PMID: 3764488Jan 1, 1986Paper

Causes of infant and early childhood deaths in Sierra Leone

Social Science & Medicine
B S Kandeh

Abstract

Information about the causes of infant and early childhood (1-4 years) mortality was compiled from the vital registration system for the Western Area, records from the children's Hospital in Freetown and two demographic sample surveys conducted in various chiefdom headquarters towns around the country. The leading causes of infant mortality are tetanus, fevers, measles and diarrhoea. A breakdown of certified deaths in infancy showed that tetanus is quite important in the neonatal period accounting for as much as 68% of neonatal deaths. Measles and diarrhoea were the leading causes of death in the last 6 months of infancy. The leading causes of early childhood deaths were measles, diarrhoea and fevers. Nutritionally related diseases such as measles and diarrhoea were seen to account for up to 40% of all early childhood deaths. The major factors affecting these causes of death were childbirth and childcare practices in the case of tetanus and the nutritional status of the children in the case of measles and diarrhoea. The majority of deliveries were still being performed by Traditional Birth Attendants in very unhygienic surroundings which it was felt contributed significantly to the high incidence of neonatal tetanus. At the oth...Continue Reading

References

Sep 1, 1979·American Journal of Public Health·A Yankauer

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Citations

Jan 1, 1991·Yearbook of Physical Anthropology·N Cameron
Jan 1, 1988·Social Science & Medicine·C H BledsoeU C Isiugo-Abanihe
Jan 1, 1989·Social Science & Medicine·M A Adedoyin, S J Watts
Jan 1, 1994·Social Science & Medicine·A V Millard
Apr 30, 2003·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Zafar Fatmi, Franklin White
Jan 1, 1993·Scandinavian Journal of Infectious Diseases·B BurströmD M Mutie
Apr 1, 1993·Annals of Tropical Medicine and Parasitology·G BarnishS Ceesay
Sep 9, 1999·The American Journal of Clinical Nutrition·C G VictoraS Gove
Feb 13, 2001·The Journal of Nutrition·B J BrabinF Verhoeff

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