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  1. #1
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    Default infant mortality rate in DR

    i posted the original story in another thread. few days ago 6 prematurely born children died in a public hospital in SD, allegedly because of an apagon that caused problems with equipment. originally the hospital claimed that only 2 kids died on the day of the long apagon and the other 4 died the day before, from unrelated causes (complications due to premature birth).
    La muerte de seis niños provoca tensión en la Maternidad de Los Mina - DiarioLibre.com

    today the ministerio de salud publica denies any deaths were caused by apagon and the causes of death were due to other causes.
    El Ministerio de Salud Pública respalda a la maternidad de Los Mina - DiarioLibre.com

    this story has been picked up by all newspapers. in 2013 there were 2,600 infant deaths in DR with infant mortality rate for 2013 being 26.7 deaths per 1000 live births.
    Revela que de 2,600 muertes de niños 80% fue de neonatos - listindiario.com

    i looked at wiki and the newest rates are for 2005-2010, with DR showing the rate of 29.57 deaths per 1000 live births.
    List of countries by infant mortality rate - Wikipedia, the free encyclopedia

    WHO shows steady improvement in infant mortality too:
    Mortality rate, infant (per 1,000 live births) | Data | Table

  2. #2
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    does apagon mean power outage?

  3. #3
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    Quote Originally Posted by mofongoloco View Post
    does apagon mean power outage?
    Yes. Blackouts

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    Here's a graph of childhood mortality rate in the DR. It was over 10% 40 years ago. Another factor is the number of kids who are being born in hospitals vs in some campo shack.



    One of the most common causes of childhood deaths is diarrhea from bad water(vibrio)

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    Most of the public hospitals have inverters/generators, however I have no clue what they have tied into them (what equipment) The Dominican government claims, and probably with some justification that the DR's numbers of infant mortality do not accurately reflect Dominican mortality rates due to the number of Haitian births in the country, pushing the infant and mother mortality rates up due to the poorer health of the Haitian women.

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    Now let's look at the causes of infant mortality:

    Minister of Public Health pledges to work on the issue of underage pregnancies and on increasing breastfeeding rates.

    Santo Domingo - The Dominican Republic UNICEF office presented the 2009 State of the World’s Children report at an event headed by the Minister of Public Health (SESPAS) Dr. Bautista Rojas Gómez, United Nations System Resident Coordinator, Valerie Juliand, and the coordinator of the Catholic Church’s Mother and Child Pastoral Service, Father José Navarro.Representatives of the Pan-American Health Office, USAID and the ILO also took part.

    During the presentation of the report, UNICEF representative Francoise Gruloos-Ackermans emphasised that maternal and neonatal mortality is one of the country’s main challenges that has to be tackled as a priority, echoing recent declarations by the President of the Dominican Republic. She stated that preventing underage pregnancies was a serious problem that requires creativity, a joint effort, and careful analysis of successful experiences.

    She also stressed that mother and newborn health and survival are intrinsically linked, and that many of the same interventions that save the lives of mothers will also benefit their newborn babies. Across the world, regions with high maternal mortality rates also register high neonatal mortality rates.

    Quoting the report, which this year is devoted to Maternal and Neonatal Health, she said that women from the world’s less developed countries are 300 times more likely to die during childbirth or due to pregnancy-related complications, while children born in developing countries are 14 times more likely to die in the first month of life compared to children in industrialised countries.

    Referring to maternal and infant mortality rates, the UNICEF Representative stated that “we cannot remain indifferent, especially as most of these deaths can be prevented”, even with simple measures like improving hygiene.

    Commenting on the statistics that place the Dominican Republic among the countries with high maternal mortality rates, Minister of Health Bautista Rojas accepted that “there are problems that quality (in medical care), and this is what we have to improve”, while stressing that access to health services coverage was high.

    “Initially, health providers attribute this quality problem to a lack of equipment, but the birth centres are equipped with machinery”, declared Rojas, referring to the causes of the high maternal and infant mortality rates. The minister emphasised the need for “the quality (of healthcare) to be taken on by the doctor from the pregnancy, birth and afterwards”.

    In the Dominican Republic, out of 127 maternal deaths for each 100,000 live births, 27% occur as a result of pre-eclampsia, 21% due to post-natal complications, 12% due to haemorrhages, and a certain percentage as a result of abortions, as well as other causes, according to figures presented by Marisol Peña of the Health Ministry’s Epidemiology Department.

    In most of these cases, deaths occur in mothers aged between 20 and 29 and 10 and 19, according to the expert. Almost 90% of maternal deaths take place in the country’s Eastern Region and in the frontier area, in public hospitals, and a low proportion occur at private clinics and victims’ homes.

    A presentation followed on the work of the Mother and Child Pastoral Service, which works in the context of the efforts to reduce mother and child mortality, especially in the neo-natal period, as a community actor in poor neighbourhoods, using the example of Pastoral de la Crianza in Brazil, with a focus on a care continuum for mothers, newborn babies and children.

    Father José Navarro, director of the Pastoral Service, explained that “we are running an educational process with the mothers in their communities, seeking among other objectives to improve the timely use of health services and following the guidance and prescribed treatments at the health centres so that they are put into practice in people’s homes”.

    The main results that have emerged about the impact of the Mother and Child Pastoral Programme include: A trend towards 46% reduction in chronic malnutrition, 48% reduction in risk of obesity, 39% reduction in rate of moderate or severe anaemia, three times higher exclusive breastfeeding rate until the age of six months and a 48% increase in the number of children who complete their first year vaccination schedule.

    The launch ceremony was attended by a group of beneficiary mothers with their babies and volunteer advisers who work in the Mother and Child Pastoral Service programme, which runs in poor neighbourhoods of Santo Domingo and other cities in the Dominican Republic.


    UNICEF Dominican Republic - Health - Minister of Public Health pledges to work on the issue of underage pregnancies and on increasing breastfeeding rates.

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    Quote Originally Posted by bob saunders View Post
    Most of the public hospitals have inverters/generators, however I have no clue what they have tied into them (what equipment) The Dominican government claims, and probably with some justification that the DR's numbers of infant mortality do not accurately reflect Dominican mortality rates due to the number of Haitian births in the country, pushing the infant and mother mortality rates up due to the poorer health of the Haitian women.
    That is correct. The majority of Haitian women who cross over to give birth do not get prenatal care in Haiti.

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    I don't know why there isn't more emphasis on breast feeding. It is the healthiest thing for the baby and unlike formula, mother's milk is free.

  9. Likes Harleysrock liked this post
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    yes, the number of infant (and maternal) deaths has been improving steadily for the past 5 decades. in DR and all over the world, thanks to better equipment, medicine and improvement in health and nutrition of women. back in the 70's my mother went to a gynecologist for the first time in her life when she was 9 months pregnant with my brother. she had absolute zero of prenatal checks of any kind...

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    If it continues to improve then reproduction must slow down, the human race can not continue to improve on these things and maintain reproduction at such a rate. I suspect we shall continue to grow and life shall continue to become more desperate for those responsible.

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