Causes of death and predictors of childhood mortality in Rwanda: a matched case-control study using verbal social autopsy

Gupta, Neil; Hirschhorn, Lisa R.; Rwabukwisi, Felix Cyamatare; Drobac, Peter; Sayinzoga, Félix; Mugeni, Cathy; Nkikabahizi, Fulgence; Bucyana, Tatien; Magge, Hema; Kagabo, Daniel M.; Nahimana, Evrard; Rouleau, Dominique M.; VanderZanden, Amelia; Murray, Megan; Amoroso, Cheryl

doi:10.1186/s12889-018-6282-z

Cited by 27 publications

(22 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These findings are in agreement with previous studies that reported that the poorest households had a 29% greater risk of microscopic parasitaemia compared to the poorest houses (aRR 1.29; 95% CI 1.07-1.55) [39]. Additionally, lack of household electricity increased the childhood mortality in Rwanda, including malaria mortality (aOR: 1.4, 95% CI 1.0-1.8) [40]. The above is important because housing quality can affect malaria risk through its effect on house entry of the malaria vector [39].…”

Section: Discussionsupporting

confidence: 92%

Microscopic and submicroscopic Plasmodium infections in indigenous and non-indigenous communities in Colombia

Montiel

Zuluaga

Aguirre

et al. 2020

Malar J

View full text Add to dashboard Cite

Background: The indigenous population is considered a highly susceptible group to malaria because individuals usually live in areas with high exposure to Anopheles and poverty, and have limited access to health services. There is a great diversity of indigenous communities in Colombia living in malaria-endemic areas; however, the burden of infection in these populations has not been studied extensively. This study aimed to determine the prevalence of Plasmodium infections in indigenous and non-indigenous communities in two malaria-endemic areas in Colombia. Methods: A community-based cross-sectional survey was conducted in seven villages of Turbo and El Bagre municipalities; three of these villages were indigenous communities. Inhabitants of all ages willing to participate were included. Sociodemographic and clinical data were recorded as well as household information. The parasitological diagnosis was performed by microscopy and nested PCR. The prevalence of microscopy and submicroscopic infection was estimated. An adjusted GEE model was used to explore risk factors associated with the infection. Results: Among 713 participants, 60.7% were from indigenous communities. Plasmodium spp. was detected in 30 subjects (4.2%, CI 95% 2.9-5.9); from those, 29 were in the indigenous population, 47% of infections were afebrile, and most of them submicroscopic (10/14). Microscopic and submicroscopic prevalence was 2.5% (CI 95% 1.6-3.9) and 1.7% (CI 95% 0.9-2.9), respectively. In El Bagre, all infections occurred in indigenous participants (3.9%, CI 95% 2.2-7.1), and 81% were submicroscopic. By contrast, in Turbo, the highest prevalence occurred in indigenous people (11.5%; CI 95%: 7.3-17.5), but 88.8% were microscopic. Living in an indigenous population increased the prevalence of infection compared with a non-indigenous population (PR 19.4; CI 95% 2.3-166.7). Conclusion: There is a high proportion of Plasmodium infection in indigenous communities. A substantial proportion of asymptomatic and submicroscopic carriers were detected. The identification of these infections, not only in indigenous but also in the non-indigenous population, as well as their associated factors, could help to implement specific malaria strategies for each context.

show abstract

Section: Discussionsupporting

confidence: 92%

Microscopic and submicroscopic Plasmodium infections in indigenous and non-indigenous communities in Colombia

Montiel

Zuluaga

Aguirre

et al. 2020

Malar J

View full text Add to dashboard Cite

show abstract

“…Evidence suggests that maternal and neonatal mortality is associated with the complication that may arise any time during child birth without SBA [18][19][20][21]. In some of the developed countries, there is increasing trend of planned home delivery with evidence suggesting no difference in neonatal mortality and morbidity between planned home deliveries and hospital births [22][23][24].…”

Section: Discussionmentioning

confidence: 99%

Determinants of home delivery in Nepal – A disaggregated analysis of marginalised and non-marginalised women from the 2016 Nepal Demographic and Health Survey

et al. 2020

View full text Add to dashboard Cite

Conclusion We conclude that poor education, poor economic status, non-completion of four ANC visits and belonging to Province 2 particularly determined either group of women to deliver at home, whereas residing in rural areas, living far from health facility, and belonging to Province 7 determined marginalised women to deliver at home. Preventing mothers from delivering at home would thus require focusing on specific geographical areas besides considering wider socioeconomic determinants.

show abstract

“…Major drivers of persistently high childhood mortality are structural, including extreme poverty and lack of access to healthcare. In areas with declining childhood mortality, deaths often occur at home [ 5 ]. Barriers to accessing healthcare may therefore result in sub-populations with increased risk of childhood mortality, even in settings where overall mortality rates are declining.…”

Section: Introductionmentioning

confidence: 99%

Distance to primary care facilities and healthcare utilization for preschool children in rural northwestern Burkina Faso: results from a surveillance cohort

Oldenburg

Sié

Ouattara

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

Background Delays in care-seeking for childhood illness may lead to more severe outcomes. We evaluated whether community distance from a primary healthcare facility was associated with decreased healthcare utilization in a rural district of northwestern Burkina Faso. Methods We conducted passive surveillance of all government-run primary healthcare facilities in Nouna District, Burkina Faso from March 1 through May 31, 2020. All healthcare visits for children under 5 years of age were recorded on a standardized form for sick children. We recorded the age, sex, and community of residence of the child as well as any diagnoses and treatments administered. We calculated healthcare utilization per 100 child-months by linking the aggregate number of visits at the community level to the community’s population of children under 5 months per a census that was conducted from August 2019 through February 2020. We calculated the distance between each community and its corresponding healthcare facility and assessed the relationship between distance and the rate of healthcare utilization. Results In 226 study communities, 12,676 primary healthcare visits were recorded over the three-month period. The median distance between the community and primary healthcare facility was 5.0 km (IQR 2.6 to 6.9 km), and median number of healthcare visits per 100 child-months at the community level was 6.7 (IQR 3.7 to 12.3). The rate of primary healthcare visits declined with increasing distance from clinic (Spearman’s rho − 0.42, 95% CI − 0.54 to − 0.31, P < 0.0001). This relationship was similar for cause-specific clinic visits (including pneumonia, malaria, and diarrhea) and for antibiotic prescriptions. Conclusions We documented a distance decay effect between community distance from a primary healthcare facility and the rate of healthcare visits for children under 5. Decreasing distance-related barriers, for example by increasing the number of facilities or targeting outreach to more distant communities, may improve healthcare utilization for young children in similar settings.

show abstract

Causes of death and predictors of childhood mortality in Rwanda: a matched case-control study using verbal social autopsy

Cited by 27 publications

References 38 publications

Microscopic and submicroscopic Plasmodium infections in indigenous and non-indigenous communities in Colombia

Microscopic and submicroscopic Plasmodium infections in indigenous and non-indigenous communities in Colombia

Determinants of home delivery in Nepal – A disaggregated analysis of marginalised and non-marginalised women from the 2016 Nepal Demographic and Health Survey

Distance to primary care facilities and healthcare utilization for preschool children in rural northwestern Burkina Faso: results from a surveillance cohort

Contact Info

Product

Resources

About