Document Detail

Long-term reductions in mortality among children under age 5 in rural Haiti: effects of a comprehensive health system in an impoverished setting.
MedLine Citation:
PMID:  17194853     Owner:  NLM     Status:  MEDLINE    
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.
Henry Perry; Warren Berggren; Gretchen Berggren; Duane Dowell; Henri Menager; Erve Bottex; Jean Richard Dortonne; Francois Philippe; Michel Cayemittes
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2006-12-28
Journal Detail:
Title:  American journal of public health     Volume:  97     ISSN:  1541-0048     ISO Abbreviation:  Am J Public Health     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-01-24     Completed Date:  2007-02-01     Revised Date:  2013-06-06    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  240-6     Citation Subset:  AIM; IM    
Future Generations, Franklin, West Virginia 26807, USA.
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MeSH Terms
Catchment Area (Health) / statistics & numerical data*
Child Mortality / trends*
Child, Preschool
Community Health Planning*
Community-Institutional Relations*
Haiti / epidemiology
Health Transition
Hospital Mortality / trends
Hospitals, Community / organization & administration*,  statistics & numerical data
Infant Mortality / trends*
Infant, Newborn
Primary Health Care / organization & administration*
Risk Assessment
Rural Health Services / organization & administration*,  supply & distribution
Survival Analysis
Comment In:
Am J Public Health. 2011 Jan;101(1):4-5   [PMID:  21148707 ]

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

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