Registered infant and under-five deaths in Freetown, Sierra Leone from 1987-1991 and a comparison with 1969-1979

M Hodges, R A Williams

Research output: Contribution to journalArticle

Abstract

Analysis of diagnoses recorded on under-fives' death certificates in Freetown from 1987 to 1991 revealed that they were attributed thus, acute respiratory infections (ARI); 35%, diarrhoeal diseases (DD); 18%, malaria; 14%, malnutrition; 11%, anaemia; 11%, measles; 9%, prematurity; 7%, convulsions; 6% and tetanus; 3%. Neonates and infants comprised 14% and 56% of all under-fives' deaths respectively. The perinatal mortality rate was 48/1,000 total births. Comparing these with findings reported from 1969 to 1979 and taking into account estimates of IMR and U5MR there appears to have been a significant reduction in the absolute numbers and proportion of deaths per 1,000 live births from tetanus (p < 0.0001) and from measles (p < 0.05). There appears to have been a decrease in certificates reporting DD and an increase in those reporting ARI, malnutrition and anaemia but these were not found to be statistically significant (p > 0.05). Deaths attributed to malaria have also not varied significantly.

Original languageEnglish
Pages (from-to)95-8
Number of pages4
JournalWest African Journal of Medicine
Volume17
Issue number2
Publication statusPublished - 26 Aug 1998
Externally publishedYes

Fingerprint

Sierra Leone
Tetanus
Malaria
Death Certificates
Perinatal Mortality
Measles
Live Birth
Malnutrition
Respiratory Tract Infections
Anemia
Seizures
Parturition
Newborn Infant
Mortality

Keywords

  • Cause of Death
  • Child, Preschool
  • Cross-Sectional Studies
  • Developing Countries
  • Female
  • Humans
  • Infant
  • Infant Mortality
  • Infant, Newborn
  • Male
  • Sierra Leone

Cite this

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title = "Registered infant and under-five deaths in Freetown, Sierra Leone from 1987-1991 and a comparison with 1969-1979",
abstract = "Analysis of diagnoses recorded on under-fives' death certificates in Freetown from 1987 to 1991 revealed that they were attributed thus, acute respiratory infections (ARI); 35{\%}, diarrhoeal diseases (DD); 18{\%}, malaria; 14{\%}, malnutrition; 11{\%}, anaemia; 11{\%}, measles; 9{\%}, prematurity; 7{\%}, convulsions; 6{\%} and tetanus; 3{\%}. Neonates and infants comprised 14{\%} and 56{\%} of all under-fives' deaths respectively. The perinatal mortality rate was 48/1,000 total births. Comparing these with findings reported from 1969 to 1979 and taking into account estimates of IMR and U5MR there appears to have been a significant reduction in the absolute numbers and proportion of deaths per 1,000 live births from tetanus (p < 0.0001) and from measles (p < 0.05). There appears to have been a decrease in certificates reporting DD and an increase in those reporting ARI, malnutrition and anaemia but these were not found to be statistically significant (p > 0.05). Deaths attributed to malaria have also not varied significantly.",
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Registered infant and under-five deaths in Freetown, Sierra Leone from 1987-1991 and a comparison with 1969-1979. / Hodges, M; Williams, R A.

In: West African Journal of Medicine, Vol. 17, No. 2, 26.08.1998, p. 95-8.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Registered infant and under-five deaths in Freetown, Sierra Leone from 1987-1991 and a comparison with 1969-1979

AU - Hodges, M

AU - Williams, R A

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N2 - Analysis of diagnoses recorded on under-fives' death certificates in Freetown from 1987 to 1991 revealed that they were attributed thus, acute respiratory infections (ARI); 35%, diarrhoeal diseases (DD); 18%, malaria; 14%, malnutrition; 11%, anaemia; 11%, measles; 9%, prematurity; 7%, convulsions; 6% and tetanus; 3%. Neonates and infants comprised 14% and 56% of all under-fives' deaths respectively. The perinatal mortality rate was 48/1,000 total births. Comparing these with findings reported from 1969 to 1979 and taking into account estimates of IMR and U5MR there appears to have been a significant reduction in the absolute numbers and proportion of deaths per 1,000 live births from tetanus (p < 0.0001) and from measles (p < 0.05). There appears to have been a decrease in certificates reporting DD and an increase in those reporting ARI, malnutrition and anaemia but these were not found to be statistically significant (p > 0.05). Deaths attributed to malaria have also not varied significantly.

AB - Analysis of diagnoses recorded on under-fives' death certificates in Freetown from 1987 to 1991 revealed that they were attributed thus, acute respiratory infections (ARI); 35%, diarrhoeal diseases (DD); 18%, malaria; 14%, malnutrition; 11%, anaemia; 11%, measles; 9%, prematurity; 7%, convulsions; 6% and tetanus; 3%. Neonates and infants comprised 14% and 56% of all under-fives' deaths respectively. The perinatal mortality rate was 48/1,000 total births. Comparing these with findings reported from 1969 to 1979 and taking into account estimates of IMR and U5MR there appears to have been a significant reduction in the absolute numbers and proportion of deaths per 1,000 live births from tetanus (p < 0.0001) and from measles (p < 0.05). There appears to have been a decrease in certificates reporting DD and an increase in those reporting ARI, malnutrition and anaemia but these were not found to be statistically significant (p > 0.05). Deaths attributed to malaria have also not varied significantly.

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