• Ann Trop Paediatr · Jan 1993

    The pattern of infant and childhood mortality in Upper River Division, The Gambia.

    • A De Francisco, A J Hall, J R Schellenberg, A M Greenwood, and B M Greenwood.
    • Medical Research Council Laboratories, Banjul, The Gambia, West Africa.
    • Ann Trop Paediatr. 1993 Jan 1; 13 (4): 345-52.

    AbstractA system has been established to document births and deaths in children in a large, rural, West African population, using community reporters. Causes of death in children under the age of 5 years were investigated using post-mortem questionnaires completed by field assistants. There was a marked seasonal incidence of all major causes of death with peak rates in the rainy season. Acute lower respiratory infections (ALRI) were the most frequent cause of death in children under 5 years of age. Other major causes of death were malaria, acute gastro-enteritis and chronic diarrhoea with malnutrition. Mortality from all the major causes of death decreased with increasing village size. Our findings have implications for interventions against childhood mortality.

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