在冈比亚农村地区对儿童死亡的口头尸检分析
Baleng Mahama Wutor1, Isaac Osei1,2, Lobga Babila Galega1
1Medical Research Council Unit The Gambia at London School of Hygiene & Tropical Medicine, Fajara, The Gambia.
PloS one
|July 6, 2023
概括
冈比亚农村地区一半的儿童死亡发生在家中. 急性呼吸道感染,腹性疾病和严重营养不良是导致5岁以下儿童死亡的主要原因,这凸显了改善医疗保健的必要性.
科学领域:
- 全球健康 全球健康
- 流行病学 流行病学
- 儿科 儿科 儿科
背景情况:
- 由于医疗保健设施以外的死亡,在资源较低的环境中难以追踪5岁以下的死亡率.
- 在这种情况下,口头尸检 (VA) 对于确定死亡原因至关重要.
- 冈比亚农村地区在准确评估儿童死亡负担方面面临着挑战.
研究的目的:
- 确定冈比亚农村地区5岁以下死亡率的主要和潜在原因.
- 分析与死亡原因相关的死亡地点 (家 versus 设施).
- 为了确定新生儿和新生儿后时期普遍存在的特定原因.
主要方法:
- 利用世界卫生组织 (WHO) 关于5岁以下死亡的VA问卷.
- 在Basse和Fuladu West卫生和人口监测系统 (HDSS) 中进行的VA.
- 雇员标准化死亡原因列表,在两名医生对不同诊断的共识解决方案.
主要成果:
- 在727例5岁以下死亡中,VA占89%;49.5%发生在家中.
- 主要的主要原因:急性呼吸道感染,包括肺炎 (ARIP) (33.7%) 和产后腹疾病 (23.3%).
- 新生儿的主要病因:未确定的围产病因 (34.0%) 和出生窒息 (27.3%). 严重营养不良是最常见的潜在原因 (28.6%).
结论:
- 冈比亚农村地区5岁以下死亡人数中,有一半发生在家中,这表明医疗保健获得或利用的差距很大.
- ARIP,腹和严重营养不良仍然是儿童死亡的主要原因.
- 加强医疗保健服务和促进寻求健康的行为是减少该地区儿童死亡的关键.
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