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To illustrate the public health potential of linking individual bedside data with community-based household data in a poor rural setting, we estimated excess pediatric mortality risk after discharge from St Francis Designated District Hospital in Ifakara, Tanzania. Linked data from demographic and clinical surveillance were used to describe post-discharge mortality and survival probability in children aged 5years, by age group and cause of admission. Cox regression models were developed to identify risk factors. Between March 2003