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Tasas y causas de mortalidad infantil en un área rural con una alta prevalencia de VIH en Sudáfrica
Author(s) -
Garrib Anupam,
Jaffar Shabbar,
Knight Stephen,
Bradshaw Debbie,
Bennish Michael L.
Publication year - 2006
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2006.01738.x
Subject(s) - medicine , verbal autopsy , demography , poisson regression , child mortality , mortality rate , infant mortality , pediatrics , cause of death , rural area , psychological intervention , population , environmental health , surgery , disease , pathology , psychiatry , sociology
Summary Objective To determine child mortality rates in a rural area of South Africa with high HIV prevalence. Methods A community‐based survey was conducted between 1 January 2000 and 31 December 2002 on deaths in children under the age of 15 years. Children were followed up through four monthly home visits. Cause of death was ascertained by verbal autopsy. Rates were calculated using Poisson regression. Results Mortality ratios were 59.6 deaths per 1000 live births for infants and 97.1 for children under 5 years of age. Infant and under‐5 mortality rates were, respectively, 67.5 and 21.1 deaths per 1000 person‐years. HIV/AIDS was attributed to 41% of deaths in the under‐5 age group, with a mortality rate of 8.6 per 1000 person‐years. Lower respiratory infections caused an estimated 24.9 deaths per 1000 person‐years in children under 1 year of age. Conclusions In rural South Africa, infant and child mortality levels are high, with HIV/AIDS estimated as the single largest cause of death. Interventions to reduce child mortality are required urgently.