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  1. Child and maternal mortality during a period of conflict in Beira City, Mozambique.

    Article - En anglais


    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0243811

    Code Inist : 002B30A01A2. Création : 199608.