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Children in Juba, southern Sudan: the second and third years of life

A W Woodruff, E A Adamson, A el Suni

    Lancet (London, England)
    |September 13, 1986
    PubMed

    Insights

    Chronic undernutrition significantly impacted child health, causing high mortality and faltering weight gain. Interventions like day-care centers and health education are crucial for improving child survival and development.

    Area of Science:

    • Child Health
    • Pediatrics
    • Public Health

    Background:

    • Prospective child health study followed children to 36 months.
    • High mortality rate (8.1%) observed in the second year of life.
    • Chronic undernutrition identified as the primary cause of death.

    Purpose of the Study:

    • To assess child health outcomes up to 36 months.
    • To identify causes of mortality and morbidity.
    • To evaluate the impact of interventions on child health.

    Main Methods:

    • Prospective cohort study design.
    • Monitoring child mortality, weight gain, and nutritional status.
    • Assessing developmental delays and disease transmission (Hepatitis B).

    Main Results:

    • 79 children experienced 76 episodes of faltering weight gain; 47 lost 0.5 kg.
    • Marasmus complicated 18 episodes, resulting in 3 deaths.
    • Children remaining in Juba showed improved health and no marasmus by 36 months.
    • 15 of 53 children exhibited developmental delay, with 7 showing persistent delay after 10 months.
    • Hepatitis B transmission occurred from mothers and other sources.

    Conclusions:

    • Chronic undernutrition poses a severe threat to child survival and development.
    • Day-care centers and targeted health education can mitigate undernutrition effects.
    • Early intervention and improved care environments are essential for better child health outcomes.

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