Este trabalho buscou compreender como os adolescentes percebem, refletem e se relacionam com o tema da morte e verificar como explicam as altas taxas de mortalidade na sua faixa etária. Além disso, investigou-se a necessidade de discutir o tema da morte com a família, amigos, profissionais e quais as maneiras que consideram melhor. Esta reflexão é relevante e fundamental uma vez que as estatísticas mostram dados alarmantes sobre o aumento da mortalidade entre adolescentes, principalmente relacionadas com acidentes e mortes violentas. Buscou-se compreender o processo da adolescência e a sua relação com o tema da morte, a partir de uma abordagem qualitativa na coleta e na compreensão dos dados. Participaram desta pesquisa adolescentes do Ensino Fundamental e Médio de duas escolas da cidade de São Paulo. Foi exibido o vídeo “Falando de morte com o adolescente” (do Laboratório de Estudos sobre a Morte do Instituto de Psicologia da Universidade de São Paulo) e foram propostas discussões com os adolescentes inspiradas na modalidade denominada Grupo Focal. Categorias temáticas foram destacadas com o intuito de formar alguns eixos de análise. As reflexões feitas pelos adolescentes envolveram o tema da morte e a dificuldade de pensar na possibilidade da perda de pessoas queridas. De uma forma geral, os adolescentes não percebem a morte como possibilidade pessoal, expressando sentimentos de imortalidade e onipotência. Ao relatarem perdas de amigos também adolescentes, os sentimentos de choque e tristeza intensa são freqüentes e os amigos são importantes fontes de apoio num processo de identificação. Algumas das hipóteses sobre os altos índices de mortalidade na adolescência foram: uso de drogas; violência; banalização da morte; situações sociais desfavoráveis; AIDS; falta de emprego e de perspectivas de futuro; suicídios; dificuldade na comunicação com profissionais, amigos e familiares; dificuldades na expressão de sentimentos e pedidos de ajuda; acidentes; falta de limites e a postura de desafiar o mundo; más influências; não imposição de responsabilidade pela sociedade; entraves na educação etc. Foi estabelecido um contato com profissionais de educação que refletiu como a escola compreende um importante espaço para possibilitar a discussão e a reflexão sobre o tema da morte entre os profissionais e entre/com os alunos. / This work investigated how the adolescents perceive, reflect and deal with the subject of death and verify how the teenagers explain the high rates of mortality in their age group. Moreover, it was investigated the need of discussing the subject of death with family, friends, professionals and the best way to do it. This reflection is relevant and fundamental once the statistics show astonishing data about the increase of mortality between adolescents, mainly related to accidents and violent deaths. It was intended to comprehend the process of adolescence and its relation to the subject of death, using a qualitative approach. Teenagers (ages 14 to 17) from two schools in the city of São Paulo participated in this study. The video “Talking about death with the adolescent” (Laboratory of Death Studies of Psychology Institute of University of São Paulo) was shown and discussions with the adolescents were proposed, inspired in the modality called Focal Group. Thematic categories were stood out with the intention of construct some points of analyses. The reflections made by the adolescents envolved: the subject of death and the difficulty of thinking about the possibility of loss of dear persons. In general, the adolescents don’t notice death as a personal possibility, expressing feelings of immortality and onipotence. When losses of adolescent friends were mentioned, the feelings of shock and intense sadness were frequent and friends are important sources of support in a process of identification. Some of the hypothesis about the high rates of mortality in adolescence were: use of drugs; violence; banalization of death; unfavourable social situations; AIDS; unemployment and lack of perspectives of future; suicide; difficulty in the communication with professionals, friends and family; difficulty in the expression of feelings and help requests; accidents; lack of limits and attitude of challenging the world; bad influences; non-imposition of responsability by society; difficulties in education etc. It was stablished a contact with professionals of education that reflected how schools are an important space to offer the discussion and reflection about the subject of death between professionals and between/with the students.

<p>This study aim at investigating whether income inequality ceteris paribus is a determinant of population health measured by infant mortality rate and average expected lifetime. Earlier research has found results pointing in different directions but the income inequality hypothesis suggests that income inequality alone is something bad for the population. The study uses data on income distribution from the Luxembourg Income Study (LIS) and the World Income Inequality Database (WIID). Data on economic development and health indicators comes from the OECD database. An econometric model which applies country fixed effects is specified and the results indicates no effect from income inequality on infant mortality rate but some indications of a negative effect on average expected lifetime.</p>

This study aim at investigating whether income inequality ceteris paribus is a determinant of population health measured by infant mortality rate and average expected lifetime. Earlier research has found results pointing in different directions but the income inequality hypothesis suggests that income inequality alone is something bad for the population. The study uses data on income distribution from the Luxembourg Income Study (LIS) and the World Income Inequality Database (WIID). Data on economic development and health indicators comes from the OECD database. An econometric model which applies country fixed effects is specified and the results indicates no effect from income inequality on infant mortality rate but some indications of a negative effect on average expected lifetime.

The Atlanta Beltline is an urban redevelopment project that was designed to increase access to trails, parks, and greenspace in Atlanta, Georgia. Thirty-three miles of new trail will be developed, providing a place for the community to engage in purposeful physical activity and active transport around the city of Atlanta. Because physical activity is associated with improvements in birth outcomes and under the assumption that close proximity to the Atlanta Beltline encourages physical activity, I hypothesize that women residing within 0.5 mile of the Atlanta Beltline will show improvements in birth outcomes, as compared to women residing 1-1.5 miles away from the Beltline. Birth outcomes were measured as rates for low birth weight, premature live birth, and fetal mortality rates. Census tract data for birth outcomes for the time period “pre-Beltline,” 2002 - 2007, and “post-Beltline,” 2008 - 2012, was obtained from Georgia Department of Public Health. 18 census tracks in three areas along the Beltline (Northside, Eastside, West End) were identified as exposed and 17 in the same areas were unexposed. We found the following mean rates (SDs) of the outcomes in the exposed census tracks during the pre-Beltline period: 119.22 (48.39) low birth weight, 154.94 (55.80) premature birth, and 16.17(15.81) fetal death, all per 1,000 live birth. During the post-Beltline period in the exposed area, these measurements were: 107.55 (39.66) low births weight, 131.06 (48.92) premature birth, and 12.28 (13.51) fetal death, all per 1000 live birth. In the unexposed census tracks during the pre-Beltline period, mean rates (SDs) of the outcomes were 110.82 (42.81) low births weight, 144.88 (46.49) premature birth, and 19.94 (35.45) fetal death, all per 1000 live birth. During the post-Beltline period, these measurements in the unexposed area were: 100.88 (40.76) low births, 134.17 (47.85) premature birth, and 8.06 (6.89) fetal death, all per 1000 live birth. Overall in both the exposed and unexposed areas, the time trends for the examined measurements of birth outcomes were towards improvement; however, only a decrease in premature live birth in the exposed area (p=0.2) and fetal mortality in the unexposed area (p=0.1) were of statistically marginal significance. We conclude that currently no significant improvements in birth outcomes, associated with close proximity to the Atlanta Beltline have been detected.

The impact of change and transformation on small businesses has compelled them to face a multitude of new challenges. The successful application of the selected strategies depends largely on an understanding of the predisposing and prevailing business dynamics and variables that impacts on their profitability, continued sustainability and future growth. There is increased attention that is focused on the turnover factor of small business in South Africa and this gives added need for extensive qualitative and quantitative analysis. International experience suggests that small businesses are a pervasive feature of the economic landscape in the developed world. The intensity and growing proportions of small business failure in South Africa is alarming. The problem not only presents management with new dilemmas, but also presents a challenge to researchers who are faced with the task of identifying through rational and scientifically valid processes, the underlying causes of the high failure rate amongst small businesses. Previous studies suggest that government regulations and franchised business have proven to be successful due to the infrastructure support offered by the franchisor. Since retail service station dealers operate within a highly regulated industry and within a franchised environment, this study examines the reasons for failure and success within the Retail Fuel Industry sector in South Africa. It was anticipated that there are a number of factors that influence success and failure from both within and outside the control of the fuel entrepreneur. While some researchers have identified gender, education levels and age as critical success factors, others suggested that management factors and occupational experience are key drivers. The fuel retail industry is regulated and seeks to reward efficiency through a retail fuel margin. This study provides new insights and important clues concerning the failure amongst fuel retailers. The closure of the business did not result in the physical disappearance of the establishment but rather in a transfer to new ownership. The purpose of this study is to conduct a more in-depth and comprehensive qualitative research using the case study methodology, which will investigate the causal factors that lead to the high mortality rate of fuel retailers in South Africa. The non-fuel aspect of the business comprises the shops and quick service restaurants and presents another dynamic to fuel retailing. This was investigated to fully address the research question. The case study analysis also attempted to quantify the level of support that franchisees received. There was sufficient evidence from the research findings to nullify the rival proposition that success and failure of fuel retailers was only a function of sales and volume. The case study evidence supported the research proposition that the reasons for failure and success were due to factors other than size. The 47% per annum failure rate recorded in the study was attributed to a number of factors from both within and outside the control of the fuel entrepreneur. While gender, education levels and age were not found to be critical success factors, the ability to manage the key components of target costs was critical. The management of manpower costs and the efficient application thereof was found to be the most significant variable in the cost build up and differentiated successful and failed retailers. There was also evidence of substantial imposed costs from both the regulatory environment and the franchisor. The monthly adjustment of fuel prices had an impact on working capital and generally resulted in net stock price losses. Both these variables were not factored into the calculation of the retail fuel margin resulting in the understating of the true costs. The loose regulatory environment also marginalised the fuel retailer. It was found that the oil companies optimised their fuel delivery regimes at the expense of the small business owner through the automatic replenishment system of wet stocks, controlled through a central ordering system. While, wet stock control mechanism was in place for the fuel business, the non-fuel business received limited support for stock and shrinkage management. The case study evidence also supported the retailers view on the inadequate level of business support and training. This was an important finding and such poor orientation negatively influenced the quality of the due diligence checks and business valuation. In many cases, the budgeting was optimistic with little or no recourse for remedial action leading to eventual failure. Statistical analysis indicated that the two groups differed significantly with regard to the mean difference between Shop sales and Budgeted Shop sales. It appears that in the case of the success group that the shop sales mean was much higher than budgeted mean, while in the case of the failure group the mean was lower than budgeted mean. Failure to achieve the shop budgets did contribute to failure. Important recommendations are made based on the case study findings. This includes the establishment of a central training unit, an industry valuation model and a more relevant regulatory regime aimed at removing the imbalances between the oil company and the retailer in terms of delivery and payment methodology. / Thesis (PhD.)-University of KwaZulu-Natal, 2007.

p. 1-184 / Submitted by Santiago Fabio (fabio.ssantiago@hotmail.com) on 2013-04-25T20:34:10Z No. of bitstreams: 1 55555555555555555555555555.pdf: 2233305 bytes, checksum: 3380329936f1dbff93b28cdac1d17cdb (MD5) / Approved for entry into archive by Maria Creuza Silva(mariakreuza@yahoo.com.br) on 2013-05-04T16:53:17Z (GMT) No. of bitstreams: 1 55555555555555555555555555.pdf: 2233305 bytes, checksum: 3380329936f1dbff93b28cdac1d17cdb (MD5) / Made available in DSpace on 2013-05-04T16:53:17Z (GMT). No. of bitstreams: 1 55555555555555555555555555.pdf: 2233305 bytes, checksum: 3380329936f1dbff93b28cdac1d17cdb (MD5) Previous issue date: 2009 / Objetivo: analisar o perfil sócio-demográfico dos óbitos por Acidentes de Trânsito (AT) de residentes no Município de Lanús (Província de Buenos Aires, Argentina) entre os anos 1998 e 2004. Material e Método: se realizou um estudo epidemiológico descritivo, utilizando dados oficiais de mortalidade da Argentina. Foram estudados os óbitos por AT segundo residência e ocorrência, codificados pela CID-10. As variáveis analisadas foram idade, sexo, nível educativo e condição de atividade. Foram utilizados dados econômicos para avaliar e comparar Lanús com os outros Municípios do Gran Buenos Aires, em termos dos coeficientes de mortalidade por AT. Foram realizadas análises uni e bivariadas, e calculada a Mortalidade Proporcional (MP) e a Razão de Mortalidade Proporcional (RMP). Realizou-se georreferenciamento dos óbitos segundo local de residência e de ocorrência da morte para avaliar a distribuição geográfica. Resultados: O perfil epidemiológico é composto principalmente por homens entre 20 e 29 anos, indivíduos com nível educativo primário completo (ou secundário incompleto) e que trabalhavam. Mais da metade deles era ocupante de veículo. O risco dos homens foi quase 3,5 vezes maior que as mulheres e, entre eles, os mais idosos apresentam as maiores incidências. Os analfabetos ou aqueles com formação primária incompleta possuem risco baixo, quase igual as das pessoas com nível educativo superior. A MP em Lanús é menor quando comparada com os Municípios do Gran Buenos Aires. Lanús aparece junto aos municípios que apresentam alta atividade comercial e menores taxas de óbitos. A respeito da georreferência, os achados mostram que os AT atingem mais a população que mora em locais com piores condições socioeconômicas. Conclusões: O município de Lanús apresenta um perfil de mortalidade por AT semelhante ao dos países desenvolvidos. A combinação de técnicas se apresenta como uma alternativa interessante para trabalhar com dados secundários, em pequenas áreas e com números pequenos. Esta pesquisa fornece aportes para a intervenção sobre os problemas ligados aos AT no nível individual e local. Destaca-se a necessidade de contar com estudos mais abrangentes, abordando o problema desde outros enfoques metodológicos. / Salvador

Capturing mortality became a crucial modelling problem throughout the years due to the raising demand of life insurances and annuities. Fitting three models, namely, logistic, Heligman– Pollard HP4 and power–exponential model, to real life data shows that latter two models represent the actual data quite well. Pricing a term life insurance and a whole life annuity, implemented using the MATLAB software, based on these models ends in the result that the Heligmann–Pollard HP4 model is the less preferable model, in perspective of an insured, than the logistic or power–exponential ones.

As polÃticas pÃblicas de saÃde na Ãrea materno-infantil tÃm como foco principal a atenÃÃointegral Ãs mulheres durante o ciclo gravÃdico-puerperal e à crianÃa no primeiro ano de vida, visando garantir a saÃde da gestante e da crianÃa, alÃm de prevenir a morte materna e/ouinfantil. As aÃÃes de saÃde nesta Ãrea no Brasil tÃm sido priorizadas e apresentaram avanÃos ao longo das Ãltimas dÃcadas. O objetivo deste estudo foi analisar a partir do Sistema deInformaÃÃo da AtenÃÃo BÃsica, a evoluÃÃo da saÃde infantil e das gestantes, nos Ãltimos dez anos em Fortaleza. Trata-se de um estudo observacional, descritivo, com abordagem quantitativa. O estudo foi realizado em Fortaleza, tendo sido a coleta dos dados realizada no perÃodo de 2 a 30 de janeiro de 2012. A populaÃÃo foi composta por crianÃas menores de dois anos e gestantes cadastradas no Sistema de InformaÃÃo da AtenÃÃo BÃsica. Fez-se a anÃlise dos principais indicadores da saÃde materno-infantil, atravÃs de tabelas (apÃndice A) e grÃficos produzidos nos programas Word e Excel do Microsoft Office. No perÃodo analisado, ocorre uma variaÃÃo de 6,7% (2005) a 7,9% (2002 e 2008) para o baixo peso ao nascer. O aumento nos Ãndices de baixo peso ao nascer, a partir de 2006, provavelmente se deve a ampliaÃÃo da cobertura das equipes da estratÃgia saÃde da famÃlia no municÃpio, levando a uma expansÃo no monitoramento deste indicador, atravÃs do registro das equipes de saÃde da famÃlia. No perÃodo analisado, a prevalÃncia das infecÃÃes respiratÃrias agudas foi superior à prevalÃncia da diarreia em crianÃas menores de dois anos. Para a diarreia, a proporÃÃo variou de 6,5% (2010) a 12,75% (2006). Enquanto para as infecÃÃes respiratÃrias agudas houve uma variaÃÃo de 8,9% (2010) a 17,3% (2002). As taxas elevadas de diarrÃia e infecÃÃo respiratÃria aguda em menores de dois anos em Fortaleza, indicam a necessidade de um acompanhmento mais rigoroso para as crianÃas dessa faixa etÃria. Verificou-se um decrÃscimo na taxa de mortalidade infantil a cada ano, tendo o ano de 2002 uma taxa de mortalidade infantil de 22,4 por mil nacidos vivos e chegando ao ano de 2011 com uma taxa de 1,7 por mil nascidos vivos. As trÃs situaÃÃes que foram avaliadas em relaÃÃo Ãs gestantes acompanhadas pelas equipes de saÃde da famÃlia, permitem inferir que o atendimento as gestantes deve passar por melhorias e qualificaÃÃo profissional. A captaÃÃo precoce das gestantes deve ser intensificada, para que as mesmas compareÃam à consulta de prÃ-natal e para que o inÃcio deste ocorra o mais precocemente possÃvel, e as vacinas sejam aplicadas em tempo hÃbil. O estudo permitiu realizar uma anÃlise da situaÃÃo de saÃde das crianÃas e das gestantes nos Ãltimos dez anos em Fortaleza, podendo contribuir para que as equipes da estratÃgia saÃde da famÃlia possam refletir sobre a necessidade de mudanÃas e de melhor planejar as intervenÃÃes no territÃrio adscrito sob sua responsabilidade sanitÃria. / The public health policies on maternal infant health have mainly focused on comprehensive care to women during the pregnancy and puerperal cycle and also to the child in the first year of life. This is done in order to ensure the health of the mother and also the child so that to prevent maternal deaths and / or child. Health actions in this area in Brazil have been prioritized and have presented advances over the past decades. The objective of this study is to analyze the health situation of children and women in the last ten years in Fortaleza based on the Information provided by the System of Primary Care. This is an observational descriptive study with a quantitative approach. The study was conducted in Fortaleza. The data collection happened from January 2nd to 30th, 2012. The population consisted of children under two years old, and pregnant women enrolled in the Information System of Primary Care. It was done an analysis of key indicators of maternal and infant health, through tables(Appendix A) and graphs produced in Word and Excel programs of Microsoft Office. Over the analysed period, there is a variation of 6.7% (2005) to 7.9% (2002 and 2008) to low weight birth. The increase in rates of low weight birth since 2006, probably occured due to the increased number of teams of strategy family health care in the city leading to an expansion of the monitoring of this indicator, through registration done by the family health teams. Over this period, the prevalence of acute respiratory infections was higher than the prevalence of diarrhea in children under two years. For diarrhea, the proportion ranged from 6.5% (2010) to 12.75% (2006). As for acute respiratory infections there was a variation from 8.9% (2010) to 17.3% (2002). The high rates of diarrhea and acute respiratory infections in children under two years in Fortaleza, indicate the need for a more rigorous monitoring for this age group. There was a decrease in infant mortality rate each year and the year 2002 had an infant mortality rate of 22.4 per thousand born alive and reaching the year 2011 a rate of 1.7 per thousand live births. The three situations that were evaluated in relation to pregnant women accompanied by family health teams, allow us to infer that the care of pregnant women should be improved and and have a better professional qualification. The early uptake of pregnant women must be intensified so that pregnant women attend the prenatal appointments and the start of prenatal care occurs as early as possible, and vaccines are applied in a timely manner. The study allowed us an analysis of the health situation of children and pregnant women in Fortaleza over the last ten years, contributing to the family health teams strategy in order to prepare adequately the planning of interventions in the territory under their sanytary responsibility.

Submitted by Rafael Santana (rafael.silvasantana@ufpe.br) on 2017-05-09T19:24:12Z No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) DissertaçãoFinal (1) (1) (2) REEVISADA. (1) (1).pdf: 762955 bytes, checksum: 56519821f6c9c34c7e227a7c9ea42d8b (MD5) / Made available in DSpace on 2017-05-09T19:24:12Z (GMT). No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) DissertaçãoFinal (1) (1) (2) REEVISADA. (1) (1).pdf: 762955 bytes, checksum: 56519821f6c9c34c7e227a7c9ea42d8b (MD5) Previous issue date: 2016-03-10 / CAPES / Um dos principais desafios em pauta para o SUS é o seu financiamento, que envolve tanto a insuficiência dos recursos disponíveis frente às necessidades da população, como a precária qualidade da gestão e ineficiência do gasto em saúde. Este trabalho objetivou analisar a relação entre a despesa per capita em saúde e o impacto na Taxa de Mortalidade Infantil-TMI nas quatro Macrorregiões do Estado Pernambuco no período de 2008 a 2012. Estudo quantitativo, descritivo com dados secundários. Foram analisados as informações referentes aos 184 municípios de PE, sendo esses agrupados em 4 Macrorregionais de Saúde, de acordo com a divisão política administrativa de saúde do Estado de PE. Os dados foram analisados através do método de Pearson e do modelo econométrico de regressão múltipla, utilizando o método de dados em painel. Verificou-se que a despesa com saúde per capita nas quatro Macrorregiões de Pernambuco mostrou tendência ascendente no período de 2008 a 2012. Observou-se também que a Taxa de Mortalidade InfantilTMI nas quatro Macrorregiões, assim como no Estado de Pernambuco e no Brasil, apresentaram uma tendência de redução. Contudo, há importantes diferenças na redução da TMI entre as Macrorregiões. Na análise da correlação bivariada entre a despesa per capita em saúde e a TMI nas quatro Macrorregiões de saúde, os dados mostraram que as variáveis estão correlacionadas em todas as quatro Macrorregiões, com destaque para a Macrorregião II (p = 0,011 e de r2 = 0,91) , que apresentou a correlação mais significante entre as Macrorregionais de saúde. Na montagem do modelo econométrico, os resultados mostraram que mesmo com a introdução de outras variáveis que também influenciam a TMI, o efeito da despesa per capita/ano na TMI continua significativo, conferindo a despesa per capita com saúde um grau de robustez. / One of the major challenges on the agenda for the NHS is its funding, which involves both the inadequacy of available resources across the population's needs, as the poor quality of management and inefficiency of spending on health. This study aimed to analyze the relationship between per capita health expenditure and the impact on Mortality Rate Child-TMI in the four Macroregions of Pernambuco State in the period 2008 to 2012. quantitative, descriptive study using secondary data. We analyzed the information regarding the 184 municipalities of PE, these being grouped into 4 macro-regional Health, according to the administrative political division of health PE status. Data were analyzed using the method of Pearson and econometric multiple regression model using panel data method. It was found that expenditure on health per capita in the four Macroregions of Pernambuco showed upward trend in the period 2008 to 2012. It was also observed that the mortality rate Child-TMI in the four Macroregions, as well as in the state of Pernambuco and Brazil , showed a downward trend. However, there are important differences in the reduction of IMR between Macroregions. In the analysis of the bivariate correlation between the per capita expenditure on health and IMR in four health Macroregions, the data showed that the variables are correlated in all four Macroregions, with emphasis on the macroregion II (p = 0.011 and r2 = 0 , 91), which had the most significant correlation between health macro-regional. In the assembly of the econometric model, the results showed that even with the introduction of other variables also influence the IMR, the effect of expenditure per capita / year in IMR remains significant, giving the per capita expenditure on health a degree of robustness.

INTRODUÇÃO: A busca do entendimento das causas da mortalidade humana está relacionada diretamente ao conhecimento das condições de vida de uma população. Reduzir a mortalidade de crianças é uma das principais metas das políticas de saúde para a infância em todos os países. No Brasil, apesar da redução da mortalidade infantil (MI) observada nos últimos anos, existem, porém, grandes diferenciais do CMI entre algumas populações. OBJETIVO: Estudar a evolução da mortalidade infantil no Estado de Santa Catarina e a tendência de queda dos óbitos infantis evitáveis nas nove Macrorregiões Estaduais de Saúde do Estado, no período de 1997- 2008. METODOLOGIA: Estudo ecológico de séries temporais com cálculo e análise do CMI, segundo componentes e critérios de evitabilidade para óbitos ocorridos nas nove Macrorregiões catarinenses, no período entre 1997-2008. Foram analisadas, por regressão linear simples, as médias trianuais dos óbitos evitáveis, segundo Macrorregiões, no mesmo período. RESULTADOS: analisados 15.146 óbitos ocorridos no primeiro ano de vida, observou-se que 51por cento , aconteceu entre 0 e 6 dias,13,8por cento entre 7 e 27 dias e 35,8por cento , de 28 a 364 dias de vida. O Estado de Santa Catarina registra um dos menores CMIs do país e apresentou queda de 27,2por cento , principalmente às custas do componente pós-neonatal, mostrando, no entanto, preocupantes taxas de mortalidade infantil por óbitos evitáveis (58,6por cento ) e importantes diferenças no CMI entre as Macrorregiões catarinenses. O CMI por óbitos evitáveis do Planalto Serrano (11,90/00NV) foi o dobro da Macrorregião Nordeste (5,70/00NV). CONCLUSÕES: apesar do declínio do CMI, o Estado de Santa Catarina apresentou estabilização das taxas da MI para o componente neonatal e elevado índice de óbitos evitáveis, com diferenças substanciais das suas taxas entre as Macrorregiões, no período estudado. Essa realidade aponta para a necessidade urgente de estudos sequenciais que elucidem esses fatos, a fim de que intervenções ajustadas ás populações estudadas possam vir a acontecer, diminuindo as mortes infantis no território catarinense / INTRODUCTION: The pursuit for understanding the causes of human mortality is related straight to the knowledge of a living society conditions. The reduction of child mortality is the major goal of children health policies in all countries. In Brazil, despite of the infant mortality reduction observed in recent years, there are, however, huge differences of Infant mortality rate between populations. OBJECTIVE:In order to study the infant mortality evolution in the Santa Catarina State and the downward trend of avoidable child deaths in nine Health Macro-regions in the State, in each triennium from 1997 to 2008. METHODS: An ecological time series studies with calculation and analysis of Infant mortality rate second components of the infant mortality, in the nine Santa Catarina Macro-regions (Brazil) for avoidability deaths in a period between 1997 and 2008, the triennial averages of avoidable deaths, by regions in the same period, were analyzed by simple linear regression. RESULTS: Was analyzed 15,146 deaths in the first year of life between1997- 2008, the data showed that 51per cent of the total occurred from 0 to 6 of life days, 13.8per cent between 7 and 27 days and 35.8per cent of 28 to 364 days of life, the state of Santa Catarina showed a decline of CMI (27.2per cent), mainly due to a postneonatal fees period, showing, however alarming rates of infant mortality from preventable deaths (58.6per cent) and important differences among SC regions of the CMI. CONCLUSIONS: Despite the decline of CMI, the state of Santa Catarina showed stabilization of the neonatal ID and high rate of avoidable deaths, with significant differences in their rates among regions, in the study period. This reality leads to the urgent need for sequential studies that will elucidate these facts, so that interventions set to a studied of a specific populations may happen, reducing child deaths in the territory of Santa Catarina