and 10-14 years). All data were summarised by presenting the average rates for the years 2001/2005, 2006/2010 and 2011/2015.

Results

There was a significant decline in children's AMRs in the <1?year group in all 34 OECD countries from 2001/2005 to 2006/2010 (332.78 to 295.17/100 000; %? -11.30%; 95%?CI -18.75% to -3.85%) and from 2006/2010 to 2011/2015 (295.17 to 240.22/100 000; %? -18.62%; 95%?CI -26.53% to -10.70%) and a slow decline in the other age classes. The only cause of death that was significantly reduced was conditions originating in the early neonatal period for the <1?year group. The age-specific distribution of causes of death did not vary significantly over the study period.

Conclusions

The low decline in amenable mortality rates for children aged ?1?year, the large variation in amenable mortality rates across countries and the insufficient success in reducing mortality from all causes suggest that the heath system should increase its efforts to enhance child survival. Promoting models of comanagement between primary care and subspecialty services, encouraging high-quality healthcare and knowledge, financing universal access to healthcare and adopting best practice guidelines might help reduce amenable child mortality.

SUBMITTER: Gianino MM

PROVIDER: S-EPMC6538061 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Patterns of amenable child mortality over time in 34 member countries of the Organisation for Economic Co-operation and Development (OECD): evidence from a 15-year time trend analysis (2001-2015).

Gianino Maria Michela MM Lenzi Jacopo J Bonaudo Marco M Fantini Maria Pia MP Siliquini Roberta R Ricciardi Walter W Damiani Gianfranco G

BMJ open 20190522 5

<h4>Objectives</h4>To analyse the trends of amenable mortality rates (AMRs) in children over the period 2001-2015.<h4>Design</h4>Time trend analysis.<h4>Setting</h4>Thirty-four member countries of the Organisation for Economic Co-operation and Development (OECD).<h4>Participants</h4>Midyear estimates of the resident population aged ≤14 years.<h4>Primary and secondary outcome measures</h4>Using data from the WHO Mortality Database and Nolte and McKee's list, AMRs were calculated as the annual num ...[more]

PMID: 31122996

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Dataset Information

Patterns of amenable child mortality over time in 34 member countries of the Organisation for Economic Co-operation and Development (OECD): evidence from a 15-year time trend analysis (2001-2015).

Objectives

Design

Setting

Participants

Primary and secondary outcome measures

Results

Conclusions

Publications

Patterns of amenable child mortality over time in 34 member countries of the Organisation for Economic Co-operation and Development (OECD): evidence from a 15-year time trend analysis (2001-2015).

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