Effects of Parental Union Dissolution on Child Mortality and Child Schooling in Burkina Faso

AbstractBackgroundHalf 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 spatial patterns of child mortality in the district had not been studied. Similar studies in other districts indicated accessibility to health facilities as a risk factor, usually without distinction between facility types.MethodsUsing Nanoro HDSS data from 2009 to 2013, we estimated the association between under-5 mortality and accessibility to inpatient and outpatient health facilities, seasonality of death, and age group.ResultsLiving in homes 40-60 minutes and >60 minutes travel time from an inpatient facility was associated with 1.52 (95% CI: 1.13-2.06) and 1.74 (1.27-2.40) greater hazard of under-5 mortality, respectively, than living in homes <20 minutes from an inpatient facility. No such association was found for outpatient facilities. Seasonality of death was significantly associated with under-5 mortality, and the wet season (July-November) was associated with 1.28 (1.07, 1.53) higher under-5 mortality than the dry season (December-June), likely reflecting the malaria season.ConclusionsOur results emphasize the importance of geographical accessibility to health care, and also distinguish between inpatient and outpatient facilities.

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

BMC Public Health ◽

10.1186/s12889-021-11483-4 ◽

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.

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Do insecticide-treated curtains reduce all-cause child mortality in Burkina Faso?

Tropical Medicine & International Health ◽

10.1046/j.1365-3156.1997.d01-413.x ◽

1997 ◽

Vol 2 (9) ◽

pp. 855-862 ◽

Cited By ~ 60

Author(s):

A. Habluetzel ◽

D. A. Diallo ◽

F. Esposito ◽

L. Lamizana ◽

F. Pagnoni ◽

...

Keyword(s):

Burkina Faso ◽

Child Mortality

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A double-masked placebo-controlled trial of azithromycin to prevent child mortality in Burkina Faso, West Africa: Community Health with Azithromycin Trial (CHAT) study protocol

Trials ◽

10.1186/s13063-019-3855-9 ◽

2019 ◽

Vol 20 (1) ◽

Cited By ~ 3

Author(s):

Ali Sié ◽

◽

Mamadou Ouattara ◽

Mamadou Bountogo ◽

Cheik Bagagnan ◽

...

Keyword(s):

West Africa ◽

Randomized Controlled Trials ◽

Burkina Faso ◽

Child Mortality ◽

Primary Outcome ◽

Controlled Trial ◽

Sub Saharan Africa ◽

Controlled Trials ◽

Randomized Controlled ◽

All Cause Mortality

Abstract Background Biannual, mass azithromycin distribution has previously been shown to reduce all-cause child mortality in sub-Saharan Africa. Subgroup analysis suggested that the strongest effects were in the youngest children, leading to the hypothesis that targeting younger age groups might be an effective strategy to prevent mortality. We present the methods of two randomized controlled trials designed to evaluate mass and targeted azithromycin distribution for the prevention of child mortality in Burkina Faso, West Africa. Methods/design The Child Health with Azithromycin Treatment (CHAT) study consists of two nested, randomized controlled trials. In the first, communities are randomized in a 1:1 fashion to biannual, mass azithromycin distribution or placebo. The primary outcome is under-5 all-cause mortality measured at the community level. In the second, children attending primary healthcare facilities during the first 5–12 weeks of life for a healthy child visit (e.g., for vaccination) are randomized in a 1:1 fashion to a single orally administered dose of azithromycin or placebo. The primary outcome is all-cause mortality measured at 6 months of age. The trial commenced enrollment in August 2019. Discussion This study is expected to provide evidence on two health systems delivery approaches (mass and targeted treatment) for azithromycin to prevent all-cause child mortality. The results will inform global and national policies related to azithromycin for the prevention of child mortality. Trial registration ClinicalTrials.gov, ID: NCT03676764. Registered on 19 September 2018; prospectively registered pre results.

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