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Published on: April 19, 2017
Infants in Juba, southern Sudan: the first twelve months of life
Insights
High infant mortality (11.8%) in Juba was linked to diarrhea, with contaminated water suspected. Poor growth and development were observed in infants by 12 months.
Area of Science:
- Pediatrics
- Global Health
- Epidemiology
Background:
- Infant health in Juba requires urgent attention.
- Diarrheal diseases pose a significant threat to infant survival and development.
Purpose of the Study:
- To assess infant mortality and health outcomes in Juba up to 12 months.
- To identify key factors contributing to infant mortality and poor development.
Main Methods:
- A prospective survey tracking child health from birth to 12 months.
- Monthly home visits and data collection on mortality, growth, and feeding practices.
Main Results:
- An infant mortality rate of 11.8% was recorded.
- Diarrhea was implicated in 11 of 15 infant deaths.
- Infants showed satisfactory length growth but low weight (3rd centile) and below-normal head circumference.
- Contaminated water was suspected due to frequent diarrhea before supplementary feeding.
Conclusions:
- Diarrhea is a major contributor to infant mortality in Juba.
- Poor infant nutrition and development are significant concerns.
- Interventions targeting water safety and infant feeding are crucial.
Abstract:
A prospective survey of child health in Juba has been continued till the infants were 12 months old. They were visited monthly or more often if unwell. During the second 6 months of life 6 died; these deaths added to the 9 which occurred in the first 6 months produced an infant mortality rate of 11.8%. Diarrhoea was the whole or a partial cause of 11 of the 15 deaths in the first year. Growth in length by 12 months was satisfactory but the mean weight of the study infants was then at the third centile for healthy girls. Head circumference at 12 months was below normal and poor development was associated with the smaller head circumferences. Supplementary feeding had been started for all babies by the 12th month but only 4 of 127 had been weaned. 30 documented attacks of diarrhoea took place before supplementary feeding was started, suggesting that water given to infants is often contaminated.
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