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Determinants of mortality among children in the urban slums of Dhaka city, Bangladesh
Summary The growing slum population in the developing world is an increasing challenge for local health authorities. Little is known of the patterns of disease occurrence including treatment types offered in this population. The paper describes reported child mortality and its determinants, includin...
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| Published in: | Tropical medicine & international health 1999-11, Vol.4 (11), p.758-764 |
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| cites | cdi_FETCH-LOGICAL-c4435-151b88a2dec6b79d9f2decda82b374c10788ed37de0995e7a7f7aacfeae2d39e3 |
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| container_issue | 11 |
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| container_title | Tropical medicine & international health |
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| creator | Hussain, Akhtar Ali, S. M. Keramat Kvåle, Gunnar |
| description | Summary The growing slum population in the developing world is an increasing challenge for local health authorities. Little is known of the patterns of disease occurrence including treatment types offered in this population. The paper describes reported child mortality and its determinants, including the main diseases affecting children and treatments, in the slum population of Dhaka city, Bangladesh. 1500 households in three slum communities were included in a cross‐sectional survey. Reported death rates in the households per 1000 children (0–107 months) within the last year from the interview were 20.5 for boys and 27.0 for girls. More girls than boys died in infancy (age |
| doi_str_mv | 10.1046/j.1365-3156.1999.00485.x |
| format | article |
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M. Keramat ; Kvåle, Gunnar</creator><creatorcontrib>Hussain, Akhtar ; Ali, S. M. Keramat ; Kvåle, Gunnar</creatorcontrib><description>Summary The growing slum population in the developing world is an increasing challenge for local health authorities. Little is known of the patterns of disease occurrence including treatment types offered in this population. The paper describes reported child mortality and its determinants, including the main diseases affecting children and treatments, in the slum population of Dhaka city, Bangladesh. 1500 households in three slum communities were included in a cross‐sectional survey. Reported death rates in the households per 1000 children (0–107 months) within the last year from the interview were 20.5 for boys and 27.0 for girls. More girls than boys died in infancy (age < 12 months). The most frequent reported causes of deaths were tetanus in infancy and diarrhoea among children aged ≤ 12 months. Vaccination coverage (DPT, polio, measles and BCG) was 73% for children < 3 years of age. The results showed that gender difference in mortality may have been influenced by the patterns of treatment received during sickness and the choice of treatment was determined by the financial ability of the households. Household income, children's vaccinations, TT immunization of mothers and personal cleanliness appeared to be significantly associated with child mortality. Despite the relatively high vaccination coverage for this population, child mortality remained alarmingly high, indicating that socioeconomic and environmental conditions must be improved to substantially reduce morbidity and mortality in this population.</description><identifier>ISSN: 1360-2276</identifier><identifier>EISSN: 1365-3156</identifier><identifier>DOI: 10.1046/j.1365-3156.1999.00485.x</identifier><identifier>PMID: 10588770</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Accidents - mortality ; Age Distribution ; Analysis. Health state ; Bangladesh ; Biological and medical sciences ; Child ; child mortality ; Child, Preschool ; Diarrhea - mortality ; Epidemiology ; Female ; Fever - mortality ; General aspects ; Health Surveys ; Humans ; hygiene ; Infant ; Infant Mortality ; Infant, Newborn ; Male ; Measles - mortality ; Medical sciences ; Odds Ratio ; Poverty Areas ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Respiratory Tract Infections - mortality ; Sex Distribution ; slums ; Socioeconomic Factors ; Tetanus - mortality ; Tropical medicine ; Urban Health ; vaccination</subject><ispartof>Tropical medicine & international health, 1999-11, Vol.4 (11), p.758-764</ispartof><rights>1999 Blackwell Science Ltd</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4435-151b88a2dec6b79d9f2decda82b374c10788ed37de0995e7a7f7aacfeae2d39e3</citedby><cites>FETCH-LOGICAL-c4435-151b88a2dec6b79d9f2decda82b374c10788ed37de0995e7a7f7aacfeae2d39e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1225506$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10588770$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hussain, Akhtar</creatorcontrib><creatorcontrib>Ali, S. M. Keramat</creatorcontrib><creatorcontrib>Kvåle, Gunnar</creatorcontrib><title>Determinants of mortality among children in the urban slums of Dhaka city, Bangladesh</title><title>Tropical medicine & international health</title><addtitle>Trop Med Int Health</addtitle><description>Summary The growing slum population in the developing world is an increasing challenge for local health authorities. Little is known of the patterns of disease occurrence including treatment types offered in this population. The paper describes reported child mortality and its determinants, including the main diseases affecting children and treatments, in the slum population of Dhaka city, Bangladesh. 1500 households in three slum communities were included in a cross‐sectional survey. Reported death rates in the households per 1000 children (0–107 months) within the last year from the interview were 20.5 for boys and 27.0 for girls. More girls than boys died in infancy (age < 12 months). The most frequent reported causes of deaths were tetanus in infancy and diarrhoea among children aged ≤ 12 months. Vaccination coverage (DPT, polio, measles and BCG) was 73% for children < 3 years of age. The results showed that gender difference in mortality may have been influenced by the patterns of treatment received during sickness and the choice of treatment was determined by the financial ability of the households. Household income, children's vaccinations, TT immunization of mothers and personal cleanliness appeared to be significantly associated with child mortality. Despite the relatively high vaccination coverage for this population, child mortality remained alarmingly high, indicating that socioeconomic and environmental conditions must be improved to substantially reduce morbidity and mortality in this population.</description><subject>Accidents - mortality</subject><subject>Age Distribution</subject><subject>Analysis. Health state</subject><subject>Bangladesh</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>child mortality</subject><subject>Child, Preschool</subject><subject>Diarrhea - mortality</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Fever - mortality</subject><subject>General aspects</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>hygiene</subject><subject>Infant</subject><subject>Infant Mortality</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Measles - mortality</subject><subject>Medical sciences</subject><subject>Odds Ratio</subject><subject>Poverty Areas</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Respiratory Tract Infections - mortality</subject><subject>Sex Distribution</subject><subject>slums</subject><subject>Socioeconomic Factors</subject><subject>Tetanus - mortality</subject><subject>Tropical medicine</subject><subject>Urban Health</subject><subject>vaccination</subject><issn>1360-2276</issn><issn>1365-3156</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><recordid>eNqNkE1v1DAQhi0Eoh_wF5APiBMJdhzHtsSFthQqFXFpz9bEnnSzOE6xE9H99yS7K-DIaV5pnndGegihnJWc1c2HbclFIwvBZVNyY0zJWK1l-fSMnP5ZPN9nVlSVak7IWc5btlC1bF6SE86k1kqxU3J_hROmoY8Qp0zHjg5jmiD0047CMMYH6jZ98Akj7SOdNkjn1EKkOczDHr_awA-gbuHf0wuIDwE85s0r8qKDkPH1cZ6T--vPd5dfi9vvX24uP90Wrq6FLLjkrdZQeXRNq4w33Ro96KoVqnacKa3RC-WRGSNRgeoUgOsQsPLCoDgn7w53H9P4c8Y82aHPDkOAiOOcbWNEzSpdL6A-gC6NOSfs7GPqB0g7y5ldldqtXc3Z1Zxdldq9Uvu0VN8cf8ztgP6f4sHhArw9ApAdhC5BdH3-y1WVlKxZsI8H7FcfcPff_-3dt5sliN-hW5Ks</recordid><startdate>199911</startdate><enddate>199911</enddate><creator>Hussain, Akhtar</creator><creator>Ali, S. 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Health state</topic><topic>Bangladesh</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>child mortality</topic><topic>Child, Preschool</topic><topic>Diarrhea - mortality</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Fever - mortality</topic><topic>General aspects</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>hygiene</topic><topic>Infant</topic><topic>Infant Mortality</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Measles - mortality</topic><topic>Medical sciences</topic><topic>Odds Ratio</topic><topic>Poverty Areas</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Respiratory Tract Infections - mortality</topic><topic>Sex Distribution</topic><topic>slums</topic><topic>Socioeconomic Factors</topic><topic>Tetanus - mortality</topic><topic>Tropical medicine</topic><topic>Urban Health</topic><topic>vaccination</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hussain, Akhtar</creatorcontrib><creatorcontrib>Ali, S. M. Keramat</creatorcontrib><creatorcontrib>Kvåle, Gunnar</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Tropical medicine & international health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hussain, Akhtar</au><au>Ali, S. M. Keramat</au><au>Kvåle, Gunnar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determinants of mortality among children in the urban slums of Dhaka city, Bangladesh</atitle><jtitle>Tropical medicine & international health</jtitle><addtitle>Trop Med Int Health</addtitle><date>1999-11</date><risdate>1999</risdate><volume>4</volume><issue>11</issue><spage>758</spage><epage>764</epage><pages>758-764</pages><issn>1360-2276</issn><eissn>1365-3156</eissn><abstract>Summary The growing slum population in the developing world is an increasing challenge for local health authorities. Little is known of the patterns of disease occurrence including treatment types offered in this population. The paper describes reported child mortality and its determinants, including the main diseases affecting children and treatments, in the slum population of Dhaka city, Bangladesh. 1500 households in three slum communities were included in a cross‐sectional survey. Reported death rates in the households per 1000 children (0–107 months) within the last year from the interview were 20.5 for boys and 27.0 for girls. More girls than boys died in infancy (age < 12 months). The most frequent reported causes of deaths were tetanus in infancy and diarrhoea among children aged ≤ 12 months. Vaccination coverage (DPT, polio, measles and BCG) was 73% for children < 3 years of age. The results showed that gender difference in mortality may have been influenced by the patterns of treatment received during sickness and the choice of treatment was determined by the financial ability of the households. Household income, children's vaccinations, TT immunization of mothers and personal cleanliness appeared to be significantly associated with child mortality. Despite the relatively high vaccination coverage for this population, child mortality remained alarmingly high, indicating that socioeconomic and environmental conditions must be improved to substantially reduce morbidity and mortality in this population.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>10588770</pmid><doi>10.1046/j.1365-3156.1999.00485.x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1360-2276 |
| ispartof | Tropical medicine & international health, 1999-11, Vol.4 (11), p.758-764 |
| issn | 1360-2276 1365-3156 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_69340284 |
| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Accidents - mortality Age Distribution Analysis. Health state Bangladesh Biological and medical sciences Child child mortality Child, Preschool Diarrhea - mortality Epidemiology Female Fever - mortality General aspects Health Surveys Humans hygiene Infant Infant Mortality Infant, Newborn Male Measles - mortality Medical sciences Odds Ratio Poverty Areas Public health. Hygiene Public health. Hygiene-occupational medicine Respiratory Tract Infections - mortality Sex Distribution slums Socioeconomic Factors Tetanus - mortality Tropical medicine Urban Health vaccination |
| title | Determinants of mortality among children in the urban slums of Dhaka city, Bangladesh |
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