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Mortality patterns in a rural Kenyan community.

N M Mirza1, W M Macharia, E M Wafula

  • 1Department of Paediatrics, College of Health Sciences, University of Nairobi.

East African Medical Journal
|November 1, 1990
PubMed
Summary
This summary is machine-generated.

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Child mortality in rural areas is highest in infancy, primarily due to acute respiratory infections (ARI) like pneumonia and measles, and diarrheal diseases. Despite healthcare access, many deaths occur outside health facilities.

Area of Science:

  • Pediatrics
  • Public Health
  • Epidemiology

Background:

  • Child mortality remains a significant global health challenge, particularly in rural communities.
  • Understanding the specific causes of death is crucial for targeted interventions.

Purpose of the Study:

  • To determine the causes of death in children under five years in a rural setting.
  • To identify the most prevalent causes of mortality and age-specific trends.

Main Methods:

  • A study was conducted on 239 children under five years in a rural community.
  • Structured questionnaires were used to collect data on causes of death.

Main Results:

  • Infant mortality accounted for 63% of all deaths, with a decline in mortality as age increased.
Keywords:
AfricaAfrica South Of The SaharaAge FactorsCauses Of DeathChild MortalityCommunicationCommunity SurveysDemographic FactorsDeveloping CountriesDiarrheaDiarrhea, InfantileDiseasesEastern AfricaEnglish Speaking AfricaExaminations And DiagnosesFollow-up StudiesHome VisitsIncidenceInfant MortalityKenyaMeasurementMortalityPopulationPopulation CharacteristicsPopulation DynamicsResearch MethodologyRural PopulationSampling StudiesSeasonal VariationSex FactorsStudiesSurveys

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  • Acute Respiratory Infections (ARI), including pneumonia and measles, were the leading cause (49%), followed by diarrheal illnesses (8.8%).
  • 51.5% of deaths occurred outside health facilities, despite 77% of children receiving treatment at a facility during their final illness.

    • Conclusions:

    • ARI and diarrheal diseases are major contributors to under-five mortality in this rural population.
    • There is a critical gap in ensuring deaths are managed within health facilities, even when healthcare is accessed.