Titre :
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Impact of a Malaria-Control Project in Benin That Included the Integrated Management of Childhood Illness Strategy. (2011)
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Auteurs :
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Alexander-K ROWE ;
Michael-S DEMING ;
LAMA (Marcel) : BEN. Africare-Benin. Porto Novo. ;
ONIKPO (Faustin) : BEN. Direction Départementale de la Santé Publique de l'Ouémé et Plateau. Ministry of Health. Porto Novo. ;
OSTERHOLT (Dawn-M) : USA. Division of General and Community Pediatric Research. Cincinnati Children's Hospital. Cincinnati. OH. ;
Division of Parasitic Diseases. Centers for Disease Control and Prevention. Atlanta. GA. USA
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 101, n° 12, 2011)
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Pagination :
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2333-2341
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Langues:
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Anglais
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Mots-clés :
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Paludisme
;
Contrôle
;
Surveillance
;
Bénin
;
Soins intégrés
;
Enfant
;
Stratégie
;
Parasitose
;
Infection
;
Afrique
;
Homme
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Résumé :
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[BDSP. Notice produite par INIST-CNRS 8sk9HR0x. Diffusion soumise à autorisation]. Objectives. To estimate the impact of the Integrated Management of Childhood Illness (IMCI) strategy on early-childhood mortality, we evaluated a malaria-control project in Benin that implemented IMCI and promoted insecticide-treated nets (ITNs). Methods. We conducted a before-and-after intervention study that included a nonrandomized comparison group. We used the preceding birth technique to measure early-childhood mortality (risk of dying before age 30 months), and we used health facility surveys and household surveys to measure process indicators. Results. Most process indicators improved in the area covered by the intervention. Notably, because ITNs were also promoted in the comparison area children's ITN use increased by about 20 percentage points in both areas. Regarding early-childhood mortality, the trend from baseline (1999-2001) to follow-up (2002-2004) for the intervention area (13.0% decrease ; P<. was lower than the trend for comparison area increase p="46)." conclusions. mortality decreased in intervention after imci and itn promotion. use increased similarly both study areas so impact of itns might have canceled each other out. thus reduction could been primarily attributable to effect on health care quality care-seeking.>
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