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  1. Has primary health care reduced infant mortality in East Bhutan ? The effects of primary health care and birth spacing on infant and child mortality patterns in East Bhutan.

    Article - En anglais

    In a traditional, agricultural society in East Bhutan studies of infant and child mortality were carried out in 1984 and 1991.

    Mothers were interviewed regarding births during the preceding 5 years and deaths among these children.

    A significant fall in infant mortality rate (IMR) from 145 to 49 (P<0.001) was found.

    In 1991, measles was almost eliminated as a cause of death.

    Families with 1,2 and 3 children, respectively, during the period studied, were found to have significantly different IMRs, with higher mortality for higher number of births (P<0.001 for 1984 and P=0.002 for 1991).

    To quantify the effect on mortality from birth intervals both the possibility of reverse causation and confounding factors, such as socio-economic conditions must be considered, but the study suggests that the association is partly causal.

    Mots-clés Pascal : Soin santé primaire, Prévention, Mortalité, Résultat, Nourrisson, Etiologie, Bhoutan, Homme, Asie

    Mots-clés Pascal anglais : Primary health care, Prevention, Mortality, Result, Infant, Etiology, Bhutan, Human, Asia

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

    Cote : 95-0010005

    Code Inist : 002B30A03B. Création : 09/06/1995.