Improved indicators of infant mortality for integrated primary healthcare programmes.
J Health Popul Nutr
; 2000 Sep; 18(2): 61-8
Article
在 En
| IMSEAR
| ID: sea-699
ABSTRACT
Mortality and fertility rates are decreasing rapidly in many developing countries. It is argued that the indices commonly used as measures of these changes, i.e. infant mortality rate and fertility rate, ignore the interaction between mortality and fertility, and do not reflect their combined impact in lowering overall infant mortality. The paper proposes new indicators of infant mortality, termed fertility-adjusted infant mortality ratio (FIMR), age-specific, fertility-adjusted IMR (AFIMR), and total infant mortality ratio (TIMR) that are more sensitive to rapid demographic changes. These indicators include the combined effects of changes in both fertility and infant mortality rates on overall infant mortality in a region and appear to measure the effects of integrated health programmes better. Further, these conceptualize the mother-infant pair as an appropriate unit with which to monitor mortality, and may be used for guiding allocation of resources intended to lower infant mortality. The application and usefulness of these indicators have been illustrated, using one hypothetical example and empirical data from the maternal-child health and family-planning programme in Matlab, Bangladesh, as well as data from white and black population groups in the U.S.A. The results of these examples demonstrate that the new indicators are more sensitive than traditional measures when describing infant mortality, and may better reflect the perception in infant mortality status in the community.
全文:
1
索引:
IMSEAR
主要主题:
Primary Health Care
/
United States
/
Female
/
Humans
/
Male
/
Infant, Newborn
/
Infant Mortality
/
Maternal Mortality
/
Risk Factors
/
Health Status Indicators
研究类型:
Diagnostic_studies
/
Etiology_studies
/
Risk_factors_studies
国家/地区名称主题:
America do norte
语言:
En
期刊:
J Health Popul Nutr
期刊主题:
Gastroenterology
/
Nutritional Sciences
/
Public Health
年:
2000
类型:
Article