文章基本信息

标题：High concentration of childhood deaths in the low-lying areas of Chakaria HDSS, Bangladesh: findings from a spatial analysis
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作者：Syed Manzoor Ahmed Hanifi ; Muhammad Zahirul Haq ; Rumesa Rowen Aziz 等
期刊名称：Global Health Action
印刷版ISSN：1654-9716
电子版ISSN：1654-9880
出版年度：2010
卷号：3
期号：0
DOI：10.3402/gha.v3i0.5274
语种：English
出版社：Taylor & Francis
摘要：Background: Despite significant reduction of childhood mortality in Bangladesh, large spatial variations persist. Identification of lower level spatial units with higher concentrations of deaths can be useful for strengthening services in these areas. This paper reports findings from a spatial analysis of deaths in Chakaria, a rural subdistrict, where a Health and Demographic Surveillance System has been in place since 1999. Chakaria is an INDEPTH member site. Methods: An analysis was done of 339 deaths among nearly 24,500 children under the age of five during 2005-2008. One ward, the lowest level of administrative units, was the unit of spatial analysis. Data from 24 wards were analyzed. The Discrete Poisson Probability Model was used to identify the clustering of deaths. Results: Deaths were concentrated within 12 wards located in the low-lying deltaic flood plains of the Chakaria HDSS area. The risk of death in the low-lying areas was statistically significantly higher, 1.5 times, than the non-low-lying areas (p<0.02). Conclusion: Spatial analysis can be a useful tool for identifying high-risk mortality areas. An understanding of the risk factors prevalent in the low-lying areas can help design effective interventions to reduce mortality in these areas. Keywords: Chakaria; childhood mortality; clustering; demographic surveillance; low-lying area; INDEPTH (Published: 30 August 2010) Citation: Global Health Action Supplement 1, 2010. DOI: 10.3402/gha.v3i0.5274
关键词：Public Health;Community Health;Epidemiology;Chakaria, Childhood mortality, clustering, demographic surveillance, low-lying area, INDEPTH;Subclass RA