English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Plus monthly

Global: Zendy Tools annual

Global: Zendy Tools monthly

Global: Zendy Free Plan

This study uses pregnancy history information from a demographic surveillance site in rural KwaZulu-Natal, along the eastern coastal board of South Africa, to investigate the mortality levels, trends and selected factors associated with childhood mortality. Life table analysis of the data reveals a reversal of the downward trend in mortality rates over time that began around 1990 in this population. Between 1990 and 2000 infant mortality increased from 43 to 65 per 1000 live births and under-five mortality from 65 to 116 per 1 000 live births which translates into a RR of 1.85 over the 10 year period (p-value <0.001). Maternal HIV prevalence in this area is among the highest in South Africa and rose from 4.2% to 26.0% during this period, making it probable that much of the increase in child deaths is attributable to mother to child transmission of HIV. Negative binomial regression identified the source of water, level of maternal education at the time of the survey and being a recipient of the child support grant as important factors associated with child mortality. However, their joint effect is attenuated by the overwhelming impact of HIV which also appears to have swamped the anticipated health benefit expected from various health care reforms. Keywords: Child mortality; rural South Africa; factors associated with child mortality; HIV prevalence; Demographic Surveillance Site Resume Renversement de tendance du taux de mortalite infantile dans la zone rurale du Kwazulu Natal en Afrique du Sud. Cette etude utilise des informations historiques sur les naissances dans un site rural de surveillance demographique au KwaZulu-Natal sur la cote orientale de l'Afrique du Sud pour evaluer le taux de mortalite et leurs tendances et identifier les facteurs associes a la mortalite infantile. L’analyse des table de vie revele une inversion de la tendance a la baisse du taux de mortalite entre 1990 et 2000 ., Pendant cette periode, la mortalite infantile a augmente de 43 a 65 par 1000 naissances et celle des moins de 5 ans de 65 a 116 pour 1 000 naissances, ce qui se traduit par un RR de 1,85 pour la periode etudiee. (p-valeur < 0,001). La prevalence du VIH dans cette region est parmi les plus elevees en Afrique du Sud et a augmente de 4,2 % a 26,0 % pendant cette periode, il est donc probable que l'augmentation des deces d'enfants est en grande partie attribuable a la transmission du VIH de la mere a l’enfant. Une regression binomiale negative a identifie l’acces a leau potable , le niveau d'education de la mere au moment de l'enquete et a si la mere est beneficiaire d’ allocation sociale pour lenfant comme des facteurs importants associes a la mortalite infantile. Cependant leur effet meme combine, est attenue par l'immense impact du VIH qui semble avoir submerge les benefices attendus des diverses reformes de la sante. Mot clefs: Mortalite infantile, L’Afrique Du Sud rurale, facteurs associes a la mortalite infantile, prevalence du SIDA, Site de Surveillance Demographique.

Reversal in childhood mortality trend in ruralKwaZulu-Natal, South Africa