The project "infant mortality risk score in Uruguay," one of the winning proposals of the call for proposals for the implementation of IS4H projects promoted by the Pan American Health Organization, aims to implement the electronic live birth certificate a risk score of infant mortality validated for all Uruguay.
The risk score will be entered in an application specially developed for that purpose. The system will then notify the person responsible for monitoring the newborns at the health provider.
The risk score will be implemented through an application specially developed for that purpose. In addition to the application, a system will be developed to notify the person responsible for monitoring the newborns at the health provider, as well as a procedure manual that will allow replication of the processes in other countries of the region.
The project is being developed by the Ministry of Public Health (MSP), through the Department of Preventive and Social Medicine of the Faculty of Medicine of the University of the Republic.
The Ministry of Public Health of Uruguay mandates home visits for the follow-up of at-risk newborns before 7 days of discharge and those who do not fit the profile must be visited before 10 days of age. For this goal to be met, it is essential to have objective, timely and reliable mechanisms for determining the population at risk. Uruguay already has the Electronic Live Birth Certificate (CNVe) throughout the national territory, mandatory filling, which records different risk factors for infant mortality.
The intentions of the new project are to:
- Refine and validate a risk score for infant mortality based on a statistical model that uses the information already available in the Electronic Live Birth Certificate of Uruguay.
- Develop an application that allows incorporating the CNVe risk score, the immediate visualization of the risk and a simultaneous communication to the health provider to trigger differential care actions for high-risk newborns.
- Collectivize the processes of development, validation and implementation of the risk score, through the preparation of manuals and publication of results.