A Methodology for Estimating the Contribution of Malnutrition to Child Mortality in Developing Countries

作者: Edward A. Frongillo , Jean-Pierre Habicht , Dirk G. Schroeder , David L. Pelletier

DOI: 10.1093/JN/124.SUPPL_10.2106S

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摘要: According to conventional methods of classifying cause death, approximately 70% child deaths (0-4 y) worldwide are due a small number priority infectious diseases which, in turn, receive the vast majority donor and national resources health sector. Despite long-recognized synergism between malnutrition infection causation mortality, does not appear as major death statistics from developing countries. Part reason for this has been difficulty estimating percent malnutrition, because do recognize potentiating effect on disease. The purpose paper is develop test simple methodology estimate given country or community that malnutrition's effects prevailing diseases. cornerstone knowledge strength association mortality countries, measured eight prospective studies. These studies reveal remarkable consistency relative risk across different grades malnutrition. mean SE severe 8.4 +/- 2.1, moderate it 4.6 0.9, mild 2.5 0.3. When applied survey data Ethiopia, Malawi, Guatemala India illustrative purposes, indicates 42-57% all these samples (6-59 mo) disease, which 76-89% attributable mild-to-moderate This recommended use variety policy planning applications.

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