WHY DO CHILD-MORTALITY RATES FALL - AN ANALYSIS OF THE NICARAGUAN EXPERIENCE

被引:43
作者
SANDIFORD, P
MORALES, P
GORTER, A
COYLE, E
SMITH, GD
机构
[1] UNIV NACL INGN,PROGRAMA INGN AMBIENTAL,MANAGUA,NICARAGUA
[2] MINIST HLTH,MANAGUA,NICARAGUA
[3] S GLAMORGAN HLTH AUTHOR,CARDIFF CF1 3NW,S GLAM,WALES
[4] UNIV LONDON LONDON SCH HYG & TROP MED,LONDON WC1E 7HT,ENGLAND
关键词
D O I
10.2105/AJPH.81.1.30
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
A comprehensive review of available sources of mortality data was undertaken to document the changes that have occurred in infant mortality in Nicaragua over the last three decades. It was found that a rapid fall in infant mortality commenced in the early 1970s and has continued steadily since. Trends in several different factors which might have led to this breakthrough were examined including: income, nutrition, breastfeeding practices, maternal education, immunizations, access to health services, provision of water supplies and sanitation, and anti-malarial programs. Of these, improved access to health services appears to have been the most important factor. At a time when the number of hospital beds per capita was dropping, increasing numbers of health care professionals, particularly nurses, were becoming available to staff primary health care facilities built in the 1960s. These were provided at least partly in response to the growing political turmoil enveloping the nation at that time. Certain Nicaraguan cultural attributes may have added to the impact of the reforms. Efforts in the field of public health made since the 1979 insurrection appear to have maintained the decline in child mortality.
引用
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页码:30 / 37
页数:8
相关论文
共 45 条
[1]  
BEHM H, 1977, CELADE1036 A
[2]   ROUTES TO LOW MORTALITY IN POOR COUNTRIES [J].
CALDWELL, JC .
POPULATION AND DEVELOPMENT REVIEW, 1986, 12 (02) :171-220
[3]  
Close David, 1988, NICARAGUA POLITICS E
[4]  
Coale AJ, 1966, REGIONAL MODEL LIFE
[5]  
*CTR INV EST SAL, 1988, ENF RIESG EST NUTR N
[6]  
*CTR LAT DEM, 1988, MORT NIN CENTR PAN B
[8]  
*DEP POBL SECR PLA, 1985, CONS SIST NAC EST VI
[9]  
*DIR GEN EST CENS, CENS NAC 1950
[10]  
*DIR GEN EST CENS, 1969, SER AS, V17