Impacto das mortes evitáveis em mulheres no período fértil e as condições de vida no semiárido brasileiro

Abstract

Maternal mortality is an excellent indicator of human development, but it is notoriously difficult to obtain because it does not have reliable coverage, a problem that is commonly recognized in the Brazilian semiarid region. Thus, studies on mortality in the fertile period started to be highly relevant, because in period these factors common to other age groups and factors related to maternal mortality are present simultaneously. Thus, the objective was to analyze the impact of preventable deaths in women in the fertile period and the living conditions of the Brazilian semiarid region in 2015. To do so, the correlation between female mortality rates in the fertile period with the FIRJAN Municipal Development Index (IFDM) and the association was observed. Cluster analysis for the semiarid microregions indicated three groups and the behavior of the states in each group was analyzed, where the state of Ceará presented the highest proportion of microregions (84.85%), in the group with the best average in the IFDM and the state of Bahia had the highest proportion of micro-regions (80.77%) in the group with the worst average in IFDM. When observing the main groups of causes of preventable deaths in the fertile period of the Brazilian Semiarid region, they were Circulatory System Diseases, External Causes of Morbidity and Mortality and Neoplasms. Life expectancy at birth for women in 2015 is 75.16 years, and by decreasing 75% of preventable deaths considering only the female fertile period, an increase in life expectancy of up to 1.07 years was obtained. For a more realistic scenario, considering all the ranges where the list of causes of preventable deaths is applied (5 and 74 years), an increase in life expectancy of up to 3.63 years was obtained in the scenario of a 75% reduction in preventable deaths and an increase of up to 1.15 years in the scenario of a 25% reduction in preventable deaths.