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Clinical Trial
. 2001 Aug 25;358(9282):640-1.
doi: 10.1016/S0140-6736(01)05787-7.

Effect on neonatal tetanus mortality after a culturally-based health promotion programme

M E Meegan, R M Conroy, S O Lengeny, K Renhault, J Nyangole
Clinical Trial

Effect on neonatal tetanus mortality after a culturally-based health promotion programme

M E Meegan et al. Lancet. .

Abstract

The Maasai have high rates of death from neonatal tetanus, partly due to their custom of packing the umbilical stump with cow dung. We report on the effect of a simple health promotion programme, designed in consultation with the local community and carried out by local women. After introduction of the programme in 1981, neonatal (<6 weeks of age) tetanus rates fell sharply, and by 1988 annual death rates had dropped to 0.75 (range 0-3) per 1000 births in the intervention areas compared with 82 (74-93) per 1000 in control areas.

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Comment in

  • Culturally-based health promotion programmes.
    Miranda JJ, Malca R, Bedriñana E, Loayza E. Miranda JJ, et al. Lancet. 2002 Jan 19;359(9302):262-3. doi: 10.1016/S0140-6736(02)07426-3. Lancet. 2002. PMID: 11812594 No abstract available.

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