@article{ref1,
title="A child an hour: burden of injury deaths among children under 5 in Pakistan",
journal="Archives of disease in childhood",
year="2013",
author="Razzak, Junaid Abdul and Khan, Uzma Rahim and Zia, Nukhba and Azam, Iqbal",
volume="98",
number="11",
pages="867-871",
abstract="BACKGROUND: Globally, more than 875 000 children under the age of 18 die due to injury every year. The rate of child injury death is 3.4 times higher in low-income and middle-income countries than in high-income countries.   OBJECTIVES: To study injury mortality burden among children under the age of 5 in Pakistan. METHODS: Demographic and Health Survey in Pakistan was conducted from September 2006 until February 2007. It included 95 000 households, out of which 3232 households had death of a child under the age of 5 from January 2005 onwards. The Child Verbal Autopsy Questionnaire (CVAQ) was administered to these households with a response rate of 96%.   RESULTS: For age group 0-5 years, injury was the sixth leading cause of death and was responsible for 2.5% of all deaths (n=73). For age group 1-5 years, injury was found to be the third leading cause of death (11%) after diarrhoea (18%) and pneumonia (17%). The overall under fives mortality rate due to injury was estimated at 39.5 per 100 000 per year in Pakistan. Drowning (22%), road traffic injuries (12%), burns (11%) and falls (10%) were the most common types of injury. The mortality rate was twice as high in rural areas (32 per 100 000; 95% CI 18 to 45), compared to the urban areas (15 per 100 000; 95% CI 0.3 to 29).   CONCLUSIONS: Injury is the third leading cause of deaths among children 1-5 in Pakistan. The burden is twice as high in rural areas.<p /> <p>Language: en</p>",
language="en",
issn="0003-9888",
doi="10.1136/archdischild-2013-303654",
url="http://dx.doi.org/10.1136/archdischild-2013-303654"
}