Le SIDA en Afrique subsaharienne (serveur d'exploration)

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South African child deaths 1990-2011: have HIV services reversed the trend enough to meet Millennium Development Goal 4?

Identifieur interne : 001247 ( PubMed/Corpus ); précédent : 001246; suivant : 001248

South African child deaths 1990-2011: have HIV services reversed the trend enough to meet Millennium Development Goal 4?

Auteurs : Kate J. Kerber ; Joy E. Lawn ; Leigh F. Johnson ; Mary Mahy ; Rob E. Dorrington ; Heston Phillips ; Debbie Bradshaw ; Nadine Nannan ; William Msemburi ; Mikkel Z. Oestergaard ; Neff P. Walker ; David Sanders ; Debra Jackson

Source :

RBID : pubmed:23863402

English descriptors

Abstract

To analyse trends in under-five mortality rate in South Africa (1990-2011), particularly the contribution of AIDS deaths.

DOI: 10.1097/01.aids.0000432987.53271.40
PubMed: 23863402

Links to Exploration step

pubmed:23863402

Le document en format XML

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<term>Child Mortality</term>
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<term>HIV Infections (drug therapy)</term>
<term>HIV Infections (epidemiology)</term>
<term>HIV Infections (mortality)</term>
<term>HIV Infections (prevention & control)</term>
<term>Health Services Research</term>
<term>Humans</term>
<term>Infant</term>
<term>Infant, Newborn</term>
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<term>South Africa (epidemiology)</term>
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<div type="abstract" xml:lang="en">To analyse trends in under-five mortality rate in South Africa (1990-2011), particularly the contribution of AIDS deaths.</div>
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<Day>07</Day>
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<ArticleTitle>South African child deaths 1990-2011: have HIV services reversed the trend enough to meet Millennium Development Goal 4?</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To analyse trends in under-five mortality rate in South Africa (1990-2011), particularly the contribution of AIDS deaths.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Three nationally used models for estimating AIDS deaths in children were systematically reviewed. The model outputs were compared with under-five mortality rate estimates for South Africa from two global estimation models. All estimates were compared with available empirical data.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Differences between the models resulted in varying point estimates for under-five mortality but the trends were similar, with mortality increasing to a peak around 2005. The three models showing the contribution of AIDS suggest a maximum of 37-39% of child deaths were due to AIDS in 2004-2005 which has since declined. Although the rate of progress from 1990 is not the 4.4% needed to meet Millennium Development Goal 4 for child survival, South Africa's average annual rate of under-five mortality decline between 2006 and 2011 was between 6.3 and 10.2%.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In 2005, South Africa was one of only four countries globally with an under-five mortality rate higher than the 1990 Millennium Development Goal baseline. Over the past 5 years, the country has achieved a rate of child mortality reduction exceeded by only three other countries. This rapid turnaround is likely due to scale-up of prevention of mother-to-child transmission of HIV, and to a lesser degree, the expanded roll-out of antiretroviral therapy. Emphasis on these programmes must continue, but failure to address other aspects of care including integrated high-quality maternal and neonatal care means that the decline in child mortality could stall.</AbstractText>
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