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Bull World Health Organ. 2008 Sep;86(9):710-7.

Estimating child mortality due to diarrhoea in developing countries.

Author information

  • 1Child and Adolescent Health, World Health Organization, Geneva, Switzerland. pintoc@who.int

Abstract

OBJECTIVE:

The major objective of this study is to provide estimates of diarrhoea mortality at country, regional and global level by employing the Child Health Epidemiology Reference Group (CHERG) standard.

METHODS:

A systematic and comprehensive literature review was undertaken of all studies published since 1980 reporting under-5 diarrhoea mortality. Information was collected on characteristics of each study and its population. A regression model was used to relate these characteristics to proportional mortality from diarrhoea and to predict its distribution in national populations.

FINDINGS:

Global deaths from diarrhoea of children aged less than 5 years were estimated at 1.87 million (95% confidence interval, CI: 1.56-2.19), approximately 19% of total child deaths. WHO African and South-East Asia Regions combined contain 78% (1.46 million) of all diarrhoea deaths occurring among children in the developing world; 73% of these deaths are concentrated in just 15 developing countries.

CONCLUSION:

Planning and evaluation of interventions to control diarrhoea deaths and to reduce under-5 mortality is obstructed by the lack of a system that regularly generates cause-of-death information. The methods used here provide country-level estimates that constitute alternative information for planning in settings without adequate data.

PMID:
18797647
[PubMed - indexed for MEDLINE]
PMCID:
PMC2649491
Free PMC Article

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