• A S Gueye, P Ndiaye, A Tal Dia, C Kessler, and A Fergusson.
• Faculté de Médecine, de pharmacie et d'odontostomatologie, Service de Médecine préventive et de santé publique, BP 16390 Dakar, Fann. nenesalam@hotmail.com
• Dakar Med. 2004 Jan 1; 49 (2): 86-90.

AbstractMaternal mortality and lethality in childhood constitute a major problem in Senegal. These two rates are often hight in areas off hight birth rate. In the medical district of Kolda (Senegal) no reliable data on reproductive health exists. We report the results of a preliminary investigation of a community based reproductive project. We've used the sisterhood methods reproductive health's indicators. This cross-sectional study was carried out in a sample of 1287 women in age of procreating. An "aggregative" fertility index of 6.59 was found in the "intervention" area as compare to 5,53 in the control area. The maternal death rate was estimated at 1285 per 100.000 alive births [998-1576]. The infant mortality rate was 83 per 1000. These results justify impremantation of a "vigorous" reproductive health policy in this area.

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