Flood control embankments contribute to the improvement of the health status of children in rural Bangladesh

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dc.contributor.authorMyaux, J.A.-
dc.contributor.authorAli, M.-
dc.contributor.authorChakraborty, J.-
dc.contributor.authorde Francisco, A.-
dc.identifier.citationBull World Health Organ 1997;75(6):533-9en
dc.description.abstractEvery year, Bangladesh experiences major floods that inundate about one-third of the country. Therefore, flood control projects that comprise earthen dikes and irrigation/drainage systems are built along the major rivers to protect the people living in low-lying areas, stabilize the river banks and improve agricultural productivity. However, the adverse effects of these projects are regularly emphasized, such as environmental degradation and reduction of fishing supplies. The Demographic Surveillance System of the International Centre for Diarrhoeal Diseases Research, Bangladesh (ICDDR,B) was used to assess the effect of a flood control programme on the mortality of 0-4-year-old children residing in the Matlab study area. Adjusted mortality rates were used in comparing four adjacent child populations residing either inside or outside a flood-control embankment and according to the type of health services provided in this area. Between the periods 1983-86 and 1989-92, the crude child mortality in the total study area decreased by 37%, from 185.9 per 1000 live births to 117.9 per 1000 live births. Following the construction of the embankment, death rates outside were up to 29% higher in 1-4-year-old children and 9% higher for 0-4-year age group compared to the flood-protected area (P < 0.001). Simultaneously, in the same study area, health interventions contributed to a 40% reduction in mortality among children less than 5 years of age in all causes of deaths (P < 0.001). Migration patterns and the effect of distances to the hospital are discusseden
dc.format.extent439103 bytes-
dc.subjectChild healthen
dc.subjectChild health servicesen
dc.subjectImpact studiesen
dc.subjectInfant mortalityen
dc.subjectMaternal-child healthen
dc.titleFlood control embankments contribute to the improvement of the health status of children in rural Bangladeshen
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