Characterization of mortalitypreschool and schoolin San Cristobal
Keywords:
MORTALIDAD INFANTIL; PREESCOLARES; PRONÓSTICOS., INFANT MORTALITY; CHILD, PRESCHOO; PROGNOSIS., MORTALIDADE INFANTIL; PRÉ-ESCOLAR; PROGNÓSTICO.Abstract
Introduction: the health of children and adolescents in Cuba is a priority for the State, the Ministry of Public Health, and local governments. This approach has led to outstanding results in mortality indicators for these population groups.
Aim: analyze the epidemiological characteristics of preschool and school mortality.
Methods: a study was carried outdescriptive and longitudinal, thatanalyzed pediatric mortality in San Cristóbal, Artemisa, from 2013 to 2022. Document review provided the information needed to determine the variables studied. Statistical analysis included mortality rates and trend analysis using semi-averages and exponential smoothing for predictions.
Results: thirty-eight deaths were included in children aged one-14 years, differentiating between preschool and school-aged children. Mortality showed an irregular pattern with an upward trend. In preschool children, congenital anomalies and malignant tumors prevailed, while in school-aged children, malignant tumors and accidents predominated. A reduction in preschool mortality and an increase in school-aged mortality were identified, reflecting opposite patterns in both age groups..
Conclusions: infant mortality in San Cristóbal presents contrasting dynamics. In preschoolers, the main causes are congenital anomalies and tumors, with a predicted decline according to exponential smoothing. In schoolchildren, accidents and tumors predominate, reflecting a growing trend that demands preventive strategies and better access to medical care.
Downloads
References
1. Organización Mundial de la Salud. Estadísticas sanitarias mundiales 2013 [Internet]. OMS; 2020 [citado 08/04/2025]: 14-19. Disponible en: http://apps.who.int/iris/bitstream/10665/82218/1/9789243564586_spa.pdf.
2. United Nations Inter-agency Group for Child Mortality Estimation (UNIGME). Levels & Trends in Child Mortality: Report 2024 – Estimates developed by the United Nations Inter-agency Group for Child Mortality Estimation [Internet]. New York: United Nations Children’s Fund; 2025 [citado 08/04/2025]. Disponible en: https://data.unicef.org/resources/levels-and-trends-in-child-mortality-2024/
3. de Salud Pública (MINSAP). Departamento Nacional Materno Infantil. Programa Nacional de Atención Materno Infantil [Internet]. La Habana: Editorial Ciencias Médicas; 2024 [citado 08/04/2025]. Disponible en: http://www.bvscuba.sld.cu/libro/programa-nacional-de-atencion-materno-infantil/.
4. Garzón Morales G, Díaz Medina MC. Infant mortality in Santiago de Cuba province during the period 2008-2022. MEDISAN [Internet]. 2024 Feb [citado 08/04/2025]; 28(1): e510. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192024000100008&lng=es
5. World Health Organization. World health statistics 2024: monitoring health for the SDGs, Sustainable Development Goals [Internet]. Geneva: World Health Organization; 2024 [citado 08/04/2025]. Disponible en: https://www.who.int/publications/book-orders
6. The World Bank. World Bank Country and Lending Groups [Internet]. Washington, D.C.: The World Bank; 7 de agosto de 2024 [Citado: 10/04/2025]. Disponible en: https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groups.
7. MINSAP. Cuba. Dirección Nacional de Estadística. Anuario Estadístico de Salud. Edición 2023 [Internet]. La Habana, Cuba; 2024 [citado 08/04/2025]: 27-32. Disponible en: https://temas.sld.cu/estadisticassalud/
8. Ayipe FI, Tanko M. Public health expenditure and under-five mortality in low-income Sub-Saharan African countries. Social Sciences & Humanities Open [Internet]. 2023 [citado 19/04/2025]; 8(1): 100570. Disponible en: https://doi.org/10.1016/j.ssaho.2023.100570
9. Dlamini W, Melesse S, Mwambi H. Mortalidad de menores de cinco años: estudio comparativo de Kenya y otros tres países en desarrollo de África oriental. Salud Pública Abierta J [Internet]. 2024 [citado 19/04/2025]; 17: E18749445270922. Disponible en: https://openpublichealthjournal-com.translate.goog/VOLUME/17/ELOCATOR/e18749445270922/FULLTEXT/?_x_tr_sl=en&_x_tr_tl=es&_x_tr_hl=es&_x_tr_pto=wa
10. Organización Panamericana de la Salud. Reporte fin de bienio 2022-2023: Tasa de mortalidad en menores de 5 años [Internet]. Washington, DC: Organización Panamericana de la Salud; 2023 [citado 19/04/2025]. Disponible en: https://pbdigital.paho.org/es/reporte-fin-de-bienio-2022-2023/impact-results/04-tasa-de-mortalidad-en-menores-de-5-anos
11. Perin J, Mulick A, Yeung D, Villavicencio F, Gerard Lopez G, Strong KL, et al. Causas mundiales, regionales y nacionales de mortalidad de menores de 5 años en 2000-19: un análisis sistemático actualizado con implicaciones para los Objetivos de Desarrollo Sostenible. The Lancet Salud del Niño y del Adolescente [Internet]. 2022[citado 20/04/2025]; 6(2): 106-115. Disponible en: https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(21)00311-4/fulltext.
12. Bassat Q, Blau DM, Ogbuanu IU, Samura S, Kaluma E, Bassey I, et al. Causas de muerte entre lactantes y niños en la Red de Vigilancia de la Salud y la Prevención de la Mortalidad Infantil (CHAMPS). JAMA Netw Open [Internet]. 2023 [citado 20/04/2025]; 6(7):E2322494. Disponible en: https://doi:10.1001/jamanetworkopen.2023.22494
13. Organización Panamericana de la Salud, Instituto Nacional de Estadística y Geografía. Mortalidad infantil en las Américas: principales causas de muerte en niños de 1 a 4 años [Internet]. Washington, D.C.: OPS; México: INEGI; 2025 [citado 20/04/2025]. Disponible en: https://www.inegi.org.mx/contenidos/saladeprensa/boletines/2024/EDR/EDR2024_1erT.pdf
14. Álvarez Mora Denis, Díaz Rodríguez Isabel María, Flores Domínguez Tomás, Peña Chávez Manuel, Montero Ayala Osmayda. Modelos matemáticos aplicados a la Epidemiología. Multimed [Internet]. 2021 Feb [citado 20/04/2025]; 25(1): e1406. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1028-48182021000100015&lng=es.
15. World Health Organization. World health statistics 2023: monitoring health for the SDGs, Sustainable Development Goals [Internet]. Geneva: WHO; 2023 [citado 20/04/2025]. Disponible en: https://www.who.int/publications/i/item/9789240074323
16. Pan American Health Organization. Causas principales de mortalidad y pérdidas en salud de nivel regional, subregional y nacional en la Región de las Américas, 2000-2019. Portal de datos ENLACE [Internet]. Washington, D.C.: PAHO; 2021 [citado 20/04/2025]. Disponible en: https://www.paho.org/es/enlace/causas-principales-mortalidad-discapacidad
17. González-Rodríguez I de la C, Campos-Aguilar Y, Güemez-Muñoz JY, Quiroz-Hernández JL, Rodríguez-González B, Contreras-González Y, et al. Mortalidad por accidentes en menores de 15 años. Villa Clara, Cuba: 2015-2019. Paideia XXI [Internet]. 12 de septiembre de 2023 [citado 22/04/2025]; 13(2): 267-78. Disponible en: https://revistas.urp.edu.pe/index.php/Paideia/article/view/5913
18. León RS, Lainé GD, Cruz SF, et al. Mortalidad en adolescentes atendidos en Hospital Pediátrico Universitario ''Juan Manuel Márquez''. Rev Cubana Pediatr [Internet]. 2022 [citado 21/04/2025]; 94(1):1-16. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=114626
Additional Files
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Delia Rosa Díaz Rodríguez, Joel Ramón Sánchez Portela, Belkys Verga Tirado, Luanda Sánchez Cámara, Yanelys Santiesteban Remon, Gigdys Esther Castro Alvarez, Carlos Enrique Piña Borrego

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/
