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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Childhood mortality and probable causes of death using verbal autopsy in Niakhar, Senegal, 1989-2000
International Journal of Epidemiology, Volume 33, No. 6, Year 2004
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Description
Background. In African rural settings, medically certified information on causes of death is largely lacking. The authors applied the verbal autopsy to identify causes of death before 15 years old in a rural area of Senegal where a demographic surveillance system is operating. Methods. Between 1989 and 2000, a postmortem interview was conducted using a standardized questionnaire which was independently reviewed by two physicians who assigned the probable underlying cause of death. Discordant diagnoses were discussed by a panel of physicians. Causes of death were grouped into a few categories; cause-specific mortality rates and fractions were generated. Results. Between 1989 and 1997, all-cause mortality fluctuated. Diarrhoeal diseases, malaria and acute respiratory infections explained between 30% and 70% of the mortality before 10 years of age. In children 1-9 years old, malaria death rate increased between 1989 and 1994 and thereafter did not change. The 1998-2000 years were marked by a peak in mortality, attributed to a meningitis outbreak in children more than one year old paralleled by an increase in death rate from fever of unknown origin, diarrhoeal diseases, and acute respiratory infections in children under 5 years. Conclusions. Verbal autopsy provided useful information on the mortality structure responsible for the 1998-2000 peak in mortality. It underlined that, outside outbreak situations, malaria was a leading cause of death for 1-9 year old children and that diarrhoea, acute respiratory infections, or fever from unknown origin accounted for up to 50% of the deaths among the children under 5 years. © International Epidemiological Association 2004; all rights reserved.
Authors & Co-Authors
Étard, Jean François
Senegal, Dakar
Institut de Recherche Pour le Développement Dakar
Le-Hesran, Jean Yves
Senegal, Dakar
Institut de Recherche Pour le Développement Dakar
Diallo, Aldiouma M.
Senegal, Dakar
Institut de Recherche Pour le Développement Dakar
Diallo, Jean Pierre
Senegal, Dakar
Institut de Recherche Pour le Développement Dakar
Ndiaye, Jean Louis Abdourahim
Senegal, Dakar
Institut de Recherche Pour le Développement Dakar
Delaunay, Valérie
France, Marseille
Laboratoire Population Environnement Développement
Statistics
Citations: 87
Authors: 6
Affiliations: 2
Identifiers
Doi:
10.1093/ije/dyh259
ISSN:
03005771
Research Areas
Infectious Diseases
Maternal And Child Health
Study Locations
Senegal