Abstract

The Sudan is the largest country in Africa and ranks as one of the poorest, with an estimated income per capita of U.S.$400 in 1983.1 It is predominantly rural and sparsely inhabited, with an estimated total population in 1985 of 21.6 million, of whom as many as almost half are younger than 15 while only three per cent are aged 65 and over.2 The crude birth rate approaches 50 per thousand and the annual growth rate of the population is likely to be about three per cent.3 Harsh environmental and poor sanitation conditions contribute to a relatively high incidence of morbidity and infant mortality, with severe diarrhoeal diseases as a major cause of ill-health and child death. Life expectancy at birth is currently estimated to be only 48 years, while the infant mortality rate is put at 118 per thousand live births.4

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