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  • Title: [Experience and results of an epidemiological screening study in the southern part of Guinea-Bissau].
    Author: Hansen HL, Carstensen H, Kristiansen HO.
    Journal: Ugeskr Laeger; 1987 Jun 15; 149(25):1713-6. PubMed ID: 3496695.
    Abstract:
    In 1984, a cross-sectional survey was carried out in Quitafine, the southernmost district of Guinea-Bissau in West Africa, as part of an ongoing health project in the area. The aim of the survey was to collect data on essential health problems in children under the age of 5 and from pregnant women to evaluate the results of certain preventive efforts. A census in 8 selected villages showed a typical age distribution for a developing county with children under age 15 comprising 50% of the population and children under age 5 comprising 20%. A total of 296 resident children (89%) were included. The high rate of participation is a ascribed to a comprehensive collaboration with the village committees, including careful preparation the day before the clinical investigation. Generally, the nutritional status of the children was not bad, although 28% demonstrated signs of mild malnutrition in the 2nd year of life. Hookworm infestation was the most frequent intestinal parasitosis. Vaccination coverage was unsatisfactorily low (53%). At a follow-up of children 2 1/2 years later, 11 had died (3.8%). Results of the survey on pregnant women were similar to those from health care centers; i.e., there was a high maternal mortality (1%). Similarly, a high stillbirth rate (3.8%) and neonatal mortality (6.9%) were found. Epidemiological surveys should be an obligatory part of health care aid projects, with the aim of generating results which would be useful in practical health care work. (author's modified)
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