Jan Van den Broeck|R. Eeckels|Guy Massa
Maternal Determinants of Child Survival in a Rural African Community
Hersenstichting|KU Leuven|Hersenstichting
van den broeck j bureau dutch growth foundation department paediatrics academisch ziekenhuis leiden 10 rijnsburgerweg po box 9600 leiden 2300 rc netherlands eeckels r massa g maternal determinants child survival rural african community international journal epidemiology 1996 25 9981004 aim determine maternal factors related child survival rural area bwamanda northern zaire prospective study 30months mortality carried cohort 776 children aged 03 months obtained random cluster sampling inclusion criteria exclusive breastfeeding severe prematurity absence severe proteinenergy malnutrition diarrhoea acute respiratory infection mortality recorded regular home visits inspection hospital funeral registers maternal factors remain stable followup studied actors associated excess mortality bivariate multiple logistic regression analysis mother parity 5 relative risk rr 1542 ii distance health centre 5 km rr 0929 lii invaliding maternal diseases rr 1 290 maternal school education conditional odds ratio 1050 significant multiple regression contrast risk factors motherchild separation problems breastfeeding rare significantly increase mortality chronic stress situations created maternal invalidity high parity distance health care facilities increase child mortality acute stress motherchild dyad seemed efficiently compensated subsistence economy areas maternal school education disadvantage