دورية أكاديمية
Prioritizing health care strategies to reduce childhood mortality
| العنوان: | Prioritizing health care strategies to reduce childhood mortality |
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| المؤلفون: | Madewell, ZJ, Whitney, CG, Velaphi, S, Mutevedzi, P, Mahtab, S, Madhi, SA, Fritz, A, Swaray-Deen, A, Sesay, T, Ogbuanu, IU, Mannah, MT, Xerinda, EG, Sitoe, A, Mandomando, I, Bassat, Q, Ajanovic, S, Tapia, MD, Sow, SO, Mehta, A, Kotloff, KL, Keita, AM, Tippett Barr, BA, Onyango, D, Oele, E, Igunza, KA, Agaya, J, Akelo, V, Scott, JAG, Madrid, L, Kelil, Y-E, Dufera, T, Assefa, N, Gurley, ES, El Arifeen, S, Spotts Whitney, EA, Seib, K, Rees, CA, Blau, DM |
| المساهمون: | Network, Child Health and Mortality Prevention Surveillance |
| بيانات النشر: | American Medical Association |
| سنة النشر: | 2023 |
| المجموعة: | Oxford University Research Archive (ORA) |
| الوصف: | Importance Although child mortality trends have decreased worldwide, deaths among children younger than 5 years of age remain high and disproportionately circumscribed to sub-Saharan Africa and Southern Asia. Tailored and innovative approaches are needed to increase access, coverage, and quality of child health care services to reduce mortality, but an understanding of health system deficiencies that may have the greatest impact on mortality among children younger than 5 years is lacking. Objective To investigate which health care and public health improvements could have prevented the most stillbirths and deaths in children younger than 5 years using data from the Child Health and Mortality Prevention Surveillance (CHAMPS) network. Design, Setting, and Participants This cross-sectional study used longitudinal, population-based, and mortality surveillance data collected by CHAMPS to understand preventable causes of death. Overall, 3390 eligible deaths across all 7 CHAMPS sites (Bangladesh, Ethiopia, Kenya, Mali, Mozambique, Sierra Leone, and South Africa) between December 9, 2016, and December 31, 2021 (1190 stillbirths, 1340 neonatal deaths, 860 infant and child deaths), were included. Deaths were investigated using minimally invasive tissue sampling (MITS), a postmortem approach using biopsy needles for sampling key organs and fluids. Main Outcomes and Measures For each death, an expert multidisciplinary panel reviewed case data to determine the plausible pathway and causes of death. If the death was deemed preventable, the panel identified which of 10 predetermined health system gaps could have prevented the death. The health system improvements that could have prevented the most deaths were evaluated for each age group: stillbirths, neonatal deaths (aged <28 days), and infant and child deaths (aged 1 month to <5 years). Results Of 3390 deaths, 1505 (44.4%) were female and 1880 (55.5%) were male; sex was not recorded for 5 deaths. Of all deaths, 3045 (89.8%) occurred in a healthcare facility and 344 ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | https://ora.ox.ac.uk/objects/uuid:b130f4ba-f4a1-4635-845d-e4d22aa3eacaTest; https://doi.org/10.1001/jamanetworkopen.2022.37689Test |
| DOI: | 10.1001/jamanetworkopen.2022.37689 |
| الإتاحة: | https://doi.org/10.1001/jamanetworkopen.2022.37689Test https://ora.ox.ac.uk/objects/uuid:b130f4ba-f4a1-4635-845d-e4d22aa3eacaTest |
| حقوق: | info:eu-repo/semantics/openAccess ; CC Attribution (CC BY) |
| رقم الانضمام: | edsbas.60C2B0A6 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1001/jamanetworkopen.2022.37689 |
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