Primal Health Databank: Study
| Entry No: | 0229 |
| Title: | Childhood mortality among users and non-users of Primary Health Care in a rural West African community |
| Author(s): | Velema JP, Alihonou EM, et al. |
| Reference: | Int J Epidemiology 1991; 20: 474-79 |
| Place of Study: | Benin |
| Abstract: | The utilisation of the 'Palou primary health care' by 74 children aged 4 to 35 months who died in 1986 or 1987 was compared to that of 230 controls who survived and were individually matched by date of birth, sex and place of residence. The death rate was 35.9 per 1000 per year. Several findings may be mentioned in the framework of 'primal health research': 1. Measles vaccination before the first birthday significantly reduced the risk of mortality (relative risk 0.4). 2. Children who had received a single dose of diptheria-tetanus-pertussis vaccine has a 2.2 times higher risk of mortality than unvaccinated children. This difference is at the limit of statistical significance (95% confidence interval 0.93 - 5.22). The relative risks were 1.55 for 2 doses, 0.98 for 3 doses and 0.7 for 4 doses. Such differences are not statistically significant. 3. BCG vaccination did not reduce general mortality in children under three years of age to a significant degree. |
| Keyword(s): | mortality rates, vaccination |
| Discussion: | See entries 191,224. |
| See Also: | 0191, 0224 |
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