Document Detail

Immunization coverage and child mortality in two rural districts of Sierra Leone.
MedLine Citation:
PMID:  8771643     Owner:  NLM     Status:  MEDLINE    
The study, which is based on data from a household level health survey conducted in early 1993 in the rural areas of the districts of Western Area and Port Loko of Sierra Leone, examines the coverage of an Expanded Program on Immunization (EPI), infant and child mortality, and disease symptoms in children who died under age five in the study area. The results of the study indicated that the infant and child mortality rate per thousand live births declined from about 162 in the mid 1980s to about 77 in 1993. This decline was associated with immunization coverage which considerably increased by 1993, reaching as high as above 60% of the eligible children. The study further reveals that the major symptoms of disease at the time of death of an infant or a child were fever, cough, troubled breathing, and diarrhea in that order. While fever and cough could reflect the persistence of malaria and pneumonia-two major causes of infant and child deaths not covered by existing EPI-the study also revealed that many children failed to take full doses of immunization. Similarly, inadequate coverage of domiciliary oral rehydration therapy (ORT) might have been the reason of high incidence of diarrhea-related deaths. Simple medical technologies to eliminate many of the existing major causes of infant and child mortality in rural Sierra Leone are now available. Perhaps, a strengthened primary health care service, including an extensive rural health care network, aimed at eliminating these diseases, would go a long way in reducing infant and child mortality to irreducible minimum.
R Amin
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Social science & medicine (1982)     Volume:  42     ISSN:  0277-9536     ISO Abbreviation:  Soc Sci Med     Publication Date:  1996 Jun 
Date Detail:
Created Date:  1996-11-19     Completed Date:  1996-11-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8303205     Medline TA:  Soc Sci Med     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1599-604     Citation Subset:  IM    
Institute for Urban Research, Morgan State University, Baltimore, MD 21239-9972, USA.
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MeSH Terms
Cause of Death
Child, Preschool
Databases, Factual
Health Surveys
Immunization Programs / methods,  trends*
Infant Mortality / trends*
Infant, Newborn
Logistic Models
Maternal Age
Retrospective Studies
Rural Health / trends
Sampling Studies
Sierra Leone / epidemiology
Socioeconomic Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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