S24.1: Seasonal mortality patterns, 1993-2001, in sub-Saharan Africa: Results from a Demographic Surveillance System in Nouna, Burkina Faso

2004 ◽  
Vol 46 (S1) ◽  
pp. 51-51
Author(s):  
Gisela Kynast-Wolf ◽  
Olaf Müller ◽  
Bocar Kouyaté ◽  
Heiko Becher
Keyword(s):  
Burkina Faso ◽  
Surveillance System ◽  
Demographic Surveillance System ◽  
Sub Saharan Africa ◽  
Seasonal Mortality ◽  
Sub Saharan

Case Studies in Urban Health

Urban Health ◽  
2019 ◽  
pp. 332-341
Author(s):  
Alex Ezeh ◽  
Blessing Mberu
Keyword(s):  
Urban Health ◽  
Surveillance System ◽  
Urban Poverty ◽  
Large City ◽  
Demographic Surveillance System ◽  
Sub Saharan Africa ◽  
Poverty And Health ◽  
Sub Saharan ◽  
Set Up ◽  
Improve Health

A project of the Africa Population and Health Research Center (APHRC), the Nairobi Urban Health and Demographic Surveillance System was set up to provide a platform to explore the linkages between urban poverty and health and to monitor and evaluate novel implementation programs that were developed with the study communities. In this chapter, the authors draw on nearly two decades of work by APHRC among slum populations in Nairobi, Kenya, to highlight the unique health challenges of slum populations and how these are changing. The chapter summarizes various efforts to improve health in Nairobi’s informal settlements since 2000 and discusses efforts in Nairobi to improve health in a large city in sub-Saharan Africa, summarizing lessons that have been learned in improving urban health worldwide.

scholarly journals Patterns of child mortality in rural area of Burkina Faso: evidence from the Nanoro health and demographic surveillance system (HDSS)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Navideh Noori ◽  
Karim Derra ◽  
Innocent Valea ◽  
Assaf P. Oron ◽  
Aminata Welgo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Burkina Faso ◽  
Child Mortality ◽  
Surveillance System ◽  
Demographic Surveillance System ◽  
Health Facilities ◽  
Sub Saharan Africa ◽  
Seasonal Effect ◽  
Wet Season ◽  
Inpatient Facility

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.

scholarly journals Field Lessons from a Zoonotic Disease Study in the Nairobi Health Surveillance System

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Djesika D. Amendah ◽  
Peterrock Muriuki ◽  
Nicholas Ngomi ◽  
Martin Kavao ◽  
Nelson Muhia
Keyword(s):  
Surveillance System ◽  
Clinical Care ◽  
Health Surveillance ◽  
Zoonotic Diseases ◽  
Demographic Surveillance System ◽  
Sub Saharan Africa ◽  
Resource Limited ◽  
Sub Saharan ◽  
Disease Study ◽  
And Training

We aim to disseminate field lessons gained from studying zoonotic diseases among children with diarrhea in the Nairobi Urban Health and Demographic Surveillance System. Despite the numerical importance of slums in sub-Saharan Africa, little is known on the practice of health surveillance in those resource-limited areas. Challenges and lessons gained concern sustaining community participation over the years, engaging with gatekeepers, hiring and training local fieldworkers, ensuring safety of employees and material, and offering clinical care to children with diarrhea in their households.

scholarly journals Contraceptive dynamics during COVID-19 in sub-Saharan Africa: longitudinal evidence from Burkina Faso and Kenya

2021 ◽  
pp. bmjsrh-2020-200944
Author(s):  
Celia Karp ◽  
Shannon N Wood ◽  
Georges Guiella ◽  
Peter Gichangi ◽  
Suzanne O Bell ◽  
...  
Keyword(s):  
At Risk ◽  
Burkina Faso ◽  
Unintended Pregnancy ◽  
Sexual And Reproductive Health ◽  
Universal Access ◽  
Sociodemographic Factors ◽  
Sub Saharan Africa ◽  
Contraceptive Services ◽  
Logistic Regressions ◽  
Sub Saharan

IntroductionEvidence from health emergencies suggests COVID-19 will disrupt women’s sexual and reproductive health (SRH). In sub-Saharan Africa, which experiences the highest rates of unintended pregnancy and unsafe abortion globally, COVID-19 is projected to slow recent progress toward universal access to contraceptive services.MethodsWe used longitudinal data collected from women at risk of unintended pregnancy in Burkina Faso (n=1186) and Kenya (n=2784) before (November 2019–February 2020) and during (May–July 2020) COVID-19 to quantify contraceptive dynamics during COVID-19; examine sociodemographic factors and COVID-19 experiences related to contraceptive dynamics; and assess COVID-19-related reasons for contraceptive non-use. Bivariate and multivariate logistic regressions were used to examine correlates of contraceptive dynamics amid COVID-19.ResultsMost women did not change their contraceptive status during COVID-19 (68.6% in Burkina Faso and 81.6% in Kenya) and those who did were more likely to adopt a method (25.4% and 13.1%, respectively) than to discontinue (6.0% and 5.3%, respectively). Most women who switched contraceptives were using methods as or more effective than their pre-pandemic contraception. Economic instability related to COVID-19 was associated with increased contraceptive protection in Burkina Faso but not in Kenya. Altogether, 14.4% of non-contraceptive users in Kenya and 3.8% in Burkina Faso identified COVID-19-related reasons for non-use.ConclusionsThe vast majority of women at risk of unintended pregnancy did not change their contraceptive status during COVID-19, and more women adopted than discontinued methods. A minority of women reported COVID-19-related reasons for non-use, underscoring the importance of expanding safe modes of service delivery during health crises.

scholarly journals Dietary habits associated with growth development of children aged < 5 years in the Nouna Health and Demographic Surveillance System, Burkina Faso

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Isabel Mank ◽  
Alain Vandormael ◽  
Issouf Traoré ◽  
Windpanga Aristide Ouédraogo ◽  
Rainer Sauerborn ◽  
...  
Keyword(s):  
Burkina Faso ◽  
Surveillance System ◽  
Dietary Habits ◽  
Demographic Surveillance System ◽  
Growth Development

scholarly journals ‘Grandmother, aren’t you going to sing for us?’ Current childcare practices and caregivers’ perceptions of and receptivity to early childhood development activities in rural Burkina Faso

2019 ◽  
Vol 4 (2) ◽  
pp. e001233 ◽  
Author(s):  
Jennifer Hollowell ◽  
Mari Dumbaugh ◽  
Mireille Belem ◽  
Sylvain Kousse ◽  
Tessa Swigart ◽  
...  
Keyword(s):  
Early Childhood ◽  
Young Children ◽  
Burkina Faso ◽  
Early Childhood Development ◽  
Sub Saharan Africa ◽  
Childhood Development ◽  
Media Intervention ◽  
Sub Saharan ◽  
Children's Development ◽  
Children’S Development

IntroductionEffective stimulation and responsive caregiving during the first 2 years is crucial for children’s development. By age 3–4 years, over 40% of children in sub-Saharan Africa fail to meet basic cognitive or socioemotional milestones, but there are limited data on parenting and childcare practices. This study, conducted to inform the design of a mass media intervention, explored practices, perceptions, motivators and obstacles to childhood development-related practices among parents and caregivers of children aged 0–2 years in rural Burkina Faso.MethodsWe performed two rounds of six focus groups with 41 informants in two villages, using an adapted version of the Trials of Improved Practices methodology. These first explored beliefs and practices, then introduced participants to the principles and benefits of early childhood development (ECD) and provided illustrative examples of three practices (interactive ways of talking, playing and praising) to try with their children. One week later, further discussions explored participants’ experiences and reactions. Data were analysed inductively using thematic content analysis.ResultsExisting activities with young children were predominantly instructive with limited responsive interaction and stimulation. Participants were receptive to the practices introduced, noted positive changes in their children when they adopted these practices and found engagement with children personally rewarding.ConclusionInteractive, stimulating activities with young children did not appear to be widespread in the study area, but caregivers were receptive to information about the importance of early stimulation for children’s development. ECD messages should be tailored to the local sociocultural context and consider time limitations.

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