Pattern of cause-specific childhood mortality in a malaria endemic area of Burkina Faso.
Pattern of cause-specific childhood mortality in a malaria endemic area of Burkina Faso.
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DOI：
10.1186/1475-2875-5-47
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发表时间：
2006-06-08
期刊：
影响因子：
3
通讯作者：
Becher H
中科院分区：
文献类型：
--
作者：
Hammer GP;Somé F;Müller O;Kynast-Wolf G;Kouyaté B;Becher H
可靠的死亡率数据是规划卫生干预措施的先决条件，但发展中国家，特别是撒哈拉以南非洲国家往往没有这类数据。在许多国家，人口监测系统（DSS）采用死因解剖（VA）方法，是在纵向基础上观察人口死因特异性死亡率的唯一方法。本文报告了1999年至2003年在布基纳法索西北部一个疟疾全面流行地区5岁以下儿童的全因死亡率和特定病因死亡率。对VA数据进行分析的Nouna健康研究中心的发展支助计划涵盖了约30 000名农村人口（41个村庄）和约25 000名城市人口（Nouna镇）。共分析1544例死亡，其中87例（6%）、225例（14%）、317例（21%）和915例（59%）分别发生在< 1个月、1 - 5个月、6-11个月和1 - 4年。5岁以下儿童的全因死亡率在农村地区高于城市地区（34 vs 24 / 1000人年），在雨季高于旱季（35 vs 29 / 1000人年）。疟疾是最常见的诊断（42%），6-11个月婴儿死亡率最高。即使考虑到幼儿疟疾诊断的低特异性，疟疾仍然是SSA这个偏远地区最重要的死亡原因。加强现有的疟疾控制手段对于降低非洲南部疟疾流行地区的高儿童死亡率至关重要。
Reliable mortality data are a prerequisite for planning health interventions, yet such data are often not available in developing countries, particularly in sub-Saharan Africa (SSA). Demographic surveillance systems (DSS) implementing the verbal autopsy (VA) method are the only possibility to observe cause-specific mortality of a population on a longitudinal basis in many countries. This paper reports all-cause and cause-specific mortality rates in children under the age of five years from 1999 until 2003 in a malaria holoendemic area of north-western Burkina Faso. The DSS of the Nouna Health Research Centre, in which VA data were analysed, covers a rural population of about 30,000 (41 villages) and an urban population of about 25,000 (Nouna town). A total of 1,544 deaths were analysed, 87 (6%), 225 (14%), 317 (21%) and 915 (59%) of which occurred in the periods < 1 month, 1–5 months, 6–11 months and 1–4 years respectively. All cause mortality rates of children under five years were higher in the rural than the urban area (34 vs 24 per 1,000 person-years) and in the rainy than the dry season (35 vs 29 per 1,000 person-years). Malaria was the most frequent diagnosis (42%) with peak mortality rates in infants aged 6–11 months. Malaria is the most important cause of death in this remote area of SSA, even considering the low specificity of malaria diagnosis in young children. Strengthening the existing malaria control tools is of prime importance to reduce the high childhood mortality in the endemic areas of SSA.
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影响因子：
105.7
作者：
Müller, O;Becher, H;Garenne, M
通讯作者：
Garenne, M
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7.7
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Etard, JF;Le Hesran, JY;Delaunay, V
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168.9
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3.3
作者：
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Becher, H
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3.3
作者：
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通讯作者：
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