BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

Chapter IV. Mortality in Childhood 67
death rate per 1,000 live births in the
province, as shown below:
1966 63.8
1967 65.4
1968 68.3
1969 69.0
1970 77.9
Dur-ing the Investigation a manual outlining
standards and procedures for the
registration system in hospitals in San Juan
was issued (1969) by the Director of the
Provincial Health Service. Such improvements
in registration should be made as
soon as possible in areas where the present
systems are deficient, in order to provide
data that will correctly describe the situation
as a basis for planning and serve to
measure the real progress made in reducing
mortality,
Bolivia
Mortality in the small rural community
of Viacha was much higher than in the city
of La Paz for children under 5 years of age
(Table 21). Since this community is close
in the
to La Paz, it is likely that rates
remote rural areas are much higher. Thus
the infant death rate for the country is
probably very high. In this project 11.6 per
cent of the deaths had not been registered
and they were found by reviewing hospital
charts and making daily visits to the cemetery.
Establishment of a satisfactory registration
system in which all certificates are
TABLE 21. Death Rates, Under 5 Years by Age
Group in the Investigation in Bolivia.
Under
Ueer Under 1-4
Area 5 years 1 year years
Ia Paz .................... 20.6 73.0 11.0
Viacha .................... 48.1 123.5 21.7
Deaths under 1 year per 1,000 live births; others per
1,000 population.
transmitted routinely to a central office is
necessary in order to provide the basic data
needed for health planning.
There is evidence that birth weights are
relatively low, and thus the inclusion in the
birth certificates of items covering birth
weight as well as mother's age and the
infant's birth order would provide data
necessary for an analysis of reproduction
among populations living in high-altitude
areas in this country.
Brazil
Death rates in the five areas of the
projects in Brazil varied greatly, from tie
relatively low figure for the city of Ribeirao
Prfto to the high rate in Recife (Table 22).
There was marked variation in the four distinctly
different areas in Sao Paulo State,
the small interior city of Franca having
much higher rates than the city of Ribeirao
Te infant death rates in the period
1966-1970 for the State of tioPaulo as
given below showed a decided increase in
199en 1970:
1966 75.9
1967 77.5
1968 73.7
1969 84.2
1970 83.6
TABLE 22. Death Rates' Under 5 Years by Age
Group in Areas of Three Projects of the Investigation
in Brazil.
Under Under 1-4
Area 5 years I year years
Recife ....... ....... .. . 21.29.3 91.2 0.0
Ribeir.o Prt-to
Ribeirfio Prfto (city) ..... 10.9 43.0 1.9
Franca ......... ...... . 19.4 71.5 4.0
Communities........... . 13.0 60.8 2.4
Sio Paulo ................ 17.7 65.1 2.8
Deaths under I year per 1,000 live births; others per
1,000 population.