UNA APROXIMACION A LOS DETERMINANTES SOCIOECONOMICOS DE LA MORTALIDAD INFANTIL Y DE NIÑEZ EN BOLIVIA: USO DE METODOS INDIRECTOS DE CALCULO DE MORTALIDAD Y ANALISIS BIVARIADO
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Abstract
A pesar de las importantes mejoras en los resultados de salud infantil y de niñez durante el Siglo XXI en América Latina, las tasas de mortalidad infantil y de niñez permanecen inaceptablemente altas en Bolivia encontrándose entre las más elevadas la región, solo por debajo de Haití, dirigiéndose a una deficiente salud infantil y de niñez. Estos resultados requieren de evidencia científica sobre la mejor manera de hacer frente a sus determinantes. Este estudio aproxima, teóricamente, mediante el marco teórico propuesto por Mosley-Chen y Sastry, los determinantes de la mortalidad infantil y de niñez en Bolivia enfocados en características individuales, del hogar y contextual. Además se examina de manera preliminar los niveles y magnitudes de la mortalidad mediante el uso de métodos directos e indirectos de estimación mediante la técnica propuesta por la versión Trussel y la versión Palloni-Heligman del Método de Brass y se realiza un análisis bivariado que da cuenta de relaciones existentes entre la mortalidad infantil y de niñez y las variables a nivel del hogar, individual y contextual relacionado con las políticas públicas.
Despite significant improvements in child and childhood health outcomes during the XXI Century in Latin America, rates of infant and childhood mortality remain unacceptably high in Bolivia being among the highest in the region, only after Haiti, regarding poor child and childhood health. These results require scientific evidence on the best way to address its determinants. This study approaches theoretically the determinants of infant and childhood mortality in Bolivia focused on individual, household and contextual characteristics using the theoretical framework proposed by Mosley-Chen and Sastry. Furthermore, levels and magnitudes of mortality are preliminarily examined by using direct and indirect methods of estimation using the technique proposed by the Trussell version and Palloni-Heligman version of the method of Brass. Alsoa bivariate analysis is performed, which shows the relationships between infant and childhood mortality and variables at the household level, individual and contextual related to public policy.
Despite significant improvements in child and childhood health outcomes during the XXI Century in Latin America, rates of infant and childhood mortality remain unacceptably high in Bolivia being among the highest in the region, only after Haiti, regarding poor child and childhood health. These results require scientific evidence on the best way to address its determinants. This study approaches theoretically the determinants of infant and childhood mortality in Bolivia focused on individual, household and contextual characteristics using the theoretical framework proposed by Mosley-Chen and Sastry. Furthermore, levels and magnitudes of mortality are preliminarily examined by using direct and indirect methods of estimation using the technique proposed by the Trussell version and Palloni-Heligman version of the method of Brass. Alsoa bivariate analysis is performed, which shows the relationships between infant and childhood mortality and variables at the household level, individual and contextual related to public policy.
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Vol. 2, No. 15