Long-Term Reductions in Mortality Among Children Under Age 5 in Rural Haiti: Effects of a Comprehensive Health System in an Impoverished Setting
Henry Perry, MD,
Warren Berggren, MD,
Gretchen Berggren, MD,
Duane Dowell, MD,
Henri Menager, MD,
Erve Bottex, MD,
Jean Richard Dortonne, MD,
Francois Philippe, MA and
Michel Cayemittes, MD
Henry Perry is with Future Generations, Franklin, West Virginia. Warren Berggren and Gretchen Berggren are independent international public health advisors based in Golden, Colo. Duane Dowell is retired from Hôpital Albert Schweitzer, Deschapelles, Haiti. Henri Menager is with the Kansas Department of Health and Environment, Topeka. Erve Bottex is with Columbia University, Harlem Hospital Center, Division of Medicine/Infectious Diseases, New York, NY. Jean Richard Dortonne is with the University of Montreal, Montreal, Canada. Francois Philippe is a private consultant in New York City. Michel Cayemittes is with the Institut Haïtien de l’Enfance, Haiti.
FIGURE 1——Long-term trends in infant 0–11 month mortality in Haiti and in the primary health care service area of Hôpital Albert Schweitzer, 1958–1999.
Source. HAS birth history survey, 2000, and Cayemittes et al.12,18
Note. Mortality rates for rural Haiti were not available before 1985.
FIGURE 2——Long-term trends in under-5 mortality rates in Haiti and in the primary health care service area of the Hôpital Albert Schweitzer, 1958–1999.
Source. HAS birth history survey, 2000, and Cayemittes et al.12,18 Note. Rates refer to the total risk of death over a 5-year period, from birth to 59 months of age. Mortality rates for rural Haiti were not available before 1985.
