Long-term reductions in mortality among children under age 5 in rural Haiti: effects of a comprehensive health system in an impoverished setting.
OBJECTIVES: Evidence regarding the long-term impact of health and other community development programs on under-5 mortality (the risk of death from birth until the fifth birthday) is limited. We compared mortality in a population served by health and other community development programs at the Hôpit...
| Publicado en: | American Journal of Public Health Vol. 97; no. 2; pp. 240 - 247 |
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| Autores principales: | , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
American Public Health Association
Feb2007
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105945269&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105945269 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Feb2007 vid: 97 iid: 2 pid: 44 pub: American Public Health Association place: Washington, District of Columbia artinfo: ui: 105945269 23944180 2009517085 10.2105/AJPH.2006.088732 NLM17194853 105945269 ppf: 240 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Long-term reductions in mortality among children under age 5 in rural Haiti: effects of a comprehensive health system in an impoverished setting. aug: au: Perry H Berggren W Berggren G Dowell D Menager H Bottex E Dortonne JR Philippe F Cayemittes M sug: subj: Catchment Area (Health) Child Mortality Trends Community-Institutional Relations Health and Welfare Planning Hospitals, Community Administration Infant Mortality Trends Primary Health Care Administration Rural Health Services Administration Benchmarking Child, Preschool Haiti Hospital Mortality Trends Hospitals, Community Infant Infant, Newborn Poverty Risk Assessment Rural Health Services Survival Analysis Human Child, Preschool: 2-5 years Infant: 1-23 months Infant, Newborn: birth-1 month ab: OBJECTIVES: Evidence regarding the long-term impact of health and other community development programs on under-5 mortality (the risk of death from birth until the fifth birthday) is limited. We compared mortality in a population served by health and other community development programs at the Hôpital Albert Schweitzer (HAS) with national mortality rates among children younger than 5 years for Haiti between 1958 and 1999. METHODS: We collected information on births and deaths in the HAS service area between 1995 and 1999 and assembled previously published under-5 mortality rates at HAS. Published national rates for Haiti served as a comparison. RESULTS: In the early 1970s, the under-5 mortality rate at HAS declined to a level three fourths lower than that in Haiti nationwide. More recently, HAS rates have remained at one half those for Haiti nationwide. Child survival interventions in the HAS service area were substantially higher than in Haiti nationwide although socioeconomic characteristics and levels of childhood malnutrition were similar in both areas. CONCLUSIONS: HAS's programs have been responsible for long-term sustained reduction in mortality among children aged less than 5 years. Integrated systems for health and other community development programs could be an effective strategy for achieving the United Nations Millennium Goal to reduce under-5 mortality two thirds by 2015. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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