2001年4月,阿富汗科希斯坦地区的营养不良和死亡率
F Assefa1, M Z Jabarkhil, P Salama
1Save the Children-USA, 2000 M St NW, Suite 500, Washington, DC 20036, USA. fassefa1@dc.savechildren.org
JAMA
|December 26, 2001
概括
阿富汗 阿富汗 阿富汗 阿富汗
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 人道主义研究 人道主义研究
背景情况:
- 由于长期的内战和严重的干旱,阿富汗的人道主义形势恶化.
- 国际机构预测危机的严重升级.
- 该研究的重点是法里亚布省的科希斯坦地区,该地区面临着严峻的挑战.
研究的目的:
- 确定科希斯坦地区的死亡率及其原因.
- 评估该地区儿童营养不良的流行情况.
- 识别食物应对机制,表明人道主义危机.
主要方法:
- 2001年4月4日至10日进行了两阶段的30集群家庭调查.
- 数据收集包括人体测量,食物应对策略和回顾性死亡率.
- 该调查涵盖了378个家庭,共有3165个人.
主要成果:
- 粗略的死亡率为每天每1万名儿童中有2.6人;在5岁以下的儿童中,每天每1万名儿童中有5.9人.
- 死亡的主要原因包括腹 (25.0%),呼吸道感染 (19.4%) 和麻疹 (15.7%).
- 营养不良很高,在6-59个月的儿童中,7.0%的消耗和63.7%的衰老. 存在粮食不安全指标.
结论:
- 2001年4月,科希斯坦面临严重的人道主义危机.
- 迫切需要基本服务,如粮食援助和公共卫生计划.
- 对于援助组织来说,建立"人道主义空间"至关重要,以访问人口并防止进一步的危机升级.
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