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Clustering of childhood mortality in rural Burkina Faso.

Abstract：

BACKGROUND:Childhood mortality is a major public health problem in sub-Saharan Africa. For the implementation of efficient public health systems, knowledge of the spatial distribution of mortality is required. METHODS:Data from a demographic surveillance research project were analysed which comprised information obtained for about 30 000 individuals from 39 villages in northwest Burkina Faso (West Africa) in the period 1993--1998. Total childhood mortality rates were calculated and the geographical distribution of total childhood mortality was investigated. In addition, data from a cohort of 686 children sampled from 16/39 of the villages followed up during a randomized controlled trial in 1999 were also used to validate the results from the surveillance data. A spatial scan statistic was used to test for clusters of total childhood mortality in both space and time. RESULTS:Several statistically significant clusters of higher childhood mortality rates comprising different sets of villages were identified; one specific village was consistently identified in both study populations indicating non-random distribution of childhood mortality. Potential risk factors which were available in the database (ethnicity, religion, distance to nearest health centre) did not explain the spatial pattern. CONCLUSION:The findings indicate non-random clustering of total childhood mortality in the study area. The study may be regarded as a first step in prioritizing areas for follow-up public health efforts.

journal_name

Int J Epidemiol

journal_title

International journal of epidemiology

authors

Sankoh OA,Yé Y,Sauerborn R,Müller O,Becher H

doi

10.1093/ije/30.3.485

keywords:

subject

Has Abstract

pub_date

2001-06-01 00:00:00

pages

485-92

issue

3

eissn

0300-5771

issn

1464-3685

journal_volume

30

pub_type

杂志文章

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