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Am. J. Trop. Med. Hyg., 68(4), 2003, pp. 503-504
Copyright © 2003 by The American Society of Tropical Medicine and Hygiene

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SEASONAL VARIATION IN DIRECT OBSTETRIC MORTALITY IN RURAL SENEGAL: ROLE OF MALARIA?

J. F. ETARD, B. KODIO, AND C. RONSMANS
Institut de Recherche pour le Développement, Dakar, Senegal; London School of Hygiene and Tropical Medicine, London, United Kingdom

We explore a possible link between malaria and maternal death in a rural area of Senegal by assessing the seasonal pattern of maternal mortality by cause and examining whether this pattern coincides with the malaria season. Overall mortality in women 15–49 years of age did not differ by season, while maternal and direct obstetric deaths were significantly more frequent during the rainy/malaria season than during the rest of the year, even after adjusting for place of delivery.

Received October 2, 2002. Accepted for publication January 3, 2003.

Financial support: This study was funded by the Institut de Recherche pour le Développement and the European Community (INCO-DC program/contract IC18CT970248).

Authors’ addresses: J. F. Etard and B. Kodio, Institut de Recherche pour le Développement, BP 1386, Dakar, Senegal, Telephone: 221-839-9321, Fax: 221-832-4307, E-mail: etard{at}ird.sn. C. Ronsmans, London School of Hygiene and Tropical Medicine, London WC1E 7HT, United Kingdom.




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