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首页> 外文期刊>International Journal of Environmental Research and Public Health >Child Acute Malnutrition and Mortality in Populations Affected by Displacement in the Horn of Africa, 1997–2009
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Child Acute Malnutrition and Mortality in Populations Affected by Displacement in the Horn of Africa, 1997–2009

机译：1997-2009年非洲之角流离失所影响人口的儿童急性营养不良和死亡率

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摘要

Drought and conflict in the Horn of Africa are causing population displacement, increasing risks of child mortality and malnutrition. Humanitarian agencies are trying to mitigate the impact, with limited resources. Data from previous years may help guide decisions. Trends in different populations affected by displacement (1997–2009) were analyzed to investigate: (1) how elevated malnutrition and mortality were among displaced compared to host populations; (2) whether the mortality/malnutrition relation changed through time; and (3) how useful is malnutrition in identifying high mortality situations. Under-five mortality rates (usually from 90-day recall, as deaths/10,000/day: U5MR) and global acute malnutrition (wasting prevalences, vs. 8%), but was not different between displaced and local populations. Agricultural populations showed increased U5MR when displaced, in contrast to pastoralist. U5MR rose sharply with increasing GAM, at different GAM thresholds depending on livelihood. Higher GAM cut-points for pastoralists than agriculturalists would better predict elevated U5MR (1/10,000/day) or emergency levels (2/10,000/day) in the Horn of Africa; cut-points of 20–25% GAM in pastoral populations and 10–15% GAM in agriculturalists are suggested. The GAM cut-points in current use do not vary by livelihood, and this needs to be changed, tailoring cut points to livelihood groups, to better identify priorities for intervention. This could help to prioritize limited resources in the current situation of food insecurity and save lives.
机译：非洲之角的干旱和冲突正在造成人口流离失所，增加了儿童死亡和营养不良的风险。人道主义机构正试图以有限的资源减轻影响。前几年的数据可能有助于指导决策。分析了受流离失所影响的不同人口的趋势（1997-2009年），以调查：（1）与东道人口相比，流离失所者的营养不良和死亡率如何升高; （2）死亡率/营养不良关系是否随时间变化; （3）营养不良在识别高死亡率情况方面有多大用处。 5岁以下儿童的死亡率（通常是90天召回，即死亡/ 10,000 /天：U5MR）和全球急性营养不良（浪费率，对比8％），但流离失所者和当地居民之间没有区别。与牧民相比，流离失所的农业人口显示U5MR增加。 U5MR随着GAM的增加而急剧上升，取决于生计，GAM阈值不同。牧民的GAM削减点高于农业学家，可以更好地预测非洲之角的U5MR（1 / 10,000 /天）或紧急情况水平（2 / 10,000 /天）升高;建议在牧民中将GAM降低20％至25％，在农业工作者中将GAM降低10％至15％。当前使用的GAM临界点不会因生计而变化，需要对此进行更改，针对生计群体调整临界点，以更好地确定干预的重点。在当前粮食不安全状况下，这可以有助于优先分配有限的资源并挽救生命。

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