Health and demographic surveillance in rural western Kenya: A platform for evaluating interventions to reduce morbidity and mortality from infectious diseases
Health and demographic surveillance in rural western Kenya: A platform for evaluating interventions to reduce morbidity and mortality from infectious diseases
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DOI：
10.4269/ajtmh.2005.73.1151
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发表时间：
2005-12-01
影响因子：
3.3
通讯作者：
Slutsker, L
中科院分区：
文献类型：
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作者：
Adazu, K;Lindblade, KA;Slutsker, L
我们在肯尼亚西部的一个农村地区建立了一个健康和人口监测系统，以衡量传染病的负担并评估公共卫生干预措施。在基线普查之后，每四个月对所有33 990户家庭进行一次访问。我们收集了教育程度、社会经济地位、儿科门诊就诊、儿童死亡原因和疟疾传播的数据。出生时预期寿命为38岁，婴儿死亡率为每1 000名活产婴儿死亡125人，五岁以下儿童死亡率为每1 000名活产婴儿死亡227人。青年男女死亡率的增加表明人口中与人体免疫机能丧失病毒/后天免疫机能丧失综合症有关的死亡率很高。在5 879名患病儿童中，最常见的诊断是疟疾（71.5%）。对661名儿童死亡（1个月至< 12岁）的口头尸检结果表明，疟疾（28.9%）和贫血（9.8%）是儿童死亡的最常见原因。这些数据将为产生进一步的研究问题、制定有针对性的干预措施和评估其影响提供基础。
We established a health and demographic surveillance system in a rural area of western Kenya to measure the burden of infectious diseases and evaluate public health interventions. After a baseline census, all 33,990 households were visited every four months. We collected data on educational attainment, socioeconomic status, pediatric outpatient visits, causes of death in children, and malaria transmission. The life expectancy at birth was 38 years, the infant mortality rate was 125 per 1000 live births, and the under-five mortality rate was 227 per 1,000 live births. The increased mortality rate in younger men and women suggests high human immunodeficiency virus/acquired immunodeficiency syndrome-related mortality in the population. Of 5,879 sick child visits, the most frequent diagnosis was malaria (71.5%). Verbal autopsy results for 661 child deaths (1 month to < 12 years) implicated malaria (28.9%) and anemia (t9.8%) as the most common causes of death in children. These data will provide a basis for generating further research questions, developing targeted interventions, and evaluating their impact.