 | Navideh Noori, Karim Derra, Innocent Valea, Assaf P Oron, Aminata Welgo, Toussaint Rouamba, Palwende Romuald Boua, Athanase M Somé, Eli Rouamba, Edward Wenger, Hermann Sorgho, Halidou Tinto, Andre Lin Ouédraogo Patterns of child mortality in rural area of Burkina Faso: evidence from the Nanoro health and demographic surveillance system (HDSS) Journal Article In: BMC Public Health, vol. 21, no. 1, pp. 1425, 2021, ISSN: 1471-2458, (© 2021. The Author(s).
PMID: 34281547
PMCID: PMC8287796). @article{Noori2021-te,
title = {Patterns of child mortality in rural area of Burkina Faso: evidence from the Nanoro health and demographic surveillance system (HDSS)},
author = {Navideh Noori and Karim Derra and Innocent Valea and Assaf P Oron and Aminata Welgo and Toussaint Rouamba and Palwende Romuald Boua and Athanase M Som\'{e} and Eli Rouamba and Edward Wenger and Hermann Sorgho and Halidou Tinto and Andre Lin Ou\'{e}draogo},
doi = {10.1186/s12889-021-11483-4},
issn = {1471-2458},
year = {2021},
date = {2021-07-19},
urldate = {2021-07-19},
journal = {BMC Public Health},
volume = {21},
number = {1},
pages = {1425},
publisher = {Springer Science and Business Media LLC},
abstract = {BACKGROUND: Half of global child deaths occur in sub-Saharan
Africa. Understanding child mortality patterns and risk factors
will help inform interventions to reduce this heavy toll. The
Nanoro Health and Demographic Surveillance System (HDSS),
Burkina Faso was described previously, but patterns and
potential drivers of heterogeneity in child mortality in the
district had not been studied. Similar studies in other
districts indicated proximity to health facilities as a risk
factor, usually without distinction between facility types.
METHODS: Using Nanoro HDSS data from 2009 to 2013, we estimated
the association between under-5 mortality and proximity to
inpatient and outpatient health facilities, seasonality of
death, age group, and standard demographic risk factors.
RESULTS: Living in homes 40-60 min and \> 60 min travel time from
an inpatient facility was associated with 1.52 (95% CI:
1.13-2.06) and 1.74 (95% CI: 1.27-2.40) greater hazard of
under-5 mortality, respectively, than living in homes \< 20 min
from an inpatient facility. No such association was found for
outpatient facilities. The wet season (July-November) was
associated with 1.28 (95% CI: 1.07, 1.53) higher under-5
mortality than the dry season (December-June), likely reflecting
the malaria season. CONCLUSIONS: Our results emphasize the
importance of geographical proximity to health care, distinguish
between inpatient and outpatient facilities, and also show a
seasonal effect, probably driven by malaria.},
note = {© 2021. The Author(s).
PMID: 34281547
PMCID: PMC8287796},
keywords = {Burkina Faso, Burkina Faso/epidemiology, child mortality, ChildHealth Facilities, Children under 5, Demographic surveillance, HDSS, Humans, Infant, Malaria, Nanoro, Spatial analysis, Travel},
pubstate = {published},
tppubtype = {article}
}
BACKGROUND: Half of global child deaths occur in sub-Saharan
Africa. Understanding child mortality patterns and risk factors
will help inform interventions to reduce this heavy toll. The
Nanoro Health and Demographic Surveillance System (HDSS),
Burkina Faso was described previously, but patterns and
potential drivers of heterogeneity in child mortality in the
district had not been studied. Similar studies in other
districts indicated proximity to health facilities as a risk
factor, usually without distinction between facility types.
METHODS: Using Nanoro HDSS data from 2009 to 2013, we estimated
the association between under-5 mortality and proximity to
inpatient and outpatient health facilities, seasonality of
death, age group, and standard demographic risk factors.
RESULTS: Living in homes 40-60 min and > 60 min travel time from
an inpatient facility was associated with 1.52 (95% CI:
1.13-2.06) and 1.74 (95% CI: 1.27-2.40) greater hazard of
under-5 mortality, respectively, than living in homes < 20 min
from an inpatient facility. No such association was found for
outpatient facilities. The wet season (July-November) was
associated with 1.28 (95% CI: 1.07, 1.53) higher under-5
mortality than the dry season (December-June), likely reflecting
the malaria season. CONCLUSIONS: Our results emphasize the
importance of geographical proximity to health care, distinguish
between inpatient and outpatient facilities, and also show a
seasonal effect, probably driven by malaria. |
