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Cause-specific childhood mortality in Africa and Asia : evidence from INDEPTH health and demographic surveillance system sites

Streatfield, P. Kim and Khan, Wasif A. and Bhuiya, Abbas and Hanifi, Syed M. A. and Alam, Nurul and Ouattara, Mamadou and Sanou, Aboubakary and Sié, Ali and Lankoandé, Bruno and Soura, Abdramane B. and Bonfoh, Bassirou and Jaeger, Fabienne and Ngoran, Eliezer K. and Utzinger, Juerg and Abreha, Loko and Melaku, Yohannes A. and Weldearegawi, Berhe and Ansah, Akosua and Hodgson, Abraham and Oduro, Abraham and Welaga, Paul and Gyapong, Margaret and Narh, Clement T. and Narh-Bana, Solomon A. and Kant, Shashi and Misra, Puneet and Rai, Sanjay K. and Bauni, Evasius and Mochamah, George and Ndila, Carolyne and Williams, Thomas N. and Hamel, Mary J. and Ngulukyo, Emmanuel and Odhiambo, Frank O. and Sewe, Maquins and Beguy, Donatien and Ezeh, Alex and Oti, Samuel and Diallo, Aldiouma and Douillot, Laetitia and Sokhna, Cheikh and Delaunay, Valérie and Collinson, Mark A. and Kabudula, Chodziwadziwa W. and Kahn, Kathleen and Herbst, Kobus and Mossong, Joël and Chuc, Nguyen T. K. and Bangha, Martin and Sankoh, Osman A. and Byass, Peter. (2014) Cause-specific childhood mortality in Africa and Asia : evidence from INDEPTH health and demographic surveillance system sites. Global health action, Vol. 7 , 25363.

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Official URL: http://edoc.unibas.ch/dok/A6319301

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Abstract

Childhood mortality, particularly in the first 5 years of life, is a major global concern and the target of Millennium Development Goal 4. Although the majority of childhood deaths occur in Africa and Asia, these are also the regions where such deaths are least likely to be registered. The INDEPTH Network works to alleviate this problem by collating detailed individual data from defined Health and Demographic Surveillance sites. By registering deaths and carrying out verbal autopsies to determine cause of death across many such sites, using standardised methods, the Network seeks to generate population-based mortality statistics that are not otherwise available.; To present a description of cause-specific mortality rates and fractions over the first 15 years of life as documented by INDEPTH Network sites in sub-Saharan Africa and south-east Asia.; All childhood deaths at INDEPTH sites are routinely registered and followed up with verbal autopsy (VA) interviews. For this study, VA archives were transformed into the WHO 2012 VA standard format and processed using the InterVA-4 model to assign cause of death. Routine surveillance data also provided person-time denominators for mortality rates. Cause-specific mortality rates and cause-specific mortality fractions are presented according to WHO 2012 VA cause groups for neonatal, infant, 1-4 year and 5-14 year age groups.; A total of 28,751 childhood deaths were documented during 4,387,824 person-years over 18 sites. Infant mortality ranged from 11 to 78 per 1,000 live births, with under-5 mortality from 15 to 152 per 1,000 live births. Sites in Vietnam and Kenya accounted for the lowest and highest mortality rates reported.; Many children continue to die from relatively preventable causes, particularly in areas with high rates of malaria and HIV/AIDS. Neonatal mortality persists at relatively high, and perhaps sometimes under-documented, rates. External causes of death are a significant childhood problem in some settings.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Eco System Health Sciences > Health Impact Assessment (Utzinger)
UniBasel Contributors:Utzinger, Jürg and Jäger, Fabienne
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:Co-Action Publishing]
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:04 Sep 2015 14:32
Deposited On:09 Jan 2015 09:24

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