How to protect your new-born from neonatal death: Infant feeding and medical practices in the Gambia
How to protect your new-born from neonatal death: Infant feeding and medical practices in the Gambia
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DOI：
10.1016/j.wsif.2016.11.003
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发表时间：
2017-01-01
影响因子：
1.4
通讯作者：
Grietens, Koen Peeters
中科院分区：
文献类型：
--
作者：
O'Neill, Sarah;Clarke, Ed;Grietens, Koen Peeters
自1990年代以来，降低五岁以下儿童死亡率一直是世卫组织的优先事项（千年发展目标4）。在过去20年中，1个月以上的儿童死亡率下降幅度最大，而新生儿死亡率（出生后28天）下降较慢。据估计，每年约有400万新生儿死亡，目前占全世界死亡人数的40%以上。细菌感染是新生儿死亡的主要原因。虽然社区和医院感染可能导致新生儿败血症的风险因素得到了很好的研究，但临床医生和生物医学研究人员对当地人在新生儿阶段的育儿实践知之甚少。本文是基于对冈比亚农村新生儿护理实践的民族志研究。我们表明，许多做法的中心是保护新生儿免受疾病，被认为是由精神和其他超自然的影响。还采取其他照顾和滋养做法，以促进婴儿的身体、认知和道德发展，使他/她成为社区的正式成员。(C)2016作者爱思唯尔有限公司出版
Since the 1990s, the reduction of under-five child-mortality has been a priority for the WHO (Millennium Development Goal 4). In the last two decades, the greatest reduction has occurred in children older than 1 month, while neonatal mortality (the first 28 days of life) has declined more slowly. Neonatal deaths, estimated at approximately 4 million annually, now account for more than 40% of deaths worldwide. Bacterial infections are the leading cause of neonatal deaths. Although risk factors for community and hospital based infections potentially leading to neonatal sepsis are well researched, local people's childcare practices in the neonatal phase are poorly understood by clinicians and biomedical researchers. This paper is based on ethnographic research on neonatal caring practices in rural Gambia. We show that many practices centre on protecting the newborn from sicknesses that are believed to be caused by spirits and other supernatural inflictions. Other caring and nourishing practices are performed to enhance the baby's physical, cognitive and moral development making him/her a full member of the community. (C) 2016 The Authors. Published by Elsevier Ltd.