Titre :
|
Teaching mothers to provide home treatment of malaria in Tigray, Ethiopia : a randomised trial. (2000)
|
Auteurs :
|
G. KIDANE ;
R.H. MORROW ;
Department of International Health. School of Hygiene and Public Health. John Hopkins University. Baltimore. MD. USA
|
Type de document :
|
Article
|
Dans :
|
Lancet (The) (vol. 356, n° 9229, 2000)
|
Pagination :
|
550-555
|
Langues:
|
Anglais
|
Mots-clés :
|
Paludisme
;
Parasitose
;
Infection
;
Thérapeutique
;
Mère
;
Mortalité maternelle
;
Mortalité
;
Epidémiologie
;
Etude comparée
;
Politique santé
;
Ethiopie
;
Afrique
;
Enfant
;
Homme
;
Enfant 2 5 ans
;
Adulte
|
Résumé :
|
[BDSP. Notice produite par INIST 6kZDR0x1. Diffusion soumise à autorisation]. Background No satisfactory strategy for reducing high child mortality from malaria has yet been established in tropical Africa. We compared the effect on under-5 mortality of teaching mothers to promptly provide antimalarials to their sick children at home, with the present community health worker approach. Methods Of 37 tabias (cluster of villages) in two districts with hyperendemic to holoendemic malaria, tabias reported to have the highest malaria morbidity were selected. A census was done which included a maternity history to determine under-5 mortality. Tabias (population 70 506) were paired according to under-5 mortality rates. One tabia from each pair was allocated by random number to an intervention group and the other was allocated to the control group. In the intervention tabias, mother coordinators were trained to teach other local mothers to recognise symptoms of malaria in their children and to promptly give chloroquine. In both intervention and control tabias, all births and deaths of under-5s were recorded monthly. Findings From January to December 1997,190 of 6383 (29.8 per 1000) children under-5 died in the intervention tabias compared with 366 of 7294 (50.2 per 1000) in the control tabias. Under-5 mortality was reduced by 40% in the intervention localities (95% Cl from 29.2-50.6 ; paired t test, p
|