DEATHS IN INFANCY AND EARLY-CHILDHOOD IN A WELL-VACCINATED, RURAL, WEST-AFRICAN POPULATION
DEATHS IN INFANCY AND EARLY-CHILDHOOD IN A WELL-VACCINATED, RURAL, WEST-AFRICAN POPULATION
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DOI：
10.1080/02724936.1987.11748482
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发表时间：
1987-06-01
影响因子：
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通讯作者：
OLDFIELD, FSJ
中科院分区：
文献类型：
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作者：
GREENWOOD, BM;GREENWOOD, AM;OLDFIELD, FSJ
在冈比亚一个农村地区进行了一项为期一年的7岁以下儿童死亡调查，该地区几乎没有医疗设施，但婴儿免疫接种记录良好。对184例死亡进行了调查。只有12%的死亡发生在医院或保健中心，但试图通过与每个死亡儿童的家人面谈和检查任何现有的健康记录来确定死亡原因。婴儿死亡率为每年每1 000名活产婴儿死亡142人，儿童死亡率（1-4岁儿童死亡）为每年每1 000人死亡43人。急性呼吸道感染、疟疾和慢性腹泻伴消瘦症是出生后1个月内最常见的死亡原因。很少有儿童死于本可通过常规免疫接种预防的疾病。有效的免疫方案可能对婴儿和幼儿死亡产生了一定的影响，但如果要进一步降低冈比亚农村地区的婴儿和儿童死亡率，就必须在初级保健一级找到预防疟疾、急性呼吸道感染和慢性腹泻/消瘦症死亡的方法。
A survey of death in children under the age of 7 years was made over a 1-year period in a rural area of The Gambia with few facilities for curative medicine but with a good record of infant immunizations. One hundred and eighty-four deaths were investigated. Only 12% of deaths occurred in a hospital or health centre but an attempt was made to establish a cause of death by interviewing the family of each dead child and by examining any health records that were available. The infant mortality rate was 142 per 1000 live births and the child mortality rate (death in children aged 1-4 years) 43 per 1000 per year. Acute respiratory infections, malaria and chronic diarrohea with marasmus were the most frequent causes of death after the 1st month of life. Few children died of diseases that could have been prevented by routine immunizations. An effective immunization programme has probably has some effect of deaths in infancy and early childhood but it will be necessary to find ways of preventing deaths from malaria, acute respiratory infections and chronic diarrhoea/marasmus at the primary health care level if infant and childhood mortality are to be reduced further in rural areas of The Gambia.