Neonatal tetanus mortality in coastal Kenya

a community survey

P Bjerregaard, R Steinglass, D M Mutie, G Kimani, M Mjomba, V Orinda

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

In a house-to-house survey in Kilifi District, Kenya, mothers of 2556 liveborn children were interviewed about neonatal mortality, especially from neonatal tetanus (NNT). The crude birth rate was 60.5 per 1000 population, the neonatal mortality rate 21.1 and the NNT mortality rate 3.1 per 1000 livebirths. The neonatal and NNT mortality rates were higher in boys than in girls. Neonatal tetanus was not associated with mother's age, parity, or history of previous child death. The majority of the children (72%) were adequately protected at birth against NNT; in those with documented protection NNT mortality was 0, in those with undocumented protection 1.2 and in other children 8.5 per 1000 livebirths. Other risk factors for NNT included home delivery, untrained assistance during delivery, unhygienic cord cutting and application of potentially infectious substances on the umbilical stump. The survey indicates that over the past decade the surveyed area has greatly reduced neonatal and NNT mortality. Possible strategies for accelerated NNT control have been identified by the survey.

OriginalsprogEngelsk
TidsskriftInternational Journal of Epidemiology
Vol/bind22
Udgave nummer1
Sider (fra-til)163-9
Antal sider7
ISSN0300-5771
StatusUdgivet - feb. 1993

Fingeraftryk

Kenya
Mothers
Umbilicus
Surveys and Questionnaires
Parity

Citer dette

Bjerregaard, P., Steinglass, R., Mutie, D. M., Kimani, G., Mjomba, M., & Orinda, V. (1993). Neonatal tetanus mortality in coastal Kenya: a community survey. International Journal of Epidemiology, 22(1), 163-9.
Bjerregaard, P ; Steinglass, R ; Mutie, D M ; Kimani, G ; Mjomba, M ; Orinda, V. / Neonatal tetanus mortality in coastal Kenya : a community survey. I: International Journal of Epidemiology. 1993 ; Bind 22, Nr. 1. s. 163-9.
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title = "Neonatal tetanus mortality in coastal Kenya: a community survey",
abstract = "In a house-to-house survey in Kilifi District, Kenya, mothers of 2556 liveborn children were interviewed about neonatal mortality, especially from neonatal tetanus (NNT). The crude birth rate was 60.5 per 1000 population, the neonatal mortality rate 21.1 and the NNT mortality rate 3.1 per 1000 livebirths. The neonatal and NNT mortality rates were higher in boys than in girls. Neonatal tetanus was not associated with mother's age, parity, or history of previous child death. The majority of the children (72{\%}) were adequately protected at birth against NNT; in those with documented protection NNT mortality was 0, in those with undocumented protection 1.2 and in other children 8.5 per 1000 livebirths. Other risk factors for NNT included home delivery, untrained assistance during delivery, unhygienic cord cutting and application of potentially infectious substances on the umbilical stump. The survey indicates that over the past decade the surveyed area has greatly reduced neonatal and NNT mortality. Possible strategies for accelerated NNT control have been identified by the survey.",
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Bjerregaard, P, Steinglass, R, Mutie, DM, Kimani, G, Mjomba, M & Orinda, V 1993, 'Neonatal tetanus mortality in coastal Kenya: a community survey', International Journal of Epidemiology, bind 22, nr. 1, s. 163-9.

Neonatal tetanus mortality in coastal Kenya : a community survey. / Bjerregaard, P; Steinglass, R; Mutie, D M; Kimani, G; Mjomba, M; Orinda, V.

I: International Journal of Epidemiology, Bind 22, Nr. 1, 02.1993, s. 163-9.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Neonatal tetanus mortality in coastal Kenya

T2 - a community survey

AU - Bjerregaard, P

AU - Steinglass, R

AU - Mutie, D M

AU - Kimani, G

AU - Mjomba, M

AU - Orinda, V

PY - 1993/2

Y1 - 1993/2

N2 - In a house-to-house survey in Kilifi District, Kenya, mothers of 2556 liveborn children were interviewed about neonatal mortality, especially from neonatal tetanus (NNT). The crude birth rate was 60.5 per 1000 population, the neonatal mortality rate 21.1 and the NNT mortality rate 3.1 per 1000 livebirths. The neonatal and NNT mortality rates were higher in boys than in girls. Neonatal tetanus was not associated with mother's age, parity, or history of previous child death. The majority of the children (72%) were adequately protected at birth against NNT; in those with documented protection NNT mortality was 0, in those with undocumented protection 1.2 and in other children 8.5 per 1000 livebirths. Other risk factors for NNT included home delivery, untrained assistance during delivery, unhygienic cord cutting and application of potentially infectious substances on the umbilical stump. The survey indicates that over the past decade the surveyed area has greatly reduced neonatal and NNT mortality. Possible strategies for accelerated NNT control have been identified by the survey.

AB - In a house-to-house survey in Kilifi District, Kenya, mothers of 2556 liveborn children were interviewed about neonatal mortality, especially from neonatal tetanus (NNT). The crude birth rate was 60.5 per 1000 population, the neonatal mortality rate 21.1 and the NNT mortality rate 3.1 per 1000 livebirths. The neonatal and NNT mortality rates were higher in boys than in girls. Neonatal tetanus was not associated with mother's age, parity, or history of previous child death. The majority of the children (72%) were adequately protected at birth against NNT; in those with documented protection NNT mortality was 0, in those with undocumented protection 1.2 and in other children 8.5 per 1000 livebirths. Other risk factors for NNT included home delivery, untrained assistance during delivery, unhygienic cord cutting and application of potentially infectious substances on the umbilical stump. The survey indicates that over the past decade the surveyed area has greatly reduced neonatal and NNT mortality. Possible strategies for accelerated NNT control have been identified by the survey.

KW - Female

KW - Humans

KW - Immunity, Maternally-Acquired

KW - Infant Mortality

KW - Infant, Newborn

KW - Kenya

KW - Male

KW - Pregnancy

KW - Tetanus

KW - Tetanus Toxoid

M3 - Journal article

VL - 22

SP - 163

EP - 169

JO - International Journal of Epidemiology

JF - International Journal of Epidemiology

SN - 0300-5771

IS - 1

ER -

Bjerregaard P, Steinglass R, Mutie DM, Kimani G, Mjomba M, Orinda V. Neonatal tetanus mortality in coastal Kenya: a community survey. International Journal of Epidemiology. 1993 feb;22(1):163-9.