Bulletin of the World Health Organization

Equity and child-survival strategies

EK Mulholland, L Smith, I Carneiro, H Becher, D Lehmann

Volume 86, Number 5, May 2008, 399-407

Table 1. Child mortality and treatment seeking during terminal illness by place of residence in the Asaro Valley, Papua New Guinea, 1980–198926

Indicator Urban(Goroka town) Peri-urban Rural(Lowa census division) Rural(Asaro census division)
Median distance to GBH (km) 1 6 13 30
Nearest health facility GBH Aid post Aid post Aid post
All-cause mortality rate (per 1000 person-years)a
< 1 year 32.7 (13) 48.5 (10) 47.2 (17) 94.0 (72)
1–4 years 8.7 (13) 3.0 (2) 8.7 (11) 11.1 (34)
ALRI mortality rate (per 1000 person-years)a
< 1 year 12.6 (5) 14.6 (3) 25.0 (9) 33.9 (27)
1–4 years 2.0 (3) 1.5 (1) 2.4 (3) 3.0 (9)
Treatment sought for children < 1year who diedb
None 1 (8) 2 (20) 3 (18) 21 (29)
GBH outpatient 1 (8) 1 (10) 2 (12) 1 (1)
GBH inpatient 11 (85) 7 (70) 11 (65) 26 (36)
Health centre/aid post 0 0 1 (6) 24 (33)
Place of death for children < 1 yearb
Home 4 (31) 5 (50) 8 (47) 49 (68)
GBH inpatient 9 (69) 5 (50) 9 (53) 16 (22)
Health centre/aid post 0 0 0 6 (8)

ALRI, acute lower respiratory infection; GBH, Goroka Base Hospital.a Values presented in parentheses are the actual number of deaths.b Values presented in parentheses are percentages.