Peter Sandiford|Patricia Morales|Anna Gorter|Edward F. Coyle|George Davey Smith
Why do child mortality rates fall? An analysis of the Nicaraguan experience.
comprehensive review available sources mortality data undertaken document changes occurred infant mortality nicaragua last three decades found rapid fall infant mortality commenced early 1970s continued steadily since trends several different factors might led breakthrough examined including income nutrition breastfeeding practices maternal education immunizations access health services provision water supplies sanitation antimalarial programs improved access health services appears important factor time number hospital beds per capita dropping increasing numbers health care professionals particularly nurses becoming available staff primary health care facilities built 1960s provided least partly response growing political turmoil enveloping nation time certain nicaraguan cultural attributes may added impact reforms efforts field public health made since 1979 insurrection appear maintained decline child mortality