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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0010005
Code Inist : 002B30A03B. Création : 09/06/1995.