The effect of maternal and child health and family planning services on mortality: is prevention enough

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dc.contributor.authorFauveau, Vincent-
dc.contributor.authorWojtyniak, Bogdan-
dc.contributor.authorChakraborty, Jyotsnamoy-
dc.contributor.authorSarder, Abdul Majid-
dc.contributor.authorBriend, Andre-
dc.date.accessioned2012-10-09T05:21:14Z-
dc.date.available2012-10-09T05:21:14Z-
dc.date.issued1990-07-
dc.identifier.citationBMJ 1990 Jul 14;301(6743):103-7en
dc.identifier.urihttp://hdl.handle.net/123456789/3984-
dc.description.abstractOBJECTIVE: To examine the impact on mortality of a child survival strategy, mostly based on preventive interventions. DESIGN: Cross sectional comparison of cause specific mortality in two communities differing in the type, coverage, and quality of maternal and child health and family planning services. In the intervention area the services were mainly preventive, community based, and home delivered. SUBJECTS: Neonates, infants, children, and mothers in two contiguous areas of rural Bangladesh. INTERVENTIONS: In the intervention area community health workers provided advice on contraception and on feeding and weaning babies; distributed oral rehydration solution, vitamin A tablets for children under 5, and ferrous fumarate and folic acid during pregnancy; immunised children; trained birth attendants in safe delivery and when to refer; treated minor ailments; and referred seriously ill people and malnourished children to a central clinic. MAIN OUTCOME MEASURES: Overall and age and cause specific death rates, obtained by a multiple step "verbal autopsy" process. RESULTS: During the two years covered by the study overall mortality was 17% lower among neonates, 9% lower among infants aged 1-5 months, 30% lower among children aged 6-35 months, and 19% lower among women living in the study area than in those living in the control area. These differences were mainly due to fewer deaths from neonatal tetanus, measles, persistent diarrhoea with severe malnutrition among children, and fewer abortions among women. CONCLUSIONS: The programme was effective in preventing some deaths. In addition to preventive components such as tetanus and measles immunisation, health and nutrition education, and family planning, curative services are needed to reduce mortality furtheren
dc.format.extent318563 bytes-
dc.format.mimetypeapplication/pdf-
dc.language.isoenen
dc.subjectChild Health Servicesen
dc.subjectChild, Preschoolen
dc.subjectCross-Sectional Studiesen
dc.subjectFamily Planning Servicesen
dc.subjectInfant Mortalityen
dc.subjectMaternal Health Servicesen
dc.subjectMortalityen
dc.subjectPregnancyen
dc.subjectPrimary Health Careen
dc.subjectPrimary Preventionen
dc.titleThe effect of maternal and child health and family planning services on mortality: is prevention enoughen
dc.typeArticleen
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