BACKGROUND: Globally, more than 875 000 children under the age of 18 die due to injury every year. The rate of child injury death is 3.4 times higher in low-income and middle-income countries than in high-income countries. OBJECTIVES: To study injury mortality burden among children under the age of 5 in Pakistan. METHODS: Demographic and Health Survey in Pakistan was conducted from September 2006 until February 2007. It included 95 000 households, out of which 3232 households had death of a child under the age of 5 from January 2005 onwards. The Child Verbal Autopsy Questionnaire (CVAQ) was administered to these households with a response rate of 96%. RESULTS: For age group 0-5 years, injury was the sixth leading cause of death and was responsible for 2.5% of all deaths (n=73). For age group 1-5 years, injury was found to be the third leading cause of death (11%) after diarrhoea (18%) and pneumonia (17%). The overall under fives mortality rate due to injury was estimated at 39.5 per 100 000 per year in Pakistan. Drowning (22%), road traffic injuries (12%), burns (11%) and falls (10%) were the most common types of injury. The mortality rate was twice as high in rural areas (32 per 100 000; 95% CI 18 to 45), compared to the urban areas (15 per 100 000; 95% CI 0.3 to 29). CONCLUSIONS: Injury is the third leading cause of deaths among children 1-5 in Pakistan. The burden is twice as high in rural areas.
BACKGROUND: Globally, more than 875 000 children under the age of 18 die due to injury every year. The rate of childinjury death is 3.4 times higher in low-income and middle-income countries than in high-income countries. OBJECTIVES: To study injury mortality burden among children under the age of 5 in Pakistan. METHODS: Demographic and Health Survey in Pakistan was conducted from September 2006 until February 2007. It included 95 000 households, out of which 3232 households had death of a child under the age of 5 from January 2005 onwards. The Child Verbal Autopsy Questionnaire (CVAQ) was administered to these households with a response rate of 96%. RESULTS: For age group 0-5 years, injury was the sixth leading cause of death and was responsible for 2.5% of all deaths (n=73). For age group 1-5 years, injury was found to be the third leading cause of death (11%) after diarrhoea (18%) and pneumonia (17%). The overall under fives mortality rate due to injury was estimated at 39.5 per 100 000 per year in Pakistan. Drowning (22%), road traffic injuries (12%), burns (11%) and falls (10%) were the most common types of injury. The mortality rate was twice as high in rural areas (32 per 100 000; 95% CI 18 to 45), compared to the urban areas (15 per 100 000; 95% CI 0.3 to 29). CONCLUSIONS: Injury is the third leading cause of deaths among children 1-5 in Pakistan. The burden is twice as high in rural areas.
Authors: A H Baqui; G L Darmstadt; E K Williams; V Kumar; T U Kiran; D Panwar; V K Srivastava; R Ahuja; R E Black; M Santosham Journal: Bull World Health Organ Date: 2006-09 Impact factor: 9.408
Authors: Matthew D Tyler; David B Richards; Casper Reske-Nielsen; Omeed Saghafi; Erica A Morse; Robert Carey; Gabrielle A Jacquet Journal: BMC Public Health Date: 2017-05-08 Impact factor: 3.295