Résumé :
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[BDSP. Notice produite par INIST-CNRS YER0xQNe. Diffusion soumise à autorisation]. The Maasai have high rates of death from neonatal tetanus, partly due to their custom of packing the umbilical stump with cow dung. We report on the effect of a simple health promotion programme, designed In consultation with the local community and carried out by local women. After Introduction of the programme In 1981, neonatal (<6 weeks of age) tetanus rates fell sharply, and by 1988 annual death rates had dropped to 0.75 (range 0-3) per 1000 births in the Intervention areas compared with 82 (74-93) per 1000 In control areas.
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