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http://hdl.handle.net/2445/131914
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DC Field | Value | Language |
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dc.contributor.author | Schellenberg, Joanna R. M. | - |
dc.contributor.author | Mrisho, Mwifadhi | - |
dc.contributor.author | Manzi, Fatuma | - |
dc.contributor.author | Shirima, Kizito | - |
dc.contributor.author | Mbuya, Conrad | - |
dc.contributor.author | Mushi, Adiel K. | - |
dc.contributor.author | Ketende, Sosthenes Charles | - |
dc.contributor.author | Alonso, Pedro | - |
dc.contributor.author | Mshinda, Hassan | - |
dc.contributor.author | Tanner, Marcel | - |
dc.contributor.author | Schellenberg, David | - |
dc.date.accessioned | 2019-04-09T10:23:40Z | - |
dc.date.available | 2019-04-09T10:23:40Z | - |
dc.date.issued | 2008-06-03 | - |
dc.identifier.issn | 1471-2458 | - |
dc.identifier.uri | http://hdl.handle.net/2445/131914 | - |
dc.description.abstract | Background: With a view to developing health systems strategies to improve reach to high-risk groups, we present information on health and survival from household and health facility perspectives in five districts of southern Tanzania. Methods: We documented availability of health workers, vaccines, drugs, supplies and services essential for child health through a survey of all health facilities in the area. We did a representative cluster sample survey of 21,600 households using a modular questionnaire including household assets, birth histories, and antenatal care in currently pregnant women. In a subsample of households we asked about health of all children under two years, including breastfeeding, mosquito net use, vaccination, vitamin A, and care-seeking for recent illness, and measured haemoglobin and malaria parasitaemia. Results: In the health facility survey, a prescriber or nurse was present on the day of the survey in about 40% of 114 dispensaries. Less than half of health facilities had all seven 'essential oral treatments', and water was available in only 22%. In the household survey, antenatal attendance (88%) and DPT-HepB3 vaccine coverage in children (81%) were high. Neonatal and infant mortality were 43.2 and 76.4 per 1000 live births respectively. Infant mortality was 40% higher for teenage mothers than older women (RR 1.4, 95% confidence interval (CI) 1.1 - 1.7), and 20% higher for mothers with no formal education than those who had been to school (RR 1.2, CI 1.0 - 1.4). The benefits of education on survival were apparently restricted to post-neonatal infants. There was no evidence of inequality in infant mortality by socio-economic status. Vaccine coverage, net use, anaemia and parasitaemia were inequitable: the least poor had a consistent advantage over children from the poorest families. Infant mortality was higher in families living over 5 km from their nearest health facility compared to those living closer (RR 1.25, CI 1.0 - 1.5): 75% of households live within this distance. Conclusion: Relatively short distances to health facilities, high antenatal and vaccine coverage show that peripheral health facilities have huge potential to make a difference to health and survival at household level in rural Tanzania, even with current human resources. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | BioMed Central | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1186/1471-2458-8-194 | - |
dc.relation.ispartof | BMC Public Health, 2008, vol. 8, num. 194 | - |
dc.relation.uri | https://doi.org/10.1186/1471-2458-8-194 | - |
dc.rights | cc-by (c) Schellenberg, Joanna R. M. et al., 2008 | - |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es | - |
dc.source | Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil) | - |
dc.subject.classification | Mortalitat infantil | - |
dc.subject.classification | Tanzània | - |
dc.subject.other | Infant mortality | - |
dc.subject.other | Tanzania | - |
dc.title | Health and survival of young children in southern Tanzania | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 573166 | - |
dc.date.updated | 2019-04-09T10:23:41Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 18522737 | - |
Appears in Collections: | Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil) |
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