2008年全球,区域和国家儿童死亡原因:系统分析
Robert E Black1, Simon Cousens, Hope L Johnson
1Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. rblack@jhsph.edu
Lancet (London, England)
|May 15, 2010
概括
2008年,肺炎和腹等传染病是5岁以下儿童死亡的主要原因. 解决母亲,新生儿和儿童健康干预措施对于降低儿童死亡率至关重要.
科学领域:
- 全球儿童健康 儿童健康
- 流行病学 流行病学
- 人口统计学 人口统计学
背景情况:
- 准确的儿童死亡原因数据对于全球儿童生存计划至关重要.
- 本研究对2008年关于五岁以下儿童主要死亡原因的最新估计进行了评估.
研究的目的:
- 为2008年提供有关儿童死亡原因的最新全球估计.
- 为改善全球儿童存活率提供有针对性的干预措施和资源配置信息.
主要方法:
- 利用新生儿 (0-27天) 和儿童 (1-59个月) 的多因相称死亡模型.
- 包含单一原因疾病模型和重要登记数据,如有.
- 193个国家的死亡原因估计,根据全球,区域和国家原因计算死亡人数.
主要成果:
- 2008年,全球估计有879.5万名5岁以下儿童死亡.
- 传染病导致68%的死亡,主要是肺炎 (18%),腹 (15%) 和疟疾 (8%).
- 新生儿死亡 (41%) 主要是由于早产并发症 (12%),出生窒息 (9%) 和败血症 (6%).
结论:
- 具体的国家估计对于集中国家计划和捐助者援助至关重要.
- 实现千年发展目标4需要通过对母亲,新生儿和儿童健康的干预来解决高死亡率的问题.
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