@article{fdi:010055395, title = {{N}ew malaria-control policies and child mortality in {S}enegal : reaching millennium development goal 4}, author = {{T}rape, {J}ean-{F}ran{\c{c}}ois and {S}auvage, {C}. and {N}diaye, {O}. and {D}ouillot, {L}aetitia and {M}arra, {A}dama and {D}iallo, {A}ldiouma and {C}isse, {B}. and {G}reenwood, {B}. and {M}illigan, {P}. and {S}okhna, {C}heikh and {M}olez, {J}ean-{F}ran{\c{c}}ois}, editor = {}, language = {{ENG}}, abstract = {{B}ackground. {T}he {D}emographic {S}urveillance {S}ystem established in 1962 in {N}iakhar, {S}enegal, is the oldest in {A}frica. {H}ere, we analyze trends in overall child mortality, malaria, and other causes of death in {N}iakhar from the beginning of data collection to 2010. {M}ethods. {A}fter an initial census, demographic data were updated yearly from 1963 through 2010. {F}rom 1984, causes of death were determined by the verbal autopsy technique. {R}esults. {D}uring 1963-2010, infant and under-5 mortality rates decreased from 223 parts per thousand to 18 parts per thousand and from 485 parts per thousand to 41 parts per thousand, respectively. {T}he decrease was progressive during the entire observation period, except during 1990-2000, when a plateau and then an increase was observed. {M}alaria-attributable mortality in under-5 children decreased from 13.5 parts per thousand deaths per 1000 children per year during 1992-1999 to 2.2 parts per thousand deaths per 1000 children per year in 2010. {D}uring this period, all-cause mortality among children aged < 5 years decreased by 80%. {C}onclusions. {I}nadequate treatment for chloroquine-resistant malaria and an epidemic of meningitis during the 1990s were the 2 factors that interrupted a continuous decrease in child mortality. {D}irect and indirect effects of new malaria-control policies, introduced in 2003 and completed during 2006-2008, are likely to have been the key cause of the recent dramatic decrease in child mortality.}, keywords = {}, booktitle = {}, journal = {{J}ournal of {I}nfectious {D}iseases}, volume = {205}, numero = {4}, pages = {672--679}, ISSN = {0022-1899}, year = {2012}, DOI = {10.1093/infdis/jir805}, URL = {https://www.documentation.ird.fr/hor/fdi:010055395}, }