title: Impact of HIV/Aids on Child Mortality before the Highly Active Antiretroviral Therapy Era: A Study in Pointe-Noire, Republic of Congo.
abstract: Few studies have documented the contribution of HIV/AIDS to mortality among children under 15 years. From June 30 to October 19, 2001, all child deaths (n = 588) registered to the morgue and/or hospitals of the city of Pointe-Noire, Congo, were investigated using a combined approach including an interview of relatives and postmortem clinical and biological HIV diagnosis. Twenty-one percent of children were HIV positive, while 10.5% of deaths were attributed to AIDS. The most common causes of death in HIV-infected children were pneumonia (30%), pyrexia (22%), diarrhoea (16%) and wasting syndrome (16%). Infant mortality rate was estimated 6.3 times higher in children born to HIV-infected mothers compared to HIV-uninfected mothers. This study provides a direct measure of HIV/AIDS as impact on child mortality using a rapid and reliable method. A significant number of deaths could be prevented if HIV infection was diagnosed earlier and infants were provided with antiretroviral treatments.
authors.affiliation: Brighton and Sussex Medical School, University of Sussex, Brighton, East Sussex, BN1 9PX, UK.
authors.forename: Camille
authors.initials: C
authors.lastname: Lallemant
authors.forename: Gaston
authors.initials: G
authors.lastname: Halembokaka
authors.forename: Gaelle
authors.initials: G
authors.lastname: Baty
authors.forename: Nicole
authors.initials: N
authors.lastname: Ngo-Giang-Huong
authors.forename: Francis
authors.initials: F
authors.lastname: Barin
authors.forename: Sophie
authors.initials: S
authors.lastname: Le Coeur