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Citation Information

Type Journal Article - Transactions of the Royal Society of Tropical Medicine and Hygiene
Title Examining the evidence of under-five mortality reduction in a community-based programme in Gaza, Mozambique
Author(s)
Volume 101
Issue 8
Publication (Day/Month/Year) 2007
Page numbers 814-822
URL http://www.coregroup.org/storage/documents/Diffusion_of_Innovation/edward-mozambique-2007.pdf
Abstract
Effective implementation of programmes with the community Integrated Management of Childhood Illness model has demonstrated improvements in care-seeking behaviours and utilisation of health services. The child survival programme implemented in Chokwe district of Gaza province, Mozambique, achieved high coverage for bed net use (80%), oral rehydration therapy for children with diarrhoea (94%) and prompt care-seeking from trained providers for children with danger signs. The project also instituted a community-based vital registration and health information system for routine surveillance of births, deaths and childhood illnesses using an extensive network of 2300 volunteers. Evidence from this system indicated a 66% reduction in infant mortality and a 62% reduction in under-?ve mortality. To check the reliability of the ?ndings, an independent mortality assessment was carried out using a pregnancy history questionnaire with a sample population of 998 women using standard methodologies applied in the Demographic and Health Surveys. The mortality survey showed reductions of 49% and 42% in infant and under-?ve mortality, respectively. The leading causes of death identi?ed by verbal autopsies were malaria (30%), neonatal causes (17%) and pneumonia (21.3%). These ?ndings suggest that effective community-based partnerships that support the delivery of health services can contribute to mortality reductions.

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