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Mortality of urban and rural young children with cerebral palsy in Bangladesh
Author(s) -
Khan Naila Z.,
Ferdous Shameem,
Munir Shirin,
Huq Sharmin,
McConachie Helen
Publication year - 1998
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/j.1469-8749.1998.tb12343.x
Subject(s) - cerebral palsy , medicine , developing country , intervention (counseling) , pediatrics , rural area , rehabilitation , epidemiology , empowerment , mortality rate , physical therapy , psychiatry , surgery , law , economics , pathology , political science , economic growth
Bangladesh has a high child mortality rate. However, little is known about the outcome for young children who have cerebral palsy (CP). Ninety‐two children with CP with a mean age of 3 years 3 months at entry into the study were followed for up to 3 years as part of an intervention study. Eight children died: two of 49 (4%) from an urban area and six of 43 (14%) from a rural area. Extrinsic factors such as infections and drug reactions preceded all the deaths, but those who died were mostly severely malnourished and among the more severely disabled of the total group. Eighty‐nine percent of rural children in the study were from low‐income families. Intervention programmes for severely disabled children in developing countries must include primary health care and feeding programmes as well as rehabilitation services to address both the needs of the child and empowerment of the mother and the family.