Child mortality rates have been declining in most developing countries.
We studied child and maternal mortality and risk factors for child mortality in Beira city in July 1993, after a decade of conflict in Mozambique.
A community-based cluster sample survey of 4609 women of childbearing age was conducted.
Indirect techniques were used to estimate child mortality ('children ever born'method and Preceding Birth Techniques [PBT]), and maternal mortality (sisterhood method).
Deaths among the most recent born child, born since July 1990, were classified as cases (n=106), and two controls, matched by age and cluster, were selected per case.
Indirect estimates of the probability of dying from birth to age 5 (deaths before age 5 years, 5q0 per 1000) decreased from 246 in 1977/8 to 212 in 1988/9. The PBT estimate for 1990/91 was 154 (95% confidence interval [CI] : 124-184), but recent deaths may have been underreported.
Lack of beds in the household (odds ratio [OR]=2.0,95% CI : 1.1-3.8), absence of the father (OR=2.4,95% CI : 1.2-4.8), low paternal educational level (OR=2.1,95% CI : 0.8-5.4), young maternal age (OR=2.0,95% CI : 1.0-3.7), self-reported maternal illness (OR=2.4,95% CI : 1.2-4.9), and home delivery of the child (OR=2.3,95% CI : 1.2-4.5) were associated with increased mortality, but the sensitivity of risk factors was low.
Estimated maternal mortality was 410/100 000 live births with a reference date of 1982.
Mots-clés Pascal : Mortalité, Femme, Enfant, Guerre, Mozambique, Epidémiologie, Facteur risque, Homme, Afrique
Mots-clés Pascal anglais : Mortality, Woman, Child, War, Mozambique, Epidemiology, Risk factor, Human, Africa
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0243811
Code Inist : 002B30A01A2. Création : 199608.