| Titre : | Childhood mortality and probable causes of death using verbal autopsy in Niakhar, Senegal, 1989-2000 : Perinatal and paediatric epidemiology. (2004) |
| Auteurs : | Jean-Francois ETARD ; Valérie Delaunay ; Aldiouma DIALLO ; Jean-Pierre DIALLO ; Jean-Yves LE HESRAN ; Jean-Louis NDIAYE ; Institut de Recherche pour le Développement. (I.R.D.). Dakar. SEN |
| Type de document : | Article |
| Dans : | International journal of epidemiology (vol. 33, n° 6, 2004) |
| Pagination : | 1286-1292 |
| Langues: | Anglais |
| Mots-clés : | Paludisme ; Parasitose ; Infection ; Mortalité ; Facteur ; Diarrhée ; Enquête épidémiologique ; Enquête ; Méningite ; Maladie contagieuse ; Sénégal ; Afrique ; Mortalité infantile ; Enfant ; Homme ; Epidémiologie ; Appareil digestif [pathologie] ; Intestin [pathologie] ; Système nerveux [pathologie] ; Appareil respiratoire [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST-CNRS oY68R0xg. Diffusion soumise à autorisation]. 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. Method : s 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. |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact