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Cited by 2,096

The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

WHO estimates of the causes of death in children

Open access
Bryce, Jennifer, Boschi-Pinto, Cynthia, Shibuya, Kenji, Black, Robert E·2005·The Lancet
DOI 10.1016/s0140-6736(05)71877-8
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Abstract

BACKGROUND Child survival efforts can be effective only if they are based on accurate information about causes of deaths. Here, we report on a 4-year effort by WHO to improve the accuracy of this information. METHODS WHO established the external Child Health Epidemiology Reference Group (CHERG) in 2001 to develop estimates of the proportion of deaths in children younger than age 5 years attributable to pneumonia, diarrhoea, malaria, measles, and the major causes of death in the first 28 days of life. Various methods, including single-cause and multi-cause proportionate mortality models, were used. The role of undernutrition as an underlying cause of death was estimated in collaboration with CHERG. FINDINGS In 2000-03, six causes accounted for 73% of the 10.6 million yearly deaths in children younger than age 5 years: pneumonia (19%), diarrhoea (18%), malaria (8%), neonatal pneumonia or sepsis (10%), preterm delivery (10%), and asphyxia at birth (8%). The four communicable disease categories account for more than half (54%) of all child deaths. The greatest communicable disease killers are similar in all WHO regions with the exception of malaria; 94% of global deaths attributable to this disease occur in the Africa region. Undernutrition is an underlying cause of 53% of all deaths in children younger than age 5 years. INTERPRETATION Achievement of the millennium development goal of reducing child mortality by two-thirds from the 1990 rate will depend on renewed efforts to prevent and control pneumonia, diarrhoea, and undernutrition in all WHO regions, and malaria in the Africa region. In all regions, deaths in the neonatal period, primarily due to preterm delivery, sepsis or pneumonia, and birth asphyxia should also be addressed. These estimates of the causes of child deaths should be used to guide public-health policies and programmes.

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Show all 1 references

Research works printed but not linked: 20

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Cited by

Metadata

Authors
Bryce, J., Boschi-Pinto, C., Shibuya, K., & Black, R. E.
Venue
The Lancet
Publisher
Elsevier BV
Published
2005-03
Volume
365
Issue
9465
Pages
1147-1152
ISSN
  • 0099-5355 (ISSN-L)
  • 0140-6736
DOI
10.1016/s0140-6736(05)71877-8
OpenAlex
W2100451798
Cited by
2,096
References
1
FWCI
81.95
Type
journal article
Language
en
Open access
green
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)

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