Author(s): BoschiPinto C, Velebit L, Shibuya K
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Abstract OBJECTIVE: The major objective of this study is to provide estimates of diarrhoea mortality at country, regional and global level by employing the Child Health Epidemiology Reference Group (CHERG) standard. METHODS: A systematic and comprehensive literature review was undertaken of all studies published since 1980 reporting under-5 diarrhoea mortality. Information was collected on characteristics of each study and its population. A regression model was used to relate these characteristics to proportional mortality from diarrhoea and to predict its distribution in national populations. FINDINGS: Global deaths from diarrhoea of children aged less than 5 years were estimated at 1.87 million (95\% confidence interval, CI: 1.56-2.19), approximately 19\% of total child deaths. WHO African and South-East Asia Regions combined contain 78\% (1.46 million) of all diarrhoea deaths occurring among children in the developing world; 73\% of these deaths are concentrated in just 15 developing countries. CONCLUSION: Planning and evaluation of interventions to control diarrhoea deaths and to reduce under-5 mortality is obstructed by the lack of a system that regularly generates cause-of-death information. The methods used here provide country-level estimates that constitute alternative information for planning in settings without adequate data.
This article was published in Bull World Health Organ
and referenced in Journal of Probiotics & Health