Establishing the causes of childhood mortality in Ghana: the 'spirit child'
Establishing the causes of childhood mortality in Ghana: the 'spirit child'
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DOI：
10.1016/s0277-9536(00)00207-0
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发表时间：
2001-04-01
影响因子：
5.4
通讯作者：
Reidpath, D
中科院分区：
文献类型：
--
作者：
Allotey, P;Reidpath, D
加纳东北部偏远地区的社区是西非五岁以下儿童死亡率最高的地区之一（每年每1 000名儿童死亡23.9人（Binka、Maude等人，1995年））。International Journal of Epidemiology，24（1），127-135）。这些社区在地理和文化上与加纳的主要部落群体隔绝，但仍然非常坚定地坚持传统信仰和习俗。对该地区传统和现代妇幼保健系统的定性研究表明，近15%的3个月以下婴儿死亡是由于相信chichuru或精神儿童，导致婴儿死亡。因此，这是一个重大的公共卫生问题，必须在控制儿童死亡率的方案中加以解决。建议修改死因推断方法，以协助查明非生物医学死因。(C)2001爱思唯尔科技有限公司版权所有。
Communities in remote regions of northeast Ghana record some of the highest rates of under five mortality in West Africa (23.9 per 1000 children/year (Binka, Maude et al. (1995)). International Journal of Epidemiology, 24(1), 127-135). The communities, isolated geographically and culturally from the main tribal groups in Ghana continue to adhere very strongly to traditional beliefs and practices. A qualitative study of both traditional and modern maternal and child health care systems in the area, demonstrated that almost 15% of deaths of infants under 3 months of age were due to a belief in chichuru or spirit children, resulting in infanticide. It is therefore a significant public health problem, which has to be addressed in programs for the control of child mortality. A modification of the verbal autopsy method is proposed to assist in the identification of non-biomedical causes of death. (C) 2001 Elsevier Science Ltd. All rights reserved.