515 results on '"Mortalité Infantile"'
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2. Political factors, household income, under five survival, and life expectancy in the Sahel region.
- Author
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Ying Tang and Guanxiufeng Lan
- Subjects
EVALUATION of medical care ,LIFE expectancy ,PRACTICAL politics ,MEDICAL care costs ,PUBLIC administration ,INCOME ,SOCIOECONOMIC factors ,CHILD mortality ,SECONDARY analysis - Abstract
Copyright of African Journal of Reproductive Health is the property of Women's Health & Action Research Centre and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
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3. Correlates and reproductive consequences of consanguinity in six Egyptian governorates.
- Author
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Hussein, Wafaa M., El-Gaafary, Maha M., Wassif, Ghada O., Wahdan, Maha M., Sos, Dalia G., Hakim, Sally A., Abdelhafez, Amany M., El-Awady, Mohamed Y., Rady, Mervat H., Amin, Tarek T., and Anwar, Wagida A.
- Subjects
CONFIDENCE intervals ,MARRIAGE ,MANN Whitney U Test ,DESCRIPTIVE statistics ,CHI-squared test ,CONSANGUINITY ,DATA analysis software ,ODDS ratio ,SOCIODEMOGRAPHIC factors ,SECONDARY analysis - Abstract
Copyright of African Journal of Reproductive Health is the property of Women's Health & Action Research Centre and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
- Full Text
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4. EFFET DE L’ACCÈS AUX SERVICES DE SOINS DE SANTÉ SUR MORTALITÉ INFANTILE AU TOGO.
- Author
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PELENGUEI, ESSOHANAM, KAFANDO, BENOIT, MAWUENA, KOKOUVI KUNALÈ, and EVLO, KODJO
- Abstract
Copyright of Revue Internationale des Économistes de Langue Française (RIELF) is the property of Poznan University of Economics & Business and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
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5. Factors associated with child mortality among antenatal care attendees in Ado-Odo/Ota, Ogun State, Nigeria.
- Author
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Azuh, Dominic E., Azuh, Akunna E., Oladosun, Muyiwa, Ewetan, Olabanji O., Bowale, Ebenezer I., Samuel, Gbemisola W., and Olaoye, Olusegun P.
- Subjects
FOCUS groups ,DISCUSSION ,IMMUNIZATION ,SOCIAL determinants of health ,RESEARCH methodology ,CROSS-sectional method ,WASTE management ,REGRESSION analysis ,MEDICAL care costs ,RISK assessment ,PUBLIC hospitals ,DESCRIPTIVE statistics ,BREASTFEEDING ,PRENATAL care ,DATA analysis software ,DELIVERY (Obstetrics) ,ORAL rehydration therapy ,SUSTAINABLE development ,CHILD mortality ,INSTITUTIONAL care of children - Abstract
Copyright of African Journal of Reproductive Health is the property of Women's Health & Action Research Centre and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
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6. Building community ownership of maternal and child health interventions in rural Nigeria: A community-based participatory approach.
- Author
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Ntoimo, Lorretta Favour Chizomam, Brian, Igboin, Ekwo, Chioma, Yaya, Sanni, Imongan, Wilson, and Okonofua, Friday Ebhodaghe
- Subjects
MATERNAL health services ,PATIENT participation ,CHILD care ,PATIENT advocacy ,COMMITTEES ,LOCAL government ,CONVERSATION ,INTERVIEWING ,MEDICAL care costs ,PRIMARY health care ,MEDICAL care research ,RESPONSIBILITY ,PREGNANCY outcomes ,DECISION making ,WOMEN'S health - Abstract
Copyright of African Journal of Reproductive Health is the property of Women's Health & Action Research Centre and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
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7. The Effects of Maternal Age on Neonatal and Post-neonatal Mortality in India: Roles of Socioeconomic and Biodemographic Factors.
- Author
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Ram, Shefali S., Ram, Bali, and Yadav, Awdhesh
- Subjects
NEONATAL mortality ,SOCIOECONOMICS ,REPRODUCTION ,CHILDREN'S health ,HEALTH policy ,BIRTH weight - Abstract
Copyright of Canadian Studies in Population is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
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8. Pakistan : un pays de plus de 200 millions d'habitants en retard dans la transition démographique.
- Author
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Goujon, Anne, Wazir, Asif, and Gailey, Nicholas
- Abstract
Copyright of Population & Sociétés is the property of Institut National d'Etudes Demographiques and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2020
- Full Text
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9. The State of Maternal and Infant Health and Mortality in Chad.
- Author
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Obiang-Obounou, Brice Wilfried and Fuh, Manka Eunice
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CHILDBIRTH ,HEALTH status indicators ,INFANT mortality ,INFANT nutrition ,MATERNAL health services ,MEDICAL care costs ,MOTHERS ,MATERNAL mortality ,NUTRITIONAL requirements ,SOCIOECONOMIC factors ,AT-risk people - Abstract
Copyright of African Journal of Reproductive Health is the property of Women's Health & Action Research Centre and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2020
- Full Text
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10. Experiences of HIV-Infected Mothers Regarding Exclusive Breast-Feeding in the First Six Months of the Infant's Life in Mangaung, South Africa.
- Author
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Phakisi, Selloane and Mathibe-Neke, Johanna M.
- Subjects
ANXIETY ,BREASTFEEDING ,CHILDBIRTH ,COMMUNICATION ,COMMUNITY health services ,GUILT (Psychology) ,PSYCHOLOGY of HIV-positive persons ,INFANT mortality ,INTERVIEWING ,RESEARCH methodology ,PSYCHOLOGY of mothers ,MOTIVATION (Psychology) ,PATIENT compliance ,SATISFACTION ,PSYCHOLOGICAL stress ,QUALITATIVE research ,THEMATIC analysis ,VERTICAL transmission (Communicable diseases) ,ATTITUDES toward breastfeeding - Abstract
Copyright of African Journal of Reproductive Health is the property of Women's Health & Action Research Centre and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2019
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11. Infant mortality in French Guiana between 2001 and 2017 : Trends and comparisons with mainland France.
- Author
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Nacher M, Basurko C, Muhigirwa GB, Lambert V, Osei L, Njuieyon F, Louis A, Dotou D, Thomas N, Bernard S, Leneuve M, Elenga N, and Hcini N
- Subjects
- Humans, Infant, France epidemiology, French Guiana epidemiology, Incidence, Infant Mortality
- Abstract
Background: French Guiana is a French overseas territory which combines a well-funded universal health system and a population where half are under the poverty line. In this context, we aimed to measure and describe the causes of infant mortality and, because French Guiana is a French territory, to compare them with mainland France., Methods: National death certificate data between 2001 and 2017 was used., Results: Overall, 6.9 % of deaths before 65 years concerned infants <1 year (in mainland France 2.6%). The infant mortality rate over the 2001-2017 period was 2.6 times that of mainland France (1159.5 vs 446.2 per 100,000 infants <1 year) with excess incidence in perinatal causes, malformations and chromosomal anomalies, accidents, infectious causes, and in poorly defined conditions. Over time, there seemed to be a reduction of infant mortality for all the main causes, except for congenital malformations and chromosomal anomalies, which, on the contrary, seemed to increase. The data sources did not allow to study the weight of social factors or place of residence., Conclusions: All causes of infant mortality seemed to decline over time except malformations and chromosomal anomalies, which increased. Although exposure to heavy metals, infectious diseases are potential explanations we cannot pinpoint the cause of this increase with the available data. The present results suggest infant mortality and malformations should benefit from more detailed data sources in order to better assess and alleviate the burden of infant mortality in French Guiana., Competing Interests: Declaration of Competing Interest The authors declare no competing interests., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)
- Published
- 2023
- Full Text
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12. The Effect of Child's Body Size at Birth on Infant and Child Mortality in India.
- Author
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Ram, Bali, Ram, Shefali S., and Yadav, Awdhesh
- Subjects
BODY size ,CHILD mortality ,LOW birth weight ,SEXUAL dimorphism ,MALNUTRITION - Abstract
Copyright of Canadian Studies in Population is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2019
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13. Child's Risk Attributes at Birth and Infant Mortality Disparities in Nigeria.
- Author
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Ibrahim, Elhakim A., Adedini, Sunday A., Oyedokun, Amos O., Akinyemi, Akanni I., and Titilayo, Ayotunde
- Subjects
BIRTH intervals ,BOWEL & bladder training ,CHI-squared test ,CHILDBIRTH ,CHILDREN'S health ,INFANT mortality ,MATERNAL age ,RELIGION ,RISK assessment ,SURVEYS ,MATHEMATICAL variables ,WATER ,PROPORTIONAL hazards models ,PREVENTION - Abstract
Copyright of African Journal of Reproductive Health is the property of Women's Health & Action Research Centre and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2019
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14. Home deaths of children under 5 years in rural South Africa: a population-based longitudinal study.
- Author
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Price, Jessica, Willcox, Merlin, Kabudula, Chodziwadziwa Whiteson, Herbst, Kobus, Kahn, Kathleen, and Harnden, Anthony
- Subjects
- *
CHILD death , *HEALTH facilities , *NEONATAL mortality , *LONGITUDINAL method , *SOCIODEMOGRAPHIC factors , *INFANT death - Abstract
Objectives: To determine the proportion of under-5 deaths that occurred at home in rural South Africa, whether care was sought prior to death, and determinants of home deaths amongst those who sought care.Methods: Verbal autopsy data were used for all under-5 deaths, 2000-2015, in two health and demographic surveillance system sites. Trends in place of death and care-seeking were assessed. Associations between sociodemographic factors and home death despite seeking care were assessed by multivariate logistic regressions.Results: There were 3760 under-5 deaths; 1954 (53%) at home and 1510 (41%) in health facilities. Eighty-four per cent of children who died at home accessed healthcare during their final illness. Amongst neonates for whom care was sought, those who were 8-27 days old were more likely to die at home than those who were 0-7 days old (OR = 5.56, 95%CI 2.69-11.55, P < 0.001). Factors associated with home death of infants and young children despite seeking care included low maternal education (OR = 1.71, 95%CI 1.31-2.24, P < 0.001), larger household size (OR = 1.56, 95%CI 1.17-2.06, P = 0.002), traditional medicine use (OR = 2.33, 95%CI 1.75-3.12, P < 0.001) and Mozambican descent (OR = 1.47, 95%CI 1.06-2.03, P = 0.020). The proportion of HIV-related deaths that occurred at home fell from 60% in 2008-2011 to 39% in 2012-2015 ( χ2 = 13.86, P < 0.001).Conclusion: More than half of under-5 deaths in rural South Africa occurred at home although healthcare was sought for most children, highlighting that home deaths are not simply a function of poor care-seeking. Interventions should target high-risk sociodemographic groups. [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
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15. 'The largest volunteer life saving corps in the world': centering child caregiving in histories of U.S. human security through the Little Mothers' League.
- Author
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Olson, Elizabeth
- Subjects
- *
INFANT care , *INFANT mortality , *HUMAN security , *ADULT-child relationships , *MOTHERHOOD - Abstract
In this article, I explore the relationship between youth, security, and caregiving through a study of the U.S. Little Mothers' Leagues, an initiative which began in New York City in 1910 with the aim of reducing infant mortality by training young girls to properly care for their infant siblings. Critical approaches to caregiving view security and insecurity as relational, drawing attention to contemporary power arrangements in the global caregiving industry and the contemporary crisis of care. However, in treating children as perpetual care recipients, it fails to provide a robust framework for understanding youth and children in historical and contemporary concerns related to human security. The history of the Little Mothers, largely children of European 'non-native white' immigrant families, illustrates the importance of children in securing population-wide well-being and the nation's status in the global competition to reduce infant mortality. When set in contrast to the eugenics-inspired Mothercraft movement, the case reveals how children and youth become enlisted into projects of national human security, and how their ambiguity as caregivers – too young according to modern childhood, yet effective lifesavers – intersects with race and gender to further obscure their status as caregiving agents [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
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16. Differences in barriers to birth and death registration in Guinea-Bissau: implications for monitoring national and global health objectives.
- Author
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Fisker, Ane B., Rodrigues, Amabélia, and Helleringer, Stéphane
- Subjects
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BIRTH certificates , *VITAL statistics , *SOCIAL networks , *PARTURITION , *RADIO broadcasting - Abstract
Objective: Improving civil registration and vital statistics (CRVS) systems is essential to monitoring health objectives locally and globally. The barriers to birth and particularly death registration in low- and middle-income countries are however poorly understood.Methods: We conducted a survey among women of reproductive age in Bissau, the capital of Guinea-Bissau. We asked women with a birth in the past two years whether their child had been registered and had obtained a birth certificate. We elicited the sources of information about birth registration and asked respondents to list their reasons for (not) registering a birth. If their child had died, we asked similar questions about death registration.Results: Most women (86%) had received messages about birth registration, but few women whose child had died had heard about the need to register deaths (22%). The primary sources of information about birth registration were messages broadcast on the radio or displayed at health facilities. Information about death registration was primarily obtained through informal social networks. Only 16% of births, and 2% of deaths, had been registered. The main barriers to birth registration were administrative pre-requisites and paternal absence. The main reasons for not registering a death were lack of knowledge about death registration and lack of perceived benefits.Conclusion: Strengthening CRVS systems requires addressing the specific barriers preventing birth and death registration. In Bissau, interventions to improve knowledge about death registration are needed. Simplifying registration procedures, as well as providing additional incentives, might help improve the coverage of birth registration. [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
- View/download PDF
17. Onfalitis en recién nacidos: contribuciones para mejorar este problema de salud pública en Angola
- Author
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Tavares, Elsy and Ramos, Natália
- Subjects
Omphalitis in Angola ,Cuidados infantis ,Cultura ,Culture ,Saúde e competências interculturais ,Onfalitis en Angola ,Mortalidad infantil ,Cordão umbilical ,Infant mortality ,Nouveau-né ,Santé publique ,Health and intercultural skills ,Cuidado del lactante ,Recién nacido ,Salud pública ,Saúde pública ,03:Saúde de Qualidade [ODS] ,Umbilical cord ,Soins infantiles ,Infant care ,Public health ,Omphalite en Angola ,Cordon ombilical ,10:Reduzir as Desigualdades [ODS] ,Recém-nascido ,Onfalites em Angola ,Newborn ,Cordón umbilical ,Salud y habilidades interculturales ,Compétences sanitaires et interculturelles ,Mortalidade infantil ,Mortalité infantile - Abstract
Introdução: O presente estudo apresenta uma grave questão de saúde pública em Luanda, Angola, relacionada com situações de internamento e morte de recém- nascidos por onfalite que o país enfrenta. Objetivos: descrever a realidade de um hospital público geral na cidade de Luanda, relativamente a este problema; identificar as principais causas de onfalites no contexto Angolano; descrever os cuidados corretos com o coto umbilical; evidenciar as implicações sociais, culturais e de saúde nos cuidados ao recém-nascido. Método: estudo descritivo, exploratório e transversal. Foram analisados os processos de internamento de um serviço de pediatria de um hospital público com situações de internamento por onfalite, entre janeiro de 2017 e junho de 2018. Resultados: no período em estudo, foram analisados 182 processos de internamento neste hospital com registos de onfalites no recém-nascido. Destes internamentos, 26 culminaram em óbito. Dos 156 recém-nascidos internados, 153 tiveram alta para o domicílio, 2 tiveram transferência para o hospital pediátrico e houve um registo de fuga. Conclusão: os resultados obtidos demonstram que as mães e os recém-nascidos angolanos permanecem vulneráveis no que se refere aos cuidados ao coto umbilical, o que se traduz pelo elevado número de onfalites registadas. Torna-se, assim, prioritária a formação dos profissionais de saúde nesse domínio, de modo a que as intervenções sejam efetivas e de qualidade, no sentido de diminuir este flagelo de saúde pública neste país.
- Published
- 2023
18. A Success Story: The Burden of Maternal, Neonatal and Childhood Mortality in Rwanda -- Critical Appraisal of Interventions and Recommendations for the Future.
- Author
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Gurusamy, Pari Shanmuga Raman and Janagaraj, Priya Darshene
- Subjects
MORTALITY prevention ,CHILD mortality ,HEALTH ,INFANT mortality ,MATERNAL mortality ,POVERTY ,WORLD health - Abstract
Copyright of African Journal of Reproductive Health is the property of Women's Health & Action Research Centre and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2018
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19. La mortalidad infantil, neonatal y postneonatal en la villa de Siles (Jaén), 1900 - 1969.
- Author
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Beteta Avio, Ramón
- Abstract
Copyright of Antropo is the property of Antropo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2018
20. Convergência entre as Taxas de Mortalidade Infantil e os Índices de Desenvolvimento Humano no Brasil no período de 2000 a 2010.
- Author
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Paulo Cezar Rodrigues Martins, Elenir Rose Jardim Cury Pontes, and Leandro Tsuneki Higa
- Abstract
This study has as objective to verify the convergence betwixt Infant Mortality Rate decreasement and Human Development Index Municipal increasement in Big Regions and Federation Units in Brazil between 2000 to 2010. The type of study adopted is ecological. It is drawn to a conclusion that the Infant Mortality Rate's reduction and the Human Development Index Municipal's increase, happened in a non-homogeneous form in the areas of study. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
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21. تطور وفيات الرضع في الجزائر منذ الإستقلال.
- Author
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محمد سويقات and حمزة شريف علي
- Abstract
Copyright of Revue Universitaire des Sciences Humaines et Sociales is the property of University of Kasdi Merbah Ouargla and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2018
22. Introduction
- Author
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Hugon, Anne
- Subjects
mère ,prévention ,History ,sage-femme ,HBJH ,politique démographique ,HIS001000 ,mortalité infantile ,maternité ,obstétrique ,service de santé ,soin médical - Abstract
En 1841, un missionnaire britannique du nom de Thomas Freeman était invité par son employeur, la Wesleyan Methodist Missionary Society, à remplir un questionnaire sur le statut et la condition des femmes africaines de sa région d’affectation, la Gold Coast, en Afrique de l’Ouest. À la question « Les mères s’occupent-elles bien de leurs enfants ? », il répondait très simplement « Oui ». Or, moins d’un siècle plus tard, un médecin anglais en poste dans le même territoire, reflétant l’opinion gé...
- Published
- 2022
23. Chapitre VII. L’économie morale de la maternité à l’époque coloniale
- Author
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Hugon, Anne
- Subjects
mère ,prévention ,History ,sage-femme ,HBJH ,politique démographique ,HIS001000 ,mortalité infantile ,maternité ,obstétrique ,service de santé ,soin médical - Abstract
Il existe un consensus sur l’importance de la maternité dans les sociétés africaines, selon lequel « les femmes d’Afrique sont partout définies essentiellement comme des mères, et cela de leur plein gré ». L’immense majorité des auteurs en sciences humaines et sociales s’accorde à dire que dans l’ensemble du continent africain, la fécondité des femmes et leur statut de mères sont extrêmement valorisés. Plus encore qu’ailleurs, leurs capacités reproductives détermineraient leur place dans la s...
- Published
- 2022
24. Chapitre VIII. Éduquer les mères
- Author
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Hugon, Anne
- Subjects
mère ,prévention ,History ,sage-femme ,HBJH ,politique démographique ,HIS001000 ,mortalité infantile ,maternité ,obstétrique ,service de santé ,soin médical - Abstract
Si l’impéritie maternelle était désignée par le rapport de 1919 comme la cause principale de la mortalité infantile à Accra (voir chapitre 1), c’est parce qu’il existait un continuum avec la métropole, où les décès d’enfants étaient très largement imputés aux mères et à leurs mauvaises pratiques. En d’autres termes, aux colonies comme en Europe, « la mortalité infantile était vue comme la conséquence de l’échec maternel », alors que les facteurs socio-économiques étaient largement minorés. On...
- Published
- 2022
25. Épilogue. Devenir mère en Gold Coast dans les années 1950
- Author
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Hugon, Anne
- Subjects
mère ,prévention ,History ,sage-femme ,HBJH ,politique démographique ,HIS001000 ,mortalité infantile ,maternité ,obstétrique ,service de santé ,soin médical - Abstract
L’une des questions apparue en filigrane tout au long des pages précédentes concerne l’efficacité des programmes mis en œuvre par les autorités coloniales : dans quelle mesure la réforme de la maternité a-t-elle (ou non) été réalisée, c’est-à-dire adoptée par les premières concernées, les femmes de la Gold Coast ? Ont-elles fait leurs les recommandations, usages, gestes et pratiques recommandés par les personnels médicaux, paramédicaux, éducatifs et sociaux ? Souscrivent-elles à l’idéologie d...
- Published
- 2022
26. Chapitre IV. Personnels et acteurs/actrices de la médicalisation de la maternité
- Author
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Hugon, Anne
- Subjects
mère ,prévention ,History ,sage-femme ,HBJH ,politique démographique ,HIS001000 ,mortalité infantile ,maternité ,obstétrique ,service de santé ,soin médical - Abstract
Aborder l’histoire de la médicalisation de la maternité par ses acteurs, c’est d’abord rappeler un fait à la fois constant et déterminant : la pénurie de personnel médical et paramédical – qui n’a d’égale que l’insuffisance des structures médicales en général, même si la situation s’améliore au fil du temps. En 1942, le nombre de lits d’hôpital pour l’ensemble de la population africaine dans toute la colonie est de 1225 ; or, l’auteur du rapport qui fournit ce chiffre estime qu’il en faudrait...
- Published
- 2022
27. Chapitre I. La pierre angulaire : le rapport de 1917 sur la mortalité infantile
- Author
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Hugon, Anne
- Subjects
mère ,prévention ,History ,sage-femme ,HBJH ,politique démographique ,HIS001000 ,mortalité infantile ,maternité ,obstétrique ,service de santé ,soin médical - Abstract
Vers le milieu des années 1910, on assiste en Gold Coast à l’apparition d’une préoccupation – au demeurant diffuse – d’ordre démographique : la colonie serait sous-peuplée, voire en proie à la baisse démographique. Ce serait d’ailleurs le cas du continent africain dans son ensemble, puisqu’à Londres, un fonctionnaire du secrétariat d’État aux Colonies affirmait : « De façon générale, les possessions d’Afrique tropicale souffrent d’un manque de population et tout remède proposé aura le soutien...
- Published
- 2022
28. Chapitre III. La Protection maternelle et infantile, une affaire d’État ?
- Author
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Hugon, Anne
- Subjects
mère ,prévention ,History ,sage-femme ,HBJH ,politique démographique ,HIS001000 ,mortalité infantile ,maternité ,obstétrique ,service de santé ,soin médical - Abstract
Dans les années 1920, doublant les deux établissements hospitaliers que sont la maternité et l’hôpital pédiatrique, sont inaugurés plusieurs centres de Protection maternelle et infantile (PMI), situés dans différentes villes du sud de la Colonie. L’histoire de ces institutions révèle que la PMI est un domaine en pleine croissance dans l’entre-deux-guerres, principalement sous l’égide du gouvernement, puis que l’État colonial finit par déléguer une partie de ce travail à d’autres acteurs, ce q...
- Published
- 2022
29. Chapitre V. Devenir sage-femme : origines, formation, éthique
- Author
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Hugon, Anne
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mère ,prévention ,History ,sage-femme ,HBJH ,politique démographique ,HIS001000 ,mortalité infantile ,maternité ,obstétrique ,service de santé ,soin médical - Abstract
La formation de sages-femmes africaines faisait partie des priorités formulées dès 1917 par le comité d’enquête sur les causes de la mortalité infantile : selon l’inébranlable conviction du Département médical, ces professionnelles de l’accouchement et de la grossesse devaient constituer la pierre angulaire de la lutte contre la mortalité infantile et maternelle. Et de fait, elles ont incontestablement constitué la cheville ouvrière de la médicalisation de la maternité : passant d’une demi-do...
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- 2022
30. Notes sur l’orthographe et la graphie
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Hugon, Anne
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mère ,prévention ,History ,sage-femme ,HBJH ,politique démographique ,HIS001000 ,mortalité infantile ,maternité ,obstétrique ,service de santé ,soin médical - Abstract
Dans ce volume, on trouvera un certain nombre de termes en langues ghanéennes, qui figurent en italique. Par ailleurs, aujourd’hui encore, un certain nombre de noms propres au Ghana s’écrivent de plusieurs façons : ainsi, la bourgade de Kibbi/Kyebi/Kibi ou la province de l’AkimAbuakwa/Akyem-Abuakwa. Sans compter que certains usages anciens ont actuellement disparu mais se retrouvent dans les sources : le quartier de Korle Bu, à Accra, s’écrivait fréquemment Kawli Bu dans les années 1920-1930....
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- 2022
31. Conclusion générale
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Hugon, Anne
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mère ,prévention ,History ,sage-femme ,HBJH ,politique démographique ,HIS001000 ,mortalité infantile ,maternité ,obstétrique ,service de santé ,soin médical - Abstract
La médicalisation de la grossesse, de l’accouchement et des soins aux nourrissons a donc pris, en Gold Coast, des formes à la fois générales et singulières. À bien des égards, les expériences des femmes africaines ou encore la politique menée par les autorités médicales sont « banales » – dans le sens où elles rappellent des situations, alors récentes ou concomitantes, du monde occidental, en passe de devenir un modèle hégémonique. La lutte contre la mortalité infantile, l’accent mis sur la c...
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- 2022
32. Être mère en situation coloniale
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Hugon, Anne
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mère ,prévention ,History ,sage-femme ,HBJH ,politique démographique ,HIS001000 ,mortalité infantile ,maternité ,obstétrique ,service de santé ,soin médical - Abstract
Pour une grande majorité des Africaines, la « rencontre coloniale» s’est faite à la maternité, au dispensaire et au centre de Protection maternelle et infantile, plus encore qu’au travail ou dans les bureaux de l’administration. Cet ouvrage analyse les conséquences de la colonisation sur les femmes colonisées, en mettant en valeur l’une des activités cruciales de ces dernières : mettre au monde des enfants et les élever. Dans un contexte général de préoccupation démographique, à laquelle la colonie britannique de Gold Coast (futur Ghana) n’échappe pas, les autorités coloniales et les élites africaines tentent de lutter contre la mortalité maternelle et infantile, dans le but d’accroître la population locale. Comment sont déployées les politiques de médicalisation de la grossesse et de l’accouchement ? Comment sont-elles reçues ? L’histoire des institutions dévolues à la santé maternelle et infantile éclaire celle de leur personnel et de leurs usagères. Comment ont été redéfinis la physiologie de la maternité et le rôle social de mère, des concours « du plus beau bébé » à la formation de centaines de sages-femmes ? Les mères étant largement tenues pour responsables de la mortalité infantile par leurs « mauvaises pratiques», que prévoit-on pour les « éduquer » et comment réagissent-elles à ces méthodes ? Les sources de l’administration médicale, croisées avec de nombreux entretiens, documents privés et autres archives de presse, montrent les expériences multiples des mères africaines en situation coloniale.
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- 2022
33. Chapitre VI. Devenir sage-femme : entre soumission et autorité
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Hugon, Anne
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mère ,prévention ,History ,sage-femme ,HBJH ,politique démographique ,HIS001000 ,mortalité infantile ,maternité ,obstétrique ,service de santé ,soin médical - Abstract
Une fois leur certificat en poche, les élèves sages-femmes quittent l’école pour devenir des praticiennes à part entière – mais, en tant que membres d’une profession médicale réglementée, elles restent sous la surveillance des autorités médicales durant toute leur vie professionnelle. Leur entrée dans la carrière est marquée par l’acquisition d’un sac de sage-femme, objet coûteux mais d’une grande importance à la fois concrète et symbolique, comme en témoignent aussi bien les archives que les...
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- 2022
34. A new record linkage for assessing infant mortality rates in Ontario, Canada
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Fell, Deshayne B., Park, Alison L., Sprague, Ann E., Islam, Nehal, and Ray, Joel G.
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- 2020
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35. What is the relative impact of primary health care quality and conditional cash transfer program in child mortality?
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Vieira-Meyer, Anya Pimentel Gomes Fernandes, de Araújo Dias, Maria Socorro, Vasconcelos, Maristela Ines Osawa, Rouberte, Emilia Soares Chaves, de Almeida, Ana Mattos Brito, de Albuquerque Pinheiro, Themis Xavier, de Lima Saintrain, Maria Vieira, Machado, Maria de Fatima Antero Sousa, Dufault, Suzanne, Reynolds, Sarah Ann, and Fernald, Lia
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- 2019
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36. Consanguinity, epidemics and early life survival in colonial Quebec, 1720-1830
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Gagnon-Sénat, Jessica, Gagnon, Alain, and Dillon, Lisa Y.
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épidémies ,consanguinité ,consanguinity ,Colonial Quebec ,analyses de survie ,mortalité infantile ,child mortality ,mortalité des enfants ,Québec ancien ,epidemics ,infant mortality ,survival analysis - Abstract
La consanguinité, soit l'union productive de conjoints partageant des allèles identiques provenant d'un ancêtre commun, s'est accumulée au fil du temps au Québec ancien. Parallèlement, le Québec a été victime de plusieurs épidémies. Le but de cette étude est d'évaluer la relation entre la mortalité des enfants et la consanguinité dans les périodes épidémiques du Québec ancien entre 1720 et 1830. D'une part, l'hypothèse émise est que les enfants ayant des gènes homologues sur plusieurs loci auraient un taux de mortalité significativement plus élevé comparativement aux enfants non consanguins, en raison du désavantage des homozygotes. D'autre part, les individus consanguins peuvent avoir une survie plus favorable en raison de l'effet d’enracinement, combien de générations une famille est établie dans la colonie, présent dans la mesure de la consanguinité. De plus, l'avantage social d'une famille étroitement liée peut favoriser la survie de l'enfant en accordant plus de soutien social aux parents et de surveillance de l'enfant. Les courbes de survie de Kaplan-Meier sont représentées graphiquement et des modèles de régression de Cox sont exécutés pour explorer et démêler partiellement les rôles des facteurs génétiques et environnementaux. Les immigrants, les naissances multiples et les individus sans généalogie du Registre de la population du Québec ancien (RPQA) et de l'Infrastructure intégrée des microdonnées historiques de la Population du Québec (IMPQ) sont exclus. Au total, 610 412 individus sont analysés dans les modèles de Cox. Les rapports de risque pour les épidémies augmentent avec l'âge et les rapports de risque pour la consanguinité éloignée ressemblent souvent au groupe référence, les non consanguins. De plus, les effets diffèrent selon le sexe et le groupe d'âge. Généralement, si les enfants avec une consanguinité proche, ceux identifiés comme consanguins avec seulement trois générations ascendantes, ne subissent pas de surmortalité dans un groupe d'âge précédent, les modèles de Cox signalent une survie défavorable de ces individus lors des épidémies. Des effets sous-jacents tels que des processus de sélection et des variables de contrôle relatives à l’enracinement peu robustes guident les résultats de l'interaction entre les épidémies et la consanguinité, de sorte que la prémisse reste à valider., Consanguinity, the productive union of spouses sharing identical alleles from a common ancestor, accumulated over time in Colonial Quebec. Concurrently, Quebec was the victim of several epidemics. The aim of this study is to evaluate the relationship between child mortality and consanguinity in epidemic periods of Colonial Quebec between 1720 and 1830. On the one hand, it is hypothesized that children with homologous genes on many loci would have a significantly higher mortality rate compared to non consanguineous children, due to homozygote disadvantage. On the other hand, consanguineous individuals may have a more favourable survival because of the effect of settlement, how many generations a family has been in the colony, present in the measure of consanguinity. Further, the social benefit of a closely bound family may favour child survival by providing more social support to the parents and child supervision. Kaplan-Meier survival curves are graphed, and Cox regression models are run to explore and partially disentangle the roles of genetic and environmental factors. Immigrants, multiple births and individuals lacking a genealogy from the Registre de population du Québec ancien (RPQA) and Infrastructure intégrée des microdonnées historiques de la Population du Québec (IMPQ) are excluded. Altogether, 610,412 individuals are analysed in the Cox models. Hazard ratios for epidemics increase with age and distant consanguinity hazard ratios often resemble the no consanguinity reference group. Further, the effects differ by sex and age group. Generally, if closely consanguineous children, those identified as consanguineous with only three ascending generations, do not undergo excess mortality in a previous age group, the Cox models signal an unfavourable survival of these individuals during epidemics. Underlying effects such as selection processes and unrobust control variables for settlement guide the results of the interaction between epidemics and consanguinity, so the premise, though convincing, remains to be validated.
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- 2022
37. Seasonal variation in child mortality in rural Guinea-Bissau.
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Nielsen, Bibi Uhre, Byberg, Stine, Aaby, Peter, Rodrigues, Amabelia, Benn, Christine Stabell, and Fisker, Ane Bærent
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- *
CHILD mortality statistics , *VACCINATION , *GENDER , *AGE , *AGE distribution , *CHILD mortality , *CLIMATOLOGY , *RURAL population , *SEASONS , *SEX distribution , *PROPORTIONAL hazards models - Abstract
Objectives: In many African countries, child mortality is higher in the rainy season than in the dry season. We investigated the effect of season on child mortality by time periods, sex and age in rural Guinea-Bissau.Methods: Bandim health project follows children under-five in a health and demographic surveillance system in rural Guinea-Bissau. We compared the mortality in the rainy season (June to November) between 1990 and 2013 with the mortality in the dry season (December to May) in Cox proportional hazards models providing rainy vs. dry season mortality rate ratios (r/d-mrr). Seasonal effects were estimated in strata defined by time periods with different frequency of vaccination campaigns, sex and age (<1 month, 1-11 months, 12-59 months). Verbal autopsies were interpreted using InterVa-4 software.Results: From 1990 to 2013, overall mortality was declined by almost two-thirds among 81 292 children (10 588 deaths). Mortality was 51% (95% ci: 45-58%) higher in the rainy season than in the dry season throughout the study period. The seasonal difference increased significantly with age, the r/d-mrr being 0.94 (0.86-1.03) among neonates, 1.57 (1.46-1.69) in post-neonatal infants and 1.83 (1.72-1.95) in under-five children (P for same effect <0.001). According to the InterVa, malaria deaths were the main reason for the seasonal mortality difference, causing 50% of all deaths in the rainy season, but only if the InterVa included season of death, making the argument self-confirmatory.Conclusion: The mortality declined throughout the study, yet rainy season continued to be associated with 51% higher overall mortality. [ABSTRACT FROM AUTHOR]- Published
- 2017
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38. Petite histoire des premières crèches en Pologne : regards comparatifs vers la France.
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Pawlowska, Aleksandra
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SCHOOL hygiene ,CHILD care ,PRESCHOOL education ,SOCIAL control ,FRENCH history ,POLISH history ,HISTORY - Abstract
Copyright of Canadian Bulletin of Medical History is the property of University of Toronto Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2017
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39. Independent and combined effects of maternal smoking and solid fuel on infant and child mortality in sub-Saharan Africa.
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Akinyemi, Joshua O., Adedini, Sunday A., Wandera, Stephen O., and Odimegwu, Clifford O.
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CHILD mortality , *SMOKING , *MATERNAL health , *PROPORTIONAL hazards models , *HEALTH surveys , *AIR pollution , *COOKING , *DEMOGRAPHY , *FAMILIES , *INFANT death , *INFANT mortality , *MOTHERS , *PASSIVE smoking , *RESEARCH funding , *SURVEYS , *ENVIRONMENTAL exposure - Abstract
Objective: To estimate the independent and combined risks of infant and child mortality associated with maternal smoking and use of solid fuel in sub-Saharan Africa.Methods: Pooled weighted data on 143 602 under-five children in the most recent demographic and health surveys for 15 sub-Saharan African countries were analysed. The synthetic cohort life table technique and Cox proportional hazard models were employed to investigate the effect of maternal smoking and solid cooking fuel on infant (age 0-11 months) and child (age 12-59 months) mortality. Socio-economic and other confounding variables were included as controls.Results: The distribution of the main explanatory variable in households was as follows: smoking + solid fuel - 4.6%; smoking + non-solid fuel - 0.22%; no smoking + solid fuel - 86.9%; and no smoking + non-solid fuel - 8.2%. The highest infant mortality rate was recorded among children exposed to maternal smoking + solid fuel (72 per 1000 live births); the child mortality rate was estimated to be 54 per 1000 for this group. In full multivariate models, the risk of infant death was 71% higher among those exposed to maternal smoking + solid fuel (HR = 1.71, CI: 1.29-2.28). For ages 12 to 59 months, the risk of death was 99% higher (HR = 1.99, CI: 1.28-3.08).Conclusions: Combined exposures to cigarette smoke and solid fuel increase the risks of infant and child mortality. Mothers of under-five children need to be educated about the danger of smoking while innovative approaches are needed to reduce the mortality risks associated with solid cooking fuel. [ABSTRACT FROM AUTHOR]- Published
- 2016
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40. Profil infectieux et mortalité des enfants âgés de 0 à 5 ans admis pour malnutrition aiguë sévère: étude de cohorte rétrospective au Centre Nutritionnel et Thérapeutique de Bukavu, République Démocratique du Congo
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Richard Mbusa Kambale, Joe Bwija Kasengi, John Mutendela Kivukuto, Liévin Murhula Cubaka, Bruno Masumbuko Mungo, and Ghislain Bisimwa Balaluka
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malnutrition ,enfants ,infections ,mortalité infantile ,Medicine - Abstract
INTRODUCTION: la malnutrition constitue une toile de fond sur laquelle se greffent plusieurs infections. L'objectif de ce travail est de déterminer les infections les plus létales, la durée médiane de séjour et le gain pondéral médian journalier des enfants malnutris. METHODES: étude de cohorte rétrospective des enfants malnutris de 0 à 59 mois hospitalisés au Centre Nutritionnel et Thérapeutique de Bukavu du 1er janvier 2011 au 31 décembre 2013. L'évaluation du risque de survenue de décès par complication infectieuse a été faite par la mesure du risque relatif. Nous avons utilisé le test de Mann-Whitney pour comparer les médianes. Les Odd ratio ajustés par régression logistique et leurs intervalles de confiance à 95% du risque de mortalité ont été donnés pour chaque cause infectieuse. RESULTATS: au total, 574 enfants avaient été inclus. Cinq cent vingt et un (90.8%) enfants étaient sortis guéris, 10 (1.7%) avaient abandonné le traitement et 43 (7.5%) étaient décédés. La durée médiane de séjour était de 19 (13-26) jours et le gain pondéral médian journalier était de 7 (3-13) g/kg/j. Il existait une association statistiquement significative entre la mortalité et le sepsis / choc septique (p = 0,0004), la méningite (p = 0,00001), et l'infection à VIH (p = 0,02). CONCLUSION: une meilleure prise en charge de la malnutrition aigüe dans notre région devrait se baser sur la mise en place des unités spécialisées et bien équipées pour la prise en charge de la malnutrition associées aux infections sévères.
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- 2016
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41. A new record linkage for assessing infant mortality rates in Ontario, Canada
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Deshayne B. Fell, Nehal Islam, Alison L. Park, Joel G. Ray, and Ann E. Sprague
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medicine.medical_specialty ,Canada ,Infant mortality ,Medical Records ,03 medical and health sciences ,0302 clinical medicine ,Couplage de données ,Medicine ,Humans ,030212 general & internal medicine ,Newborn health ,Registries ,Ontario ,030505 public health ,business.industry ,Public health ,Public Health, Environmental and Occupational Health ,Infant ,General Medicine ,Data linkage ,Santé des nouveau-nés ,Vital Statistics ,Gestation ,Health information ,Birth records ,Quantitative Research ,0305 other medical science ,Live birth ,business ,Record linkage ,Mortalité infantile ,Ontario canada ,Demography - Abstract
Objective Infant mortality statistics for Canada have routinely omitted Ontario—Canada’s most populous province—as a high proportion of Vital Statistics infant death registrations could not be linked with their corresponding Vital Statistics live birth registrations. We assessed the feasibility of linking an alternative source of live birth information with infant death registrations. Methods All infant deaths occurring before 365 days of age registered in Ontario’s Vital Statistics in 2010–2011 were linked with birth records in the Canadian Institute for Health Information’s hospitalization database. Crude birthweight-specific and gestational age-specific infant mortality rates were calculated, and rates examined according to maternal and infant characteristics. Results Of 1311 infant death registrations, only 47 (3.6%) could not be linked to a hospital birth record. The overall crude infant mortality rate was 4.7 deaths per 1000 live births (95% CI, 4.4 to 4.9), the same as previously reported for the rest of Canada in 2011. Infant mortality was higher in women < 20 years (5.8 per 1000 live births) and ≥ 40 years (5.9 per 1000 live births), and lowest among those aged 25–29 years (3.9 per 1000 live births). Infant mortality was notably higher in the lowest (5.1 per 1000 live births) residential income quintile than the highest (3.4 per 1000 live births). Conclusion Use of birth hospitalization records resulted in near-complete linkage of all Vital Statistics infant death registrations. This approach could enhance the conduct of representative surveillance and research on infant mortality when direct linkage of live birth and infant death registrations is not achievable.
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- 2019
42. Health capabilities, public policies and the determinants of infant mortality in Brazil
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Bugelli, Alexandre, Borgès Da Silva, Roxane, Sicotte, Claude, and Dowbor, Ladislau
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Programme Bolsa Familia ,Données de panel ,Économie de la santé ,Infant mortality ,Conditional cash transfer program ,Bolsa Família ,Health capabilities ,Public policies ,Brésil ,Capabilités en santé ,Social determinants of health ,Health Economics ,Politiques publiques ,Capabilities approach ,Déterminants sociaux de la santé ,Programme de transfert conditionnel en espèce ,Multilevel panel data with fixed effect nested within-cluster ,Mortalité infantile ,Brazil - Abstract
Résumé Le taux de mortalité infantile est un indicateur de santé des populations et de l'efficacité des systèmes de santé. Il est également capable d'estimer l'ampleur des inégalités sociales et en matière de santé entre populations. Au cours des 30 dernières années, le Brésil a enregistré des réductions significatives des taux de mortalité infantile. Entre 1990 et 2017, le taux de mortalité des moins de cinq ans est passé de 53,7 décès pour mille naissances vivantes à 15,6. Une réduction de 71% sur la période. La moyenne nationale de réduction était de 6% par an dans les années 90, passant à 4,8% dans les années 2000 et à 3,2% par an entre 2011 et 2015. De nombreux facteurs ont été signalés comme la cause de ces améliorations. Malgré la mise en œuvre de politiques sociales et de santé qui ont eu un impact positif sur la santé des populations brésiliennes au cours des dernières décennies, depuis 2009 le pays a connu une lente diminution de la baisse de la mortalité infantile qui est restée à des niveaux élevés, enregistrant de grandes disparités régionales. Après une crise économique qui a évolué vers une période troublée de crise politique, le pays a enregistré en 2016 une augmentation de la mortalité infantile chez les moins d'un an et de cinq ans, qui est passé de 12,43 à 12,72 décès pour mille naissances vivantes et de 14,28 décès à 14,89 décès pour mille naissances vivantes, respectivement. Ces éléments attirent l'attention sur l'impact possible des déterminants sociaux de la santé sur les taux de mortalité infantile au Brésil après la mise en œuvre de ces politiques sociales et de santé. Cette anomalie observée dans la tendance de la mortalité infantile, combinée aux disparités régionales et à une lente diminution de la baisse des taux de mortalité infantile est préoccupante. Elle soulève des questions sur l'impact de ces politiques sociales et de santé, sur la capacité du pays à maintenir une réduction du taux de mortalité infantile à long terme, et sa capacité à rejoindre les taux des pays développés, ainsi quels sont les déterminants de la mortalité infantile au Brésil après la mise en œuvre de ces politiques publiques? L'objectif premier de cette thèse était d'identifier les déterminants de la mortalité infantile au Brésil après la mise en œuvre du programme Stratégie Santé Famille et du Programme Bolsa Família afin de formuler des hypothèses plausibles, relatives au ralentissement du taux de mortalité chez les moins d’un an et de cinq ans, aux disparités régionales et à l’anomalie observée dans la tendance à la baisse du taux de mortalité infantile au Brésil. Pour atteindre cet objectif, nous avons effectué trois études: 1) un examen de la portée qui visait à identifier et à résumer les déterminants de la mortalité infantile au Brésil sous l'influence de ces programmes, en vue de formuler des hypothèses relativement à l’évolution récente des taux de mortalité infantile au Brésil et d’identifier les lacunes, en termes de recherche, concernant les déterminants de la mortalité infantile dans le pays; 2) une analyse descriptive rétrospective, dans une optique de santé publique et des inégalités en matière de santé, en adoptant le cadre analytique proposé par la Commission de l'OMS sur les déterminants sociaux de la santé, en utilisant les données du taux de mortalité chez les enfants de moins d'un an et des possibles déterminants de la mortalité infantile au Brésil selon les conclusions de notre examen de la portée (article 1); 3) une proposition de méthodologie pour faire face aux défis liés au développement d'un modèle de données de panel en utilisant des données agrégées des 26 états brésiliens et des différentes sous-régions, selon le « Conceptual Model of Health Capability » , afin d'inférer des associations possibles entre nos variables indépendantes et les taux de mortalité infantile au Brésil et pour vérifier l'hypothèse soulevée dans l'examen de cadrage sur les récents changements des indicateurs de mortalité infantile du pays. Les résultats globaux de ces études ont démontré qu'à la lumière du « Conceptual Model of Health Capability » et des déterminants sociaux de la santé, les disparités régionales liées aux inégalités, notamment aux niveaux du revenu, de l'éducation, de l'emploi, du taux de fécondité, de l'accès et de la qualité des services de santé, expliquent les inégalités en termes de taux de mortalité infantile, en particulier dans les macro-régions du nord et du nord-est du pays, ce qui freine probablement la baisse du taux de mortalité infantile. Ces inégalités expliqueraient à la fois la lenteur de la réduction du taux de mortalité infantile et sa tendance à demeurer à des niveaux relativement élevés. Les résultats ont également montré que les variations de ces facteurs, pour des raisons liées à la crise économique et politique, ont probablement perturbé la tendance à la baisse des taux de mortalité infantile. À cet égard, les résultats suggèrent qu'une forte réduction du taux d'emploi, observée entre 2014 et 2015 entre autres facteurs, pourrait avoir eu un impact différé sur le TMI en 2016. Les résultats ont également permis d’établir une association entre l'emploi et différents indicateurs de mortalité infantile, le taux d'emploi pouvant avoir un impact sur la mortalité infantile jusqu'à trois ans. Enfin, les études ont démontré qu'il existe un seuil de revenu des ménages, qui agit comme facteur de protection contre la mortalité infantile, en dessous duquel plus la proportion de ménages est élevée, plus le risque d'augmentation de la mortalité infantile est élevé., The infant mortality rate is an indicator of population health and the effectiveness of health systems that is also capable of estimating the extent of social and health inequalities between populations. Over the last 30 years, Brazil has recorded significant reductions in child mortality rates. Between 1990 and 2017, the under-five mortality rate dropped from 53.7 to 15.6 deaths per thousand live births, a 71% reduction over the period. The national reduction average was 6% per year in the 1990s, decreasing to 4.8% in the 2000s and to 3.2% per year between 2011 and 2015, and many factors have been reported as the cause of these improvements. Even after the implementation of health and social policies that positively affected the health of the populations in Brazil in the last decades, since 2009 the country has experienced a slow decrease in the decline in infant mortality that remained at high levels, registering great regional disparities. After an economic crisis that evolved into a troubled period of political crisis, in 2016 the country recorded increases in under-one-year infant mortality and under-five-year infant mortality rates, that raised from 12.43 deaths to 12.72 deaths per thousand live births and from 14.28 deaths to 14.89 deaths per thousand live births, respectively. These facts call attention to the possible impact of social determinants of health on infant mortality rates in Brazil after the implementation of these health and social policies. This anomaly in the trend of child mortality, particularly when combined with regional disparities and a slow decrease in the decline in infant mortality rates is of great concern and raise questions about what is the extent of these health and social policies on the country’s ability to maintain a longer-term decline in the infant mortality rate, is it capable of placing this rate at the level of developed countries and what are the determinants of infant mortality in Brazil after the implementation of these public policies. The overarching goal of this thesis was to identify the determinants of infant mortality in Brazil after the implementation of the Family Health Strategy and the Bolsa Família programs in order to raise plausible hypotheses for the slowdown, the regional disparities, and the anomaly observed in the trend of declines in the infant mortality rate in Brazil. To attain this objective, we conducted three research papers: 1. a scoping review that aimed at identifying and summarizing the determinants of infant mortality in Brazil under the influence of Family Health Strategy and Bolsa Família programs, with a view of raising hypothesis for the recent changes in the infant mortality rates in Brazil and identifying gaps in terms of research concerning the determinants of infant mortality in the country, 2. a descriptive retrospective analysis according to the perspective of Public Health and health inequalities by adopting the analytical framework proposed by the World Health Organization’s Commission on Social Determinants of Health, using data from under-one-year old infant mortality rate and from possible determinants of infant mortality in Brazil according to the findings of our scoping review (article 1), and 3. a methodological proposal in order to overcome the challenges to developing a panel data model using aggregated data from the 26 Brazilian states and different subregions according to the Conceptual Model of Health Capability, with a view of inferring possible associations between our independent variables and infant mortality rates in Brazil, aiming at reviewing the hypothesis raised in the scoping review about the recent changes in the country's infant mortality indicators. The global results of these studies demonstrated that in the light of the Conceptual Model of Health Capability and the social determinants of health, regional disparities related to inequalities in factors such as income, education, employment, fertility rate, access, and quality of health services, account for inequalities in infant mortality rates, especially in the north and Northeast macro-regions of the country, which likely hamper further reductions of infant mortality. Those inequalities would explain both the slowdown in the reduction and the tendency of the infant mortality rate to remain at relatively high levels. Results also demonstrated that variations in those factors for reasons relating to the economic and political crisis, likely have interrupted the secular trend of declining infant mortality rates. In this regard, results suggest that a sharp reduction in employment rate observed between 2014 and 2015, among other factors, may have had a delayed impact on infant mortality rates in 2016. The results also identified an association between employment and different infant mortality indicators, with employment rate possibly impacting child mortality up to three years. Finally, the studies have shown that a household income threshold acts as a protective factor against child mortality, the bigger the proportion of households below this income bracket, the greater the risk of an increase in child mortality.
- Published
- 2021
43. Trends in Health Facility Births in sub-Saharan Africa: An Analysis of Lessons Learned under the Millennium Development Goal Framework.
- Author
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Udo, Ifeyinwa E. and Doctor, Henry V.
- Subjects
BIRTH rate ,HEALTH facilities ,MATERNAL mortality - Abstract
Copyright of African Journal of Reproductive Health is the property of Women's Health & Action Research Centre and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
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- View/download PDF
44. Decreasing child mortality, spatial clustering and decreasing disparity in North-Western Burkina Faso.
- Author
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Becher, Heiko, Müller, Olaf, Dambach, Peter, Gabrysch, Sabine, Niamba, Louis, Sankoh, Osman, Simboro, Seraphin, Schoeps, Anja, Stieglbauer, Gabriele, Yé, Yazoume, and Sié, Ali
- Subjects
- *
CHILD mortality statistics , *SPATIAL variation , *REGRESSION analysis - Abstract
Within relatively small areas, there exist high spatial variations of mortality between villages. In rural Burkina Faso, with data from 1993 to 1998, clusters of particularly high child mortality were identified in the population of the Nouna Health and Demographic Surveillance System (HDSS), a member of the INDEPTH Network. In this paper, we report child mortality with respect to temporal trends, spatial clustering and disparity in this HDSS from 1993 to 2012. Poisson regression was used to describe village-specific child mortality rates and time trends in mortality. The spatial scan statistic was used to identify villages or village clusters with higher child mortality. Clustering of mortality in the area is still present, but not as strong as before. The disparity of child mortality between villages has decreased. The decrease occurred in the context of an overall halving of child mortality in the rural area of Nouna HDSS between 1993 and 2012. Extrapolated to the Millennium Development Goals target period 1990-2015, this yields an estimated reduction of 54%, which is not too far off the aim of a two-thirds reduction. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
45. Linking mortuary data improves vital statistics on cause of death of children under five years in the Western Cape Province of South Africa.
- Author
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Groenewald, Pam, Bradshaw, Debbie, Neethling, Ian, Martin, Lorna J., Dempers, Johan, Morden, Erna, Zinyakatira, Nesbert, and Coetzee, David
- Subjects
- *
CHILD mortality , *RESPIRATORY infections , *PROOF & certification of death , *FUNERAL homes - Abstract
OBJECTIVES Reducing child mortality requires good information on its causes. Whilst South African vital registration data have improved, the quality of cause-of-death data remains inadequate. To improve this, data from death certificates were linked with information from forensic mortuaries in Western Cape Province. METHODS A local mortality surveillance system was established in 2007 by the Western Cape Health Department to improve data quality. Cause-of-death data were captured from copies of death notification forms collected at Department of Home Affairs Offices. Using unique identifiers, additional forensic mortuary data were linked with mortality surveillance system records. Causes of death were coded to the ICD-10 classification. Causes of death in children under five were compared with those from vital registration data for 2011. RESULTS Cause-of-death data were markedly improved with additional data from forensic mortuaries. The proportion of ill-defined causes was halved (25-12%), and leading cause rankings changed. Lower respiratory tract infections moved above prematurity to rank first, accounting for 20.8% of deaths and peaking in infants aged 1-3 months. Only 11% of deaths from lower respiratory tract infections occurred in hospital, resulting in 86% being certified in forensic mortuaries. Road traffic deaths increased from 1.1-3.1% (27-75) and homicides from 3 to 28. CONCLUSIONS The quality and usefulness of cause-of-death information for children in the WC was enhanced by linking mortuary and vital registration data. Given the death profile, interventions are required to prevent and manage LRTI, diarrhoea and injuries and to reduce neonatal deaths. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
46. Profil infectieux et mortalité des enfants âgés de 0 à 5 ans admis pour malnutrition aiguë sévère: étude de cohorte rétrospective au Centre Nutritionnel et Thérapeutique de Bukavu, République Démocratique du Congo.
- Author
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Kambale, Richard Mbusa, Kaseng, Joe Bwija, Kivukuto, John Mutendela, Cubaka, Liévin Murhula, Mungo, Bruno Masumbuko, and Balaluka, Ghislain Bisimwa
- Abstract
Introduction: Malnutrition is a backdrop on which several infections are grafted. The aim of this study is to determine the most lethal infections, the median length of stay and the median daily weight gain of malnourished children. Method: A retrospective cohort study of malnutrition in children aged 0-59 months hospitalized in the Therapeutic Nutritional Center in Bukavu from 1 January 2011 to 31 December 2013. The evaluation of the risk of deaths related to infectious complication was made measuring the relative risk. Mann-Whitney test was used for comparing the medians. Adjusted odd ratios using logistic regression and 95% confidence interval for the risk of mortality were given for each infectious cause. Results: A total of 574 children were included in the study. Five hundred twenty-one (90.8%) children were cured, 10 (1.7%) had discontinued treatment and 43 (7.5%) had died. The median length of stay was 19 (13-26) days and the median daily weight gain was 7 (3-13) g/kg/j. There was a statistically significant association between mortality and sepsis/septic shock (p = 0.0004), meningitis (p = 0.00001) and HIV infection (p = 0.02). Conclusion: A better management of acute malnutrition in our region should be based on the establishment of specialized and well equipped units for the treatment of malnutrition associated with severe infections. [ABSTRACT FROM AUTHOR]
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- 2016
- Full Text
- View/download PDF
47. Spatial analysis of under-5 mortality and potential risk factors in the Basse Health and Demographic Surveillance System, the Gambia.
- Author
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Quattrochi, John, Jasseh, Momodou, Mackenzie, Grant, and Castro, Marcia C.
- Subjects
- *
DEATH rate , *HEALTH surveys , *DEMOGRAPHIC surveys , *SOCIOECONOMICS , *PROPORTIONAL hazards models - Abstract
Objectives To describe the spatial pattern in under-5 mortality rates in the Basse Health and Demographic Surveillance System ( BHDSS) and to test for associations between under-5 deaths and biodemographic and socio-economic risk factors. Methods Using data on child survival from 2007 to 2011 in the BHDSS, we mapped under-5 mortality by km2. We tested for spatial clustering of high or low death rates using Kulldorff's spatial scan statistic. Associations between child death and a variety of biodemographic and socio-economic factors were assessed with Cox proportional hazards models, and deviance residuals from the best-fitting model were tested for spatial clustering. Results The overall death rate among children under 5 was 0.0195 deaths per child-year. We found two spatial clusters of high death rates and one spatial cluster of low death rates; children in the two high clusters died at a rate of 0.0264 and 0.0292 deaths per child-year, while in the low cluster, the rate was 0.0144 deaths per child-year. We also found that children born to Fula mothers experienced, on average, a higher hazard of death, whereas children born in the households in the upper two quintiles of asset ownership experienced, on average, a lower hazard of death. After accounting for the spatial distribution of biodemographic and socio-economic characteristics, we found no residual spatial pattern in child mortality risk. Conclusion This study demonstrates that significant inequality in under-5 death rates can occur within a relatively small area (1100 km2). Risks of under-5 mortality were associated with mother's ethnicity and household wealth. If high mortality clusters persist, then equity concerns may require additional public health efforts in those areas. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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48. Explaining the Rapid Increase in Nigeria's Sex Ratio at Birth: Factors and Implications.
- Author
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Kaba, Amadu J.
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ABORTION ,AGE distribution ,BLACK people ,BIRTH rate ,CULTURE ,INFANT mortality ,POPULATION ,RACE ,SEX distribution ,SOCIOECONOMIC factors ,HISTORY - Published
- 2015
49. Health policy for sickle cell disease in Africa: experience from Tanzania on interventions to reduce under-five mortality.
- Author
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Makani, Julie, Soka, Deogratias, Rwezaula, Stella, Krag, Marlene, Mghamba, Janneth, Ramaiya, Kaushik, Cox, Sharon E., and Grosse, Scott D.
- Subjects
- *
SICKLE cell anemia , *HEMOGLOBINOPATHY , *HEALTH policy , *MORTALITY , *NON-communicable diseases - Abstract
Tanzania has made considerable progress towards reducing childhood mortality, achieving a 57% decrease between 1980 and 2011. This epidemiological transition will cause a reduction in the contribution of infectious diseases to childhood mortality and increase in contribution from non-communicable diseases ( NCDs). Haemoglobinopathies are amongst the most common childhood NCDs, with sickle cell disease ( SCD) being the commonest haemoglobinopathy in Africa. In Tanzania, 10 313 children with SCD under 5 years of age (U5) are estimated to die every year, contributing an estimated 7% of overall deaths in U5 children. Key policies that governments in Africa are able to implement would reduce mortality in SCD, focusing on newborn screening and comprehensive SCD care programmes. Such programmes would ensure that interventions such as prevention of infections using penicillin plus prompt diagnosis and treatment of complications are provided to all individuals with SCD. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
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50. Rôle de l'ADN mitochondrial dans l'adaptation au climat
- Author
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Noël, Yannick and Noël, Yannick
- Published
- 2020
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