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International Journal of Epidemiology 2001;30:973-975
© International Epidemiological Association 2001

Special Theme: Ethnicity

Commentary: Evaluating avoidable mortality in developing countries—an important issue for public health

Ragnar Westerling

Department of Public Health and Caring Sciences, Uppsala University, Sweden.

Ragnar Westerling, Department of Public Health and Caring Sciences, Uppsala Science Park, 751 85 Uppsala, Sweden.

In the late 1970s, an American working group chaired by David D Rutstein introduced a method for measuring the quality of medical care.1 It was based on the tradition of using potentially avoidable mortality such as perinatal and maternal mortality as negative indicators of health and as a starting point for the evaluation of health care. Studies of the maternal and infant mortality rate have been useful. These rates, however, have the limitation that they only apply to mothers and infants. With the help of specialists in many fields of medicine 80 causes of death were defined as ‘unnecessary . . . [Full Text of this Article]

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