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• W2077256835 abstract "Summary Objective To investigate the relationship between child mortality and common preventive interventions: vaccination, trained birthing attendants, tetanus toxoid during pregnancy, breastfeeding and vitamin A supplementation. Methods Case–control study in a population under demographic surveillance. Cases ( n = 141) were children under five who died. Each was age and sex‐matched to five controls ( n = 705). Information was gathered by interviewing primary caregivers. Results All but one of the interventions – whether the mother had received tetanus toxoid during pregnancy – were protective against child mortality after multivariate analysis. Having a trained person assisting at child birth (OR 0.2 95% CI 0.1–0.4), receiving all vaccinations by 9 months of age (OR 0.1; 95% CI 0.01–0.3), being breastfed for more than 12 months (Children breastfed between 13 and 24 months OR 0.1 95% CI 0.03–0.3, more than 25 months OR 0.1 95% CI 0.01–0.5) and receiving vitamin A supplementation at or after 6 months of age (OR 0.05; 95% CI 0.01–0.2) were protective against child death. Conclusions This study confirms the value of at least four available interventions in the prevention of under‐five death in The Gambia. It is now important to identify those who are not receiving them and why, and to intervene to improve coverage across the population." @default.
• W2077256835 created "2016-06-24" @default.
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• W2077256835 date "2009-02-01" @default.
• W2077256835 modified "2023-10-12" @default.
• W2077256835 title "Preventive measures in infancy to reduce under-five mortality: a case-control study in The Gambia" @default.
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• W2077256835 doi "https://doi.org/10.1111/j.1365-3156.2008.02204.x" @default.
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