The injury mortality burden in Guinea

Mamady, Keita; Yao, Hongyan; Zhang, Xujun; Xiang, Hao; Tan, Hongzhuan; Hu, Guoqing

doi:10.1186/1471-2458-12-733

Cited by 13 publications

(25 citation statements)

References 6 publications

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“…If this profile is superimposed on that found in Benin, one must admit that it excludes at the first sight social groups far away from the care and the most vulnerable, purveyors of maternal and infant mortality and death by accident of the public highway. Indeed, studies report a high children mortality caused by injury that could have been saved, most certainly, after adequate carefully giving free care . Similarly, 3.9% of patients with cerebral trauma die in hospitals because of the severity of the clinical picture at admission, the lack of adapted critical care services, and probably without IME possibility .…”

Section: Discussionmentioning

confidence: 99%

Organisational framework and outputs of International medical evacuation in Guinea: A need for change

Guilavogui

Camara

Diallo

et al. 2018

Health Planning & Management

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The study aims to describe the organizational framework of International Medical Evacuation (IME), the profile of persons evacuated, and the associated cost of IME in Guinea. This was a descriptive study of IME policy in Guinea. We described the politico-structural organization of IME and the profile of patient accessing IME through the Ministry of Health (MOH: 2001-2015) and through the National Social Security Fund (NSSF: 2011-2015). From 1958 to 1992 since the health system was restricted, the country negotiated the free medical treatment with Socialist countries. Since 1992, a medical assistance line was included in the sector budgets, and IME was officially managed by the MOH and with a parallel system existing at the NSSF. With an average cost of US $34 251 per case, cardiovascular diseases (20%), Traumatology/Orthopedic diseases (20%), and Neurologic/neurosurgery diseases (12.5%) have motivated more than half of 2445 IME supported by the MOH between 2001 and 2015. With a diagnostic exploration (38.7%) as main motivation, the majority of the IMEs (80.0%) endorsed by the NSSF (2011-2015) concerned their employees/workers or those of the NSSF's supervisory ministry and their families. Despite a strict regulatory framework, the emergence and sustainability of parallel IME systems in other departments with different procedures than MOH's procedure represent a major weakness/deficiency. The new prospects for the free medical treatment of state employees could eventually lead to an effective correction of this structural failure if efficiently managed.

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Section: Discussionmentioning

confidence: 99%

Organisational framework and outputs of International medical evacuation in Guinea: A need for change

Guilavogui

Camara

Diallo

et al. 2018

Health Planning & Management

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“…Suffla et al (2008) reported 85 homicide deaths due to strangulation per 100,000 population per year in Cape Town in 2001 and 67 per 100,000 per year in 2005 [ 28 ]. By comparison, a study in Dar es Salaam, Tanzania in 2005 by Outwater et al reported a homicide rate of 13 per 100,000 PYOs [ 29 ], while a 2007 injury mortality burden study by Mamady et al in Guinea reported a homicide rate of seven per 100, 000 PYOs [ 30 ]. A child homicide mortuary-based study in South Africa by Mathews et al in 2009 documented a homicide rate of 5.5 per 100,000 PYOs for children under the age of 18 years.…”

Section: Discussionmentioning

confidence: 99%

High rates of homicide in a rural South African population (2000–2008): findings from a population-based cohort study

Otieno

Marinda

Bärnighausen

et al. 2015

Popul Health Metrics

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BackgroundSouth Africa has continued to receive increasing attention due to unprecedented high levels of violence. Homicide-related violence accounts for a significant proportion of unnatural deaths and contributes significantly to loss of years of expected life. We investigated levels and factors associated with homicide-related deaths and identify communities with excessively high homicide risk in a typical rural South African population.MethodData drawn from verbal autopsies conducted on all deaths recorded during annual demographic and health surveillance in KwaZulu Natal, South Africa were used to derive the cumulative probability of death from homicide over a nine-year period (2000–2008). Weibull regression methods were used to investigate factors associated with homicide deaths. A Kulldorff spatial scan statistic was used to identify spatial clusters of homicide-related deaths.ResultsWith 536 homicide-related deaths, and a median seven years of follow-up, the study found an overall homicide incidence rate of 66 deaths per 100, 000 person-years of observation (PYOs) (95 % CI 60-72) for the period under study. Death related to the use of firearms was the leading reported method of homicide (65 %) and most deaths occurred over weekends (43 %). Homicides are the second-most common cause of death in men aged 25–34 after HIV-related deaths (including TB) in this community, at 210 deaths per 100,000 PYOs, and was highest among 55–64 year old women, at 78 deaths per 100,000 PYOs. Residency status, age, socioeconomic status, and highest education level attained independently predicted the risk of homicide death. The spatial distribution of homicide deaths was not homogenous and the study identified two clear geographical clusters with significantly elevated homicide risk.ConclusionThe high rates of homicide observed in this typical rural South African population – particularly among men – underscore the need for urgent interventions to reduce this tragic and theoretically preventable loss of life in this population and similar South African settings.

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“…[26][27][28][29][30][31][32] With the right support, targeted and effective prevention campaigns can be waged in these nations to seriously address the global burn crisis. To date, this campaign was only waged in one region of one country.…”

Section: Discussionmentioning

confidence: 99%

Burn Prevention in Zambia

Heard¹,

Latenser²,

Liao³

2013

Journal of Burn Care & Research

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The aim of this study was to assess both burn prevention knowledge and the effectiveness of educational intervention in alleviating the current knowledge deficit in Zambian youth. In one rural Zambian district, a burn prevention program was implemented in June 2011. Children at two elementary schools completed a 10-question survey that aimed to assess knowledge regarding burn injuries. After completing the survey, children received a burn and fire safety presentation and a burn prevention coloring book. Children were reassessed in May 2012 using the same survey to determine program efficacy and knowledge retention. Burn knowledge assessments were also completed for children at other schools who did not receive the burn prevention program in 2011. Logistic regression analysis was used for statistical adjustment for confounding variables. Between June 2011 and May 2012, 2747 children from six schools were assessed for their burn knowledge, with 312 of them resurveyed after educational intervention since initial survey. Reassessed children performed significantly better on three questions after controlling for confounders. They did better on five questions but their performance on these failed to achieve statistical significance. Children performed significantly worse on one concept about first aid treatment of a burn. A majority of the children demonstrated knowledge deficit in three concepts, even after educational intervention. There is a large variation in first burn knowledge survey performance of children from different schools, with inconsistency between concepts. With half the questions, knowledge deficit did not improve with advancement in school grade. Low- and moderate-income countries (LMICs) face the largest burns burden. With the lack of adequate burn care facing LMICs, burn injury prevention is of particular importance in those countries. This study shows that burn educational intervention could be effective in reducing burn knowledge deficit; however, the residual deficit posteducation could still be large and potentially contributing to heightened burn injury incidence. Customized and integrated educational programs may be proposed regarding the epidemiological profile of burn knowledge deficit from various schools. This study represents one of the few reports on the effectiveness of a burn prevention program in an LMIC. Future epidemiological data will be needed from nearby healthcare facilities to determine whether this program decreased burn morbidity and mortality at the hospital level.

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The injury mortality burden in Guinea

Cited by 13 publications

References 6 publications

Organisational framework and outputs of International medical evacuation in Guinea: A need for change

Organisational framework and outputs of International medical evacuation in Guinea: A need for change

High rates of homicide in a rural South African population (2000–2008): findings from a population-based cohort study

Burn Prevention in Zambia

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