| Titre : | Child and maternal mortality during a period of conflict in Beira City, Mozambique. (1996) |
| Auteurs : | F.T. CUTTS ; P. David ; C. DOS SANTOS ; G. MACASSA ; A. NOVOA ; A.C. SOARES ; Communicable Disease Epidemiology Unit. London School of Hygiene and Tropical Medicine. Keppel St. London. GBR |
| Type de document : | Article |
| Dans : | International journal of epidemiology (vol. 25, n° 2, 1996) |
| Pagination : | 349-356 |
| Langues: | Anglais |
| Mots-clés : | Mortalité ; Femme ; Enfant ; Guerre ; Mozambique ; Epidémiologie ; Facteur risque ; Homme ; Afrique |
| Résumé : | [BDSP. Notice produite par INIST ods9R0x3. Diffusion soumise à autorisation]. Background. Child mortality rates have been declining in most developing countries. We studied child and maternal mortality and risk factors for child mortality in Beira city in July 1993, after a decade of conflict in Mozambique. Methods. A community-based cluster sample survey of 4609 women of childbearing age was conducted. Indirect techniques were used to estimate child mortality ('children ever born'method and Preceding Birth Techniques [PBT]), and maternal mortality (sisterhood method). Deaths among the most recent born child, born since July 1990, were classified as cases (n=106), and two controls, matched by age and cluster, were selected per case. Results. Indirect estimates of the probability of dying from birth to age 5 (deaths before age 5 years, 5q0 per 1000) decreased from 246 in 1977/8 to 212 in 1988/9. The PBT estimate for 1990/91 was 154 (95% confidence interval [CI] : 124-184), but recent deaths may have been underreported. Lack of beds in the household (odds ratio [OR]=2.0,95% CI : 1.1-3.8), absence of the father (OR=2.4,95% CI : 1.2-4.8), low paternal educational level (OR=2.1,95% CI : 0.8-5.4), young maternal age (OR=2.0,95% CI : 1.0-3.7), self-reported maternal illness (OR=2.4,95% CI : 1.2-4.9), and home delivery of the child (OR=2.3,95% CI : 1.2-4.5) were associated with increased mortality, but the sensitivity of risk factors was low. Estimated maternal mortality was 410/100 000 live births with a reference date of 1982. Conclusions... |
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