Child Mortality in Mozambique: a Review of Recent Trends and Attributable Causes

Sitoe, António; Breiman, Robert F.; Bassat, Quique

doi:10.1007/s40475-018-0156-4

Cited by 4 publications

(2 citation statements)

References 38 publications

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“…Pneumonia was another common diagnosis, most commonly seen in the 1–4 year age range where it is known to be a significant cause of mortality [2] . About half of patients with pneumonia received a CXR and FBC.…”

Section: Discussionmentioning

confidence: 99%

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Paediatric emergency care at an academic referral hospital in Mozambique

Ismail

Chowdhary

Taira

et al. 2021

African Journal of Emergency Medicine

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Background Improved emergency care of children with acute illness or injuries is needed for countries in Africa to continue to reduce childhood mortality rates. Quality improvement efforts will depend on robust baseline data, but little has been published on the breadth and severity of paediatric illness seen in Mozambique. Methods This was a retrospective review of routinely collected provider shift summary data from the Paediatric Emergency Department (PED) at Hospital Central de Maputo (HCM), the principal academic and referral hospital in the country. All children 0–14 years of age seen in the 12-month period from August 2018–July 2019 were included. Descriptive statistical analyses were performed. Results Data from 346 days and 64,966 patient encounters were analyzed. The large majority of patients (96.4%) presented directly to the PED without referral from a lower level facility. An average of 188 patients was seen per day, with significant seasonal variation peaking in March (292 patients/day). The most common diagnoses were upper respiratory infections (URI), gastroenteritis, asthma, and dermatologic problems. The highest acuity diagnoses were neurologic problems (59%), asthma (57%), and neonatal diagnoses (50%). Diagnoses with the largest proportion of admissions included neurologic problems, malaria, and neonatal diagnoses. Rapid malaria antigen tests were the most commonly ordered laboratory test across all diagnostic categories; full blood count (FBC) and chemistries were also commonly ordered. Urinalysis and HIV testing were rarely done in the PED. Conclusion This epidemiologic profile of illness seen in the HCM PED will allow for improved resource utilisation. We identified opportunities for evidence-based care algorithms for common diagnoses such as respiratory illness to improve patient care and flow. The PED may also be able to optimize laboratory and radiology evaluation for patients and develop standardized admission criteria by diagnosis.

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Section: Discussionmentioning

confidence: 99%

“…In Mozambique, childhood mortality improved during this timeframe with under-five rates decreasing from 240 to 73 per 1000, and infant (<12 month) mortality rates decreasing from 161 to 54, but has not yet reached the Sustainable Development Goal of 25 deaths per 1000 live births and remains in the bottom 15% globally 1. , 2. .…”

Section: Introductionmentioning

confidence: 99%

Paediatric emergency care at an academic referral hospital in Mozambique

Ismail

Chowdhary

Taira

et al. 2021

African Journal of Emergency Medicine

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Human fecal contamination of water, soil, and surfaces in households sharing poor-quality sanitation facilities in Maputo, Mozambique

Holcomb

Knee

Sumner

et al. 2020

International Journal of Hygiene and Environmental Health

100

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Child Health and Mortality Prevention Surveillance (CHAMPS): Manhiça site description, Mozambique

Sacoor

Vitorino²,

Nhacolo³

et al. 2023

Gates Open Res

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The Manhiça Health Research Centre (Manhiça HDSS) was established in 1996 in Manhiça, a rural district at Maputo Province in the southern part of Mozambique with approximately 49,000 inhabited households, a total population of 209.000 individuals, and an annual estimated birth cohort of about 5000 babies. Since 2016, Manhiça HDSS is implementing the Child Health and Mortality Prevention Surveillance (CHAMPS) program aiming to investigate causes of death (CoD) in stillbirths and children under the age of 5 years using, among other tools, the innovative post-mortem technique known as Minimally Invasive Tissue sampling (MITS). Both in-hospital and community pediatric deaths are investigated using MITS. For this, community-wide socio-demographic approaches (notification of community deaths by key informants, formative research involving several segments of the community, availability of free phone lines for notification of medical emergencies and deaths, etc.) are conducted alongside to foster community awareness, involvement and adherence as well as to compute mortality estimates and collect relevant information of health and mortality determinants. The main objective of this paper is to describe the Manhiça Health and Demographic Surveillance System (HDSS) site and the CHAMPS research environment in place including the local capacities among its reference hospital, laboratories, data center and other relevant areas involved in this ambitious surveillance and research project, whose ultimate aim is to improve child survival through public health actions derived from credible estimates and understanding of the major causes of childhood mortality in Mozambique.

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Child Mortality in Mozambique: a Review of Recent Trends and Attributable Causes

Cited by 4 publications

References 38 publications

Paediatric emergency care at an academic referral hospital in Mozambique

Paediatric emergency care at an academic referral hospital in Mozambique

Human fecal contamination of water, soil, and surfaces in households sharing poor-quality sanitation facilities in Maputo, Mozambique

Child Health and Mortality Prevention Surveillance (CHAMPS): Manhiça site description, Mozambique

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