Past failures of nutrition programs could lead to disillusionment among governments with nutritionists unless realistic targets are adopted. High child death rates are due to both infection and malnutrition, both causes of high general fertility rates. A nutrition program in Zambia examined malarial infections and undernutrition as causes of death. Where malnutrition was diagnosed in youngest children, significantly more siblings had died. However, positive malaria in the youngest child was associated with most sibling deaths; rates being always higher among children where it was detected. A reduction in malaria transmission is proposed as a more effective policy than that of increasing general food production. This would reduce death rates and population growth and increase the availability of family resources for each child.

中文翻译：

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地方性疟疾、营养不良和儿童死亡

除非采用切合实际的目标，否则过去营养计划的失败可能会导致政府对营养学家的幻想破灭。高儿童死亡率是由感染和营养不良造成的，这两者都是导致高总体生育率的原因。赞比亚的一项营养计划将疟疾感染和营养不良作为死亡原因进行了研究。在最年幼的孩子被诊断出营养不良的情况下，更多的兄弟姐妹死亡。然而，最小孩子的疟疾阳性与大多数兄弟姐妹的死亡有关；在检测到的儿童中，发病率总是较高。减少疟疾传播被认为是比增加一般粮食生产更有效的政策。这将降低死亡率和人口增长，并为每个孩子增加家庭资源的可用性。