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Review
. 2017 Jun;106(6):871-877.
doi: 10.1111/apa.13830. Epub 2017 Apr 19.

Child survival revolutions revisited - lessons learned from Bangladesh, Nicaragua, Rwanda and Vietnam

Lars Åke Persson  1   2 , Anisur Rahman  3 , Rodolfo Peña  1   4 , Wilton Perez  1 , Aimable Musafili  1   5 , Dinh Phuong Hoa  6
Affiliations
Review

Child survival revolutions revisited - lessons learned from Bangladesh, Nicaragua, Rwanda and Vietnam

Lars Åke Persson et al. Acta Paediatr. 2017 Jun.

Abstract

Analysing child mortality may enhance our perspective on global achievements in child survival. We used data from surveillance sites in Bangladesh, Nicaragua and Vietnam and Demographic Health Surveys in Rwanda to explore the development of neonatal and under-five mortality. The mortality curves showed dramatic reductions over time, but child mortality in the four countries peaked during wars and catastrophes and was rapidly reduced by targeted interventions, multisectorial development efforts and community engagement.

Conclusion: Lessons learned from these countries may be useful when tackling future challenges, including persistent neonatal deaths, survival inequalities and the consequences of climate change and migration.

Keywords: Child mortality; Migration; Natural catastrophes; Sustainable Development Goals; War.

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Figures

Figure 1
Figure 1
The under‐five mortality rate (circles) and the neonatal mortality rate (squares) in Matlab, Bangladesh, 1970–2015.
Figure 2
Figure 2
The under‐five mortality rate (circles) and the neonatal mortality rate (squares) in León, Nicaragua, 1970–2005.
Figure 3
Figure 3
The under‐five mortality rate (circles) and the neonatal mortality rate (squares) in Rwanda, 1990–2010.
Figure 4
Figure 4
The under‐five mortality rate (circles) and the neonatal mortality rate (squares) in Ba Vi, Vietnam, 1970–2000.
See this image and copyright information in PMC

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