The Butajira Rural Health Project in Ethiopia: a nested case-referent (control) study of under-5 mortality and its health and behavioural determinants.
The associations between under-5 mortality and its health and behavioural determinants were investigated in a rural district of Ethiopia, by means of a concurrent case-referent technique nested within a study-base population established in 1987. Three-hundred and six infant and child deaths registered over a period of 1 year, were contrasted with 612 controls, matched for age, sex and study area. Data were collected by trained non-medical workers using a structured questionnaire. Breastfeeding and supplementary feeding came out as strongly protective against under-5 mortality, even when controlling for parental and environmental determinants. Early termination of breastfeeding was demonstrated to have a substantial impact on mortality, particularly on that caused by diarrhoea. Late introduction of supplementary feeding, particularly of protein origin, was also associated with increased under-5 mortality. When the relative impacts of parental, environmental and behavioural determinants are compared, the greater impact of parental factors can be demonstrated, especially among infants.
Shamebo
D
D
Department of Community Health, Addis Ababa University, Ethiopia.
Muhe
L
L
Sandström
A
A
Freij
L
L
Krantz
I
I
Wall
S
S
D000367:Age Factors; D001942:Breast Feeding; D016022:Case-Control Studies; D002423:Cause of Death; D002669:Child Welfare; D002675:Child, Preschool; D004044:Dietary Proteins; D004777:Environment; D005002:Ethiopia / Q000453:epidemiology; D005260:Female; D015438:Health Behavior; D006304:Health Status; D006801:Humans; D007223:Infant; D007225:Infant Food; D007226:Infant Mortality; D007231:Infant, Newborn; D008297:Male; D016555:Matched-Pair Analysis; D010290:Parents; D011159:Population Surveillance; D012307:Risk Factors; D012424:Rural Population
D004044:Dietary Proteins