Changes in the pattern of infant and childhood mortality in Upper River Division, The Gambia, from 1989 to 1993

S. Jaffar, A. Leach, A. M. Greenwood, A. Jepson, O. Muller, M. O.C. Ota, K. Bojang, S. Obaro, B. M. Greenwood

Research output: Contribution to journalArticle

99 Citations (Scopus)

Abstract

A surveillance system was used to detect births and deaths in children in a large, rural, West African population from 1989 to 1993. Cause of death was investigated using post-mortem questionnaires. Overall infant (age 0-11 months) and child (age 1-4 years) mortality rates of 80.1 and 18.8 per 1000 per year were recorded. These were reasonably consistent over the period of surveillance. The most frequent cause of death in infants was acute respiratory infection (ARI), whereas in children it was malaria: these two conditions accounted for 41% of the deaths in children under 5 years old. Other leading causes of death were acute gastroenteritis, malnutrition, and septicaemia. Deaths attributed to ARI decreased over the 5-year period, but mortality rates from other causes were either unchanged or increased slightly. Mortality from all causes peaked in the rainy season and was slightly higher in villages which were part of a primary health care programme than in those which were not. There were also no differences between male and female mortality rates beyond one year of age. Despite the introduction of a number of health interventions, there has been no major change in the overall pattern of mortality in children in a rural area of The Gambia. Malaria and ARI remain the main causes of death.

Original languageEnglish (US)
Pages (from-to)28-37
Number of pages10
JournalTropical Medicine and International Health
Volume2
Issue number1
DOIs
StatePublished - Jan 1 1997

Fingerprint

Gambia
Infant Mortality
Rivers
Cause of Death
Respiratory Tract Infections
Mortality
Child Mortality
Gastroenteritis
Malnutrition
Malaria
Primary Health Care
Sepsis
Parturition
Health
Population

Keywords

  • ARI
  • The Gambia
  • childhood mortality
  • malaria
  • post-mortem questionnaires

ASJC Scopus subject areas

  • Parasitology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Changes in the pattern of infant and childhood mortality in Upper River Division, The Gambia, from 1989 to 1993. / Jaffar, S.; Leach, A.; Greenwood, A. M.; Jepson, A.; Muller, O.; Ota, M. O.C.; Bojang, K.; Obaro, S.; Greenwood, B. M.

In: Tropical Medicine and International Health, Vol. 2, No. 1, 01.01.1997, p. 28-37.

Research output: Contribution to journalArticle

Jaffar, S. ; Leach, A. ; Greenwood, A. M. ; Jepson, A. ; Muller, O. ; Ota, M. O.C. ; Bojang, K. ; Obaro, S. ; Greenwood, B. M. / Changes in the pattern of infant and childhood mortality in Upper River Division, The Gambia, from 1989 to 1993. In: Tropical Medicine and International Health. 1997 ; Vol. 2, No. 1. pp. 28-37.
@article{a7a306a53b2a486a9a74e0f93268e87d,
title = "Changes in the pattern of infant and childhood mortality in Upper River Division, The Gambia, from 1989 to 1993",
abstract = "A surveillance system was used to detect births and deaths in children in a large, rural, West African population from 1989 to 1993. Cause of death was investigated using post-mortem questionnaires. Overall infant (age 0-11 months) and child (age 1-4 years) mortality rates of 80.1 and 18.8 per 1000 per year were recorded. These were reasonably consistent over the period of surveillance. The most frequent cause of death in infants was acute respiratory infection (ARI), whereas in children it was malaria: these two conditions accounted for 41{\%} of the deaths in children under 5 years old. Other leading causes of death were acute gastroenteritis, malnutrition, and septicaemia. Deaths attributed to ARI decreased over the 5-year period, but mortality rates from other causes were either unchanged or increased slightly. Mortality from all causes peaked in the rainy season and was slightly higher in villages which were part of a primary health care programme than in those which were not. There were also no differences between male and female mortality rates beyond one year of age. Despite the introduction of a number of health interventions, there has been no major change in the overall pattern of mortality in children in a rural area of The Gambia. Malaria and ARI remain the main causes of death.",
keywords = "ARI, The Gambia, childhood mortality, malaria, post-mortem questionnaires",
author = "S. Jaffar and A. Leach and Greenwood, {A. M.} and A. Jepson and O. Muller and Ota, {M. O.C.} and K. Bojang and S. Obaro and Greenwood, {B. M.}",
year = "1997",
month = "1",
day = "1",
doi = "10.1046/j.1365-3156.1997.d01-131.x",
language = "English (US)",
volume = "2",
pages = "28--37",
journal = "Tropical Medicine and International Health",
issn = "1360-2276",
publisher = "Wiley-Blackwell",
number = "1",

}

TY - JOUR

T1 - Changes in the pattern of infant and childhood mortality in Upper River Division, The Gambia, from 1989 to 1993

AU - Jaffar, S.

AU - Leach, A.

AU - Greenwood, A. M.

AU - Jepson, A.

AU - Muller, O.

AU - Ota, M. O.C.

AU - Bojang, K.

AU - Obaro, S.

AU - Greenwood, B. M.

PY - 1997/1/1

Y1 - 1997/1/1

N2 - A surveillance system was used to detect births and deaths in children in a large, rural, West African population from 1989 to 1993. Cause of death was investigated using post-mortem questionnaires. Overall infant (age 0-11 months) and child (age 1-4 years) mortality rates of 80.1 and 18.8 per 1000 per year were recorded. These were reasonably consistent over the period of surveillance. The most frequent cause of death in infants was acute respiratory infection (ARI), whereas in children it was malaria: these two conditions accounted for 41% of the deaths in children under 5 years old. Other leading causes of death were acute gastroenteritis, malnutrition, and septicaemia. Deaths attributed to ARI decreased over the 5-year period, but mortality rates from other causes were either unchanged or increased slightly. Mortality from all causes peaked in the rainy season and was slightly higher in villages which were part of a primary health care programme than in those which were not. There were also no differences between male and female mortality rates beyond one year of age. Despite the introduction of a number of health interventions, there has been no major change in the overall pattern of mortality in children in a rural area of The Gambia. Malaria and ARI remain the main causes of death.

AB - A surveillance system was used to detect births and deaths in children in a large, rural, West African population from 1989 to 1993. Cause of death was investigated using post-mortem questionnaires. Overall infant (age 0-11 months) and child (age 1-4 years) mortality rates of 80.1 and 18.8 per 1000 per year were recorded. These were reasonably consistent over the period of surveillance. The most frequent cause of death in infants was acute respiratory infection (ARI), whereas in children it was malaria: these two conditions accounted for 41% of the deaths in children under 5 years old. Other leading causes of death were acute gastroenteritis, malnutrition, and septicaemia. Deaths attributed to ARI decreased over the 5-year period, but mortality rates from other causes were either unchanged or increased slightly. Mortality from all causes peaked in the rainy season and was slightly higher in villages which were part of a primary health care programme than in those which were not. There were also no differences between male and female mortality rates beyond one year of age. Despite the introduction of a number of health interventions, there has been no major change in the overall pattern of mortality in children in a rural area of The Gambia. Malaria and ARI remain the main causes of death.

KW - ARI

KW - The Gambia

KW - childhood mortality

KW - malaria

KW - post-mortem questionnaires

UR - http://www.scopus.com/inward/record.url?scp=0030618007&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030618007&partnerID=8YFLogxK

U2 - 10.1046/j.1365-3156.1997.d01-131.x

DO - 10.1046/j.1365-3156.1997.d01-131.x

M3 - Article

C2 - 9018300

AN - SCOPUS:0030618007

VL - 2

SP - 28

EP - 37

JO - Tropical Medicine and International Health

JF - Tropical Medicine and International Health

SN - 1360-2276

IS - 1

ER -