Low Child Survival Index in a Multi-Dimensionally Poor Amerindian Population in Venezuela

摘要: Background Warao Amerindians, who inhabit the Orinoco Delta, are second largest indigenous group in Venezuela.  High Warao general mortality rates were mentioned a limited study 21 years ago. However, there have been no comprehensive studies addressing child survival across entire population. Objectives To determine Child Survival-Index (CSI) (ratio: still-living children/total-live births) population, the principal causes of childhood death and socio-demographic factors associated with childhood deaths. Methods We conducted cross-sectional epidemiological survey of 688 women from 97 communities 7 different subregions Delta. Data collected included characteristics reproductive history each woman surveyed. The multidimensional poverty index (MPI) was used to classify households as deprived across three dimensions Human Development Index. Multivariable linear regression Generalized Linear Model Procedures identify socioeconomic environmental statistically CSI. Findings The average CSI 73.8% ±26. two most common gastroenteritis/diarrhea (63%) acute respiratory tract Infection/pneumonia (18%).  Deaths in children under five accounted for 97.3% deaths, 54% occurring neonatal period or first year life.  Most women (95.5%) classified as multidimensionally poor.  The MPI sample 0.56.   CSI negatively correlated MPI, maternal age, residence traditional dwelling profession head household other than nurse teacher. Conclusions The Warao low which is age.  Infectious diseases responsible 85% deaths.  The development, lack infrastructure geographic cultural isolation suggest that an integrated approach urgently needed improve child survival overall health Amerindians.