Persson Lars Åke, Rahman Anisur, Peña Rodolfo, Perez Wilton, Musafili Aimable, Hoa Dinh Phuong
International Maternal and Child Health (IMCH), Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Department of Disease Control, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Acta Paediatr. 2017 Jun;106(6):871-877. doi: 10.1111/apa.13830. Epub 2017 Apr 19.
Analysing child mortality may enhance our perspective on global achievements in child survival. We used data from surveillance sites in Bangladesh, Nicaragua and Vietnam and Demographic Health Surveys in Rwanda to explore the development of neonatal and under-five mortality. The mortality curves showed dramatic reductions over time, but child mortality in the four countries peaked during wars and catastrophes and was rapidly reduced by targeted interventions, multisectorial development efforts and community engagement.
Lessons learned from these countries may be useful when tackling future challenges, including persistent neonatal deaths, survival inequalities and the consequences of climate change and migration.
分析儿童死亡率可能会增强我们对全球儿童生存成就的认识。我们利用来自孟加拉国、尼加拉瓜和越南监测点的数据以及卢旺达的人口与健康调查来探究新生儿和五岁以下儿童死亡率的发展情况。死亡率曲线显示随着时间推移有显著下降，但这四个国家的儿童死亡率在战争和灾难期间达到峰值，并通过有针对性的干预措施、多部门发展努力和社区参与迅速降低。
从这些国家吸取的经验教训在应对未来挑战时可能会有所帮助，这些挑战包括持续存在的新生儿死亡、生存不平等以及气候变化和移民的后果。
