Gueye A S, Ndiaye P, Tal Dia A, Kessler C, Fergusson A
Faculté de Médecine, de pharmacie et d'odontostomatologie, Service de Médecine préventive et de santé publique, BP 16390 Dakar, Fann.
Dakar Med. 2004;49(2):86-90.
Maternal mortality and lethality in childhood constitute a major problem in Senegal. These two rates are often hight in areas off hight birth rate. In the medical district of Kolda (Senegal) no reliable data on reproductive health exists. We report the results of a preliminary investigation of a community based reproductive project. We've used the sisterhood methods reproductive health's indicators. This cross-sectional study was carried out in a sample of 1287 women in age of procreating. An "aggregative" fertility index of 6.59 was found in the "intervention" area as compare to 5,53 in the control area. The maternal death rate was estimated at 1285 per 100.000 alive births [998-1576]. The infant mortality rate was 83 per 1000. These results justify impremantation of a "vigorous" reproductive health policy in this area.
孕产妇死亡率和儿童死亡率是塞内加尔的一个主要问题。在高出生率地区,这两个比率通常较高。在科尔达医疗区(塞内加尔),不存在关于生殖健康的可靠数据。我们报告了一项基于社区的生殖项目的初步调查结果。我们使用了姐妹会方法的生殖健康指标。这项横断面研究是在1287名育龄妇女的样本中进行的。“干预”地区的“综合”生育指数为6.59,而对照地区为5.53。孕产妇死亡率估计为每10万例活产中有1285例[998 - 1576]。婴儿死亡率为每1000例中有83例。这些结果证明在该地区实施“有力的”生殖健康政策是合理的。