TITLE

Why Do Child Mortality Rates Fall? An Analysis of the Nicaraguan Experience

AUTHOR(S)
Sandiford, Peter; Morales, Patricia; Gorter, Anna; Coyle, Edward; Smith, George Davey
PUB. DATE
January 1991
SOURCE
American Journal of Public Health;Jan1991, Vol. 81 Issue 1, p30
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
A comprehensive review of available sources of mortality data was undertaken to document the changes that have occurred in infant mortality in Nicaragua over the last three decades. It was found that a rapid fall in infant mortality commenced in the early 1970's and has continued steadily since. Trends in several different factors which might have led to this breakthrough were examined including: income, nutrition, breastfeeding practices, maternal education, immunizations, access to health services, provision of water supplies and sanitation, and anti-malarial programs. Of these, improved access to health services appears to have been the most important factor. At a time when the number of hospital beds per capita was dropping, increasing numbers of health care professionals, particularly nurses, were becoming available to staff primary health care facilities built in the 1960's. These were provided at least partly in response to the growing political turmoil enveloping the nation at that time. Certain Nicaraguan cultural attributes may have added to the impact of the reforms. Efforts in the field of public health made since the 1979 insurrection appear to have maintained the decline in child mortality. INSET: Sources of infant mortality statistics in Nicaragua..
ACCESSION #
9103182509

 

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