Factors contributing to high mortality due to pneumonia among under-fives in Kalabo District, Zambia
To determine factors contributing to high mortality caused by pneumonia among children under 5 years of age in Kalabo District. methods
In a cross-sectional descriptive study 78 mothers and 16 health workers were interviewed using structured questionnaires. Focus group discussions were held with groups of women who did not take part in the survey. Registers, patient records, drug stock control cards, drug stores and equipment were reviewed or checked. results
Pneumonia is an important public health problem in Kalabo District. Knowledge about the disease and its treatment is inadequate, both in health workers and in mothers. Low birth weight and distance contribute to high mortality. Mother and Child Health (MCH) clinic visits protect against mortality. conclusion
The community should be educated to recognize the signs and symptoms of pneumonia and to understand the importance of early and adequate treatment. As MCH clinics can play an important role, health workers, especially at rural health centre level, should be re-trained in case definition, case management and the use of available protocols. Strategies to fight the impact of pneumonia in the district should be part of an integrated package of care focusing on all prevalent childhood diseases, as they overlap in many cases.
Document Type: Research Article
Affiliations: 1: Leeuwarden Medical Centre, Department of Obstetrics and Gynaecology, Leeuwarden, the Netherlands. 2: Formerly Kalabo District Health Board, Kalabo, Zambia. 3: Vrije Universiteit Medical Centre, Section Health Care and Culture, Amsterdam, the Netherlands
Publication date: 01 October 2002