期刊名称：The Journal of Health, Population and Nutrition
印刷版ISSN：1606-0997
电子版ISSN：2072-1315
出版年度：2009
卷号：27
期号：6
页码：755-762
出版社：International Centre for Diarrhoeal Disease Research Bangladesh
摘要：The study was conducted to analyze recent trends in the coverage of selected child-survival interventions.
A systematic analysis of the coverage of six key child-health interventions in 29 African and Asian countries
that had two recent demographic and health surveys—the latest one carried out in 2001 onwards and the
immediately preceding survey conducted after 1990—was undertaken. A regression model was used for
examining the relationship between the changes in the coverage of interventions and the changes in rates
of mortality among children aged less than five years (under-five mortality). A limited increase in the coverage
of key child-health interventions occurred in the past 5-10 years in these 29 countries in sub-Saharan
Africa and Asia. More than half of the countries had no significant improvement or a significant reduction
in the coverage of oral rehydration therapy (ORT) for diarrhoea (17/29) and care-seeking for acute respiratory
infection (ARI) (16/29). Results of multivariate analysis revealed that increases in the coverage of early
initiation of breastfeeding, ORT for diarrhoea, and care-seeking for ARI were significantly associated with
reductions in under-five mortality. The results of this analysis should serve as a wake-up call for policymakers
and programme managers in countries, donors, and international agencies to accelerate efforts to
increase the coverage of key child-survival interventions. The following three main actions are proposed:
setting of the clear target; mobilization of resources for increasing skilled birth attendants and health workers
trained in integrated management of childhood illness; and implementation of community-based
approaches.
