Factors contributing to high mortality due to pneumonia among under-fives in Kalabo District, Zambia
Version of Record online: 2 OCT 2002
Tropical Medicine & International Health
Volume 7, Issue 10, pages 886–893, October 2002
How to Cite
Stekelenburg, J., Kashumba, E. and Wolffers, I. (2002), Factors contributing to high mortality due to pneumonia among under-fives in Kalabo District, Zambia. Tropical Medicine & International Health, 7: 886–893. doi: 10.1046/j.1365-3156.2002.00932.x
- Issue online: 2 OCT 2002
- Version of Record online: 2 OCT 2002
- pneumonia mortality;
- low birth weight;
- Mother and Child Health
objective 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.