LEADER 08001nam 2200769 a 450 001 9910960075803321 005 20251017110102.0 010 $a9786610196081 010 $a9781280196089 010 $a1280196084 010 $a9780309585866 010 $a0309585864 010 $a9780585025193 010 $a0585025193 035 $a(CKB)110986584751338 035 $a(SSID)ssj0000144596 035 $a(PQKBManifestationID)11139798 035 $a(PQKBTitleCode)TC0000144596 035 $a(PQKBWorkID)10146687 035 $a(PQKB)11218974 035 $a(Au-PeEL)EBL3376179 035 $a(CaPaEBR)ebr10055174 035 $a(CaONFJC)MIL19608 035 $a(OCoLC)923261262 035 $a(MiAaPQ)EBC3376179 035 $a(Perlego)4733784 035 $a(DNLM)813939 035 $a(EXLCZ)99110986584751338 100 $a19931015d1993 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 00$aEffects of health programs on child mortality in Sub-Saharan Africa /$fDouglas C. Ewbank and James N. Gribble, editors ; Working Group on the Effects of Child Survival and General Health Programs on Mortality ... [et al.] 205 $a1st ed. 210 $aWashington, D.C. $cNational Academy Press$dc1993 215 $a1 online resource (xv, 191 pages) $cillustrations 225 1 $aPopulation dynamics of Sub-Saharan Africa 300 $aBibliographic Level Mode of Issuance: Monograph 311 08$a9780309049412 311 08$a0309049415 320 $aIncludes bibliographical references (p. 166-191). 327 $aIntro -- Effects Of Health Programs on Child Mortality in Sub-Saharan Africa -- Copyright -- Preface -- Contents -- Executive Summary -- DISEASE- AND INTERVENTION-SPECIFIC FINDINGS -- GENERAL CONCLUSIONS -- 1 Introduction -- 2 Trends in Mortality and Causes of Death in Africa -- TRENDS IN CHILD MORTALTY -- Data Collection and Estimation Techniques -- Current Levels of Mortality and Trends Since 1960 -- CAUSES OF DEATH AMONG AFRICAN CHILDREN -- Verbal Autopsies -- Studies of Causes of Death Among Infants and Children -- Effects of AIDS on Child Mortality -- SUMMARY -- 3 Immunization Programs -- MEASLES -- EPIDEMIOLOGY -- VACCINE EFFICACY -- WHY AFRICA MIGHT BE DIFFERENT -- EVIDENCE OF MORTALITY AND MORBIDITY EFFECTS FROM AFRICA -- Effects of General Measles Immunization Programs -- Effects of Measles Vaccinationin Field Trials and Model Programs -- Vaccine Field Trial in Khombole, Senegal -- Kasongo Project in Zaire -- Pahou Primary Health Care Project, Benin -- Estimates of Effect from Cases of Vaccine Failure -- Effect of Programs on Incidence in Africa -- NONLINEARITIES IN RELATIONSHIP BETWEEN COVERAGE AND EFFECT -- Vaccination and Frequency of Epidemics -- Effect of Vaccination on Age Distribution of Cases -- Changes in the Proportion of Secondary Cases -- Other Factors -- PROGRAM HISTORY, COVERAGE, AND QUALITY -- TREATMENT OF MEASLES (INCLUDING VITAMIN A) -- SUMMARY -- PERTUSSIS (WHOOPING COUGH) -- PERTUSSIS IN DEVELOPED COUNTRIES -- Epidemiology -- Vaccine Efficacy -- PERTUSSIS IN AFRICA -- Epidemiology -- Vaccine Efficacy -- PROGRAM EFFORT -- SUMMARY -- TUBERCULOSIS AND LEPROSY -- EPIDEMIOLOGY OF TUBERCULOSIS -- PREVENTION AND TREATMENT OF TUBERCULOSIS -- EFFICACY OF BACILLE CALMETTE-GUÉRIN (BCG) VACCINATION -- BCG Efficacy Against Tuberculosis in Africa -- EPIDEMIOLOGY OF LEPROSY -- PROGRAM COVERAGE -- SUMMARY -- TETANUS -- EPIDEMIOLOGY. 327 $aPROGRAMS TO REDUCE THE INCIDENCE OF NEONATAL TETANUS -- Incidence of Neonatal Tetanus Among Hospital Deliveries -- Evidence of the Effect of Training of Traditional Birth Attendants -- Evidence of the Effect of Programs that Provide Tetanus Toxoid Immunization to Women -- PROGRAM COVERAGE -- PROGRAMS TO REDUCE NONNEONATAL TETANUS MORTALITY -- SUMMARY -- CONCLUSION -- 4 Other Interventions Targeted at Single Diseases -- DIARRHEAL DISEASE CONTROL PROGRAMS -- EPIDEMIOLOGY -- TREATMENT -- SUMMARY -- MALARIA CONTROL PROGRAMS -- EPIDEMIOLOGY -- MALARIA MORTALITY IN SUB-SAHARAN AFRICA -- PROGRAM OPTIONS -- STUDIES OF THE EFFECT OF MALARIA ERADICATION ON MORTALITY -- Pare-Taveta Malaria Scheme (1954-1959) -- Kisumu Project -- Garki Project -- PRESUMPTIVE TREATMENT OF FEVERS WITH ANTIMALARIAL DRUGS -- Studies of the Effect of Programs Designed to Increase PresumptiveTreatment of Fevers with Chloroquine -- Saradidi Health Development Project -- Village Health Workers in The Gambia -- Conclusions About the Effectiveness of Programs to Increase Presumptive Treatment -- Studies of Self-Treatment -- PROGRAMS BASED ON CHEMOPROPHYLAXIS AMONG PREGNANT WOMEN -- PROGRAMS BASED ON VECTOR CONTROL -- SUMMARY -- ACUTE RESPIRATORY INFECTIONS -- EPIDEMIOLOGY -- INTERVENTIONS -- SUMMARY -- 5 Nutrition and Nutrition Programs -- INTRODUCTION -- PROTEIN-ENERGY MALNUTRITION (PEM) -- Causes of Malnutrition -- Studies of Malnutrition and Mortality in Other Regions -- Studies of the Relationship Among PEM, Morbidity, and Mortality in Africa -- PEM and Morbidity -- PEM and Mortality -- PEM and Measles Mortality -- Studies of the Effect of Nutrition Programs on Mortality in Africa -- Supplementary Feeding Programs -- Growth Monitoring -- Programs Designed to Change Breastfeeding and Weaning -- LOW BIRTHWEIGHT -- Studies of the Relationship Between Low Birthweight and Mortality. 327 $aRisk Factors for Low Birthweight -- Physically Demanding Work -- Short Birth Intervals -- Prenatal Care -- Malaria -- Effects of Programs on the Incidence of Low Birthweight -- VITAMIN A DEFICIENCY -- Studies of Vitamin A Deficiency, Morbidity, and Mortality -- Studies of Vitamin A Supplementation and Mortality Reduction -- SUMMARY -- 6 Integrated and General Health Programs -- INTRODUCTION -- CASE STUDIES OF LONG-TERM MORTALITY TRENDS -- Mlomp, Senegal -- Keneba, The Gambia, 1950-1984 -- Niakhar, Senegal, 1962-1989 -- HOSPITALS AND HEALTH CENTERS -- PRIMARY HEALTH CARE PROGRAMS -- Village Health Workers -- Pahou Primary Health Care Project -- CHILD SURVIVAL AND EXPANDED PROGRAMS ON IMMUNIZATION -- Evaluation of CCCD in Liberia -- Evaluation of CCCD in Zaire -- SUMMARY -- 7 Conclusions and Recommendations -- DISEASE- AND INTERVENTION-SPECIFIC CONCLUSIONS -- Measles -- Diarrheal Diseases -- Malaria -- Acute Respiratory Infections -- GENERAL OBSERVATIONS ABOUT THE EVALUATION OF HEALTH PROGRAMS IN AFRICA -- Appendix A Case Studies of Child Mortality -- SIERRA LEONE (WESTERN AREA) -- MACHAKOS, KENYA -- NATIONAL ESTIMATES FOR KENYA -- DAKAR AND SAINT-LOUIS, SENEGAL -- NIAKHAR, SENEGAL -- BAMAKO, MALI -- MALUMFASHI, NIGERIA -- FOUR PROVINCES OF SUDAN -- KASONGO, ZAIRE -- Appendix B Demographic and Health Survey (DHS) Reports -- References. 330 $aExamines the effects of health interventions on infant and child mortality. Discussions of levels and trends of infant and child mortality and causes of death provide the background for an analysis of treatment and prevention strategies. 410 0$aPopulation dynamics of Sub-Saharan Africa. 606 $aChildren$zAfrica, Sub-Saharan$xMortality 606 $aChildren$xDiseases$zAfrica, Sub-Saharan$xPrevention 606 $aChildren$xDiseases$xTreatment$zAfrica, Sub-Saharan 606 $aChild health services$zAfrica, Sub-Saharan 615 0$aChildren$xMortality. 615 0$aChildren$xDiseases$xPrevention. 615 0$aChildren$xDiseases$xTreatment 615 0$aChild health services 676 $a304.6 701 $aEwbank$b Douglas C$01805695 701 $aGribble$b James N$01805696 712 02$aNational Research Council (U.S.).$bWorking Group on the Effects of Child Survival and General Health Programs on Mortality. 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910960075803321 996 $aEffects of health programs on child mortality in Sub-Saharan Africa$94354430 997 $aUNINA