Citations from the Literature
Citations from the Literature
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文献引用
DOI：
10.1515/jpm.1999.063
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发表时间：
2003
影响因子：
7.2
通讯作者：
D. Oepkes
中科院分区：
文献类型：
--
作者：
M. Sueters;B. Arabin;D. Oepkes
妇幼保健计划生育服务的效果011死亡率：预防足够吗？福沃五号;沃伊特尼亚克B; Chakraborty J; Sarder AM; Briend A International Centre for Diarrhoeal Disease Research，BGD Box 128，达卡1000，BGD BR MED J 1990，301/6743（103-107）目的：研究主要基于预防性干预的儿童生存战略对死亡率的影响。设计图：在妇幼保健和计划生育服务的类型、覆盖面和质量不同的两个社区中，不同原因死亡率的横断面比较。在干预领域，服务主要是预防性的、以社区为基础的和家庭提供的。主题：新生儿，婴儿，儿童和母亲在孟加拉国农村的两个相邻地区。干预措施：在干预地区，社区保健工作者提供避孕、婴儿喂养和断奶方面的咨询;分发口服体液补充液、5岁以下儿童的维生素A片以及孕期的富马酸亚铁和叶酸;为儿童接种疫苗;培训助产士安全分娩和何时转诊;治疗小病;将重病患者和营养不良儿童转诊到中心诊所。主要观察指标：总体死亡率、年龄死亡率和死因特异性死亡率，通过多步骤“死因推断”过程获得。结果如下：在研究涵盖的两年期间，新生儿的总体死亡率比研究地区的总体死亡率低17%，1 -5个月的婴儿低9%，6-35个月的儿童低30%，生活在研究地区的妇女比研究地区的妇女低19%生活在控制区。这些差异主要是由于新生儿破伤风、麻疹、持续腹泻和严重营养不良造成的儿童死亡减少，以及妇女堕胎减少。结论：该方案有效地防止了一些死亡。除了破伤风和麻疹免疫接种、保健和营养教育以及计划生育等预防性内容外，还需要治疗服务，以进一步降低死亡率。
The effect of maternal aud child health pod family planniug services 011 mortality: Is prevention enough? Fauveau V; Wojtyniak B; Chakraborty J; Sarder AM; Briend A International Centre for Diarrhoeal Disease Research, GPO Box 128, Dhaka 1000, BGD BR MED J 1990, 301/6743 (103-107) Objective: To examine the impact on mortality of a child survival strategy, mostly based on preventive interventions. Design: Cross sectional comparison of cause specific mortality in two communities differing in the type, coverage, and quality of maternal and child health and family planning services. In the intervention area the services were mainly preventive, community based, and home delivered. Subjects: Neonates, infants, children, and mothers in two contiguous areas of rural Bangladesh. Interventions: In the intervention area community health workers provided advice on contraception and on feeding and weaning babies; distributed oral rehydration solution, vitamin A tablets for children under 5, and ferrous fumarate and folic acid during pregnancy; immunised children; trained birth attendants in safe delivery and when to refer; treated minor ailments; and referred seriously ill people and malnourished children to a central clinic. Main outcome measures: Overall and age and cause specific death rates, obtained by a multiple step ‘verbal autopsy’ process. Results: During the two years covered by the study overall mortality was 17% lower among neonates, 9% lower among infants aged l-5 months, 30% lower among children aged 6-35 months, and 19% lower among women living in the study area than in those living in the control area. These differences were mainly due to fewer deaths from neonatal tetanus, measles, persistent diarrhoea with severe malnutrition among children, and fewer abortions among women. Conclusions: The programme was effective in preventing some deaths. In addition to preventive components such as tetanus and measles immunisation, health and nutrition education, and family planning, curative services are needed to reduce mortality further.