Risk Factors for Mortality Among Maternal Orphaned Children PDF Download
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Author: Sheila Ogwang
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Background One critical determinant of child mortality is the presence of a mother in the household. There is limited research on the long-term impact of a mother's death on child survival in Kenya. Methodology The study used longitudinal data collected from KEMRI/CDC Health and Demographic Surveillance System. Children below 18 years whose mothers died between 2003 and 2017 were enrolled in the study (cases). The analysis also included children below 18 years whose mothers were alive (controls) who were matched to cases by date of birth. Results 24,027 children were enrolled; 8009 cases and 16,018 controls. At the end of the study, 485 children died, 322 cases, and 163 controls. The mortality rate for cases was four times that of the controls; 40 and 10 deaths per 1000 live births, respectively. The difference in mortality rates among cases and controls was highest for children under five years. The impact of a mother's death was acute during the first six months after the woman's death. Type of roof, water treatment, number of children aged 5 - 17 years, and the number of adult females in the household were protective factors for child mortality while mother survival status, type of floor, and not having a toilet were risk factors. Interpretation The findings of this study point out the importance of integrating maternal and child healthcare services during pregnancy, childbirth, and beyond six weeks post-partum. The Government of Kenya should consider implementing a nutritional program for infants and young children orphaned by maternal death.
Author: Sheila Ogwang
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Background One critical determinant of child mortality is the presence of a mother in the household. There is limited research on the long-term impact of a mother's death on child survival in Kenya. Methodology The study used longitudinal data collected from KEMRI/CDC Health and Demographic Surveillance System. Children below 18 years whose mothers died between 2003 and 2017 were enrolled in the study (cases). The analysis also included children below 18 years whose mothers were alive (controls) who were matched to cases by date of birth. Results 24,027 children were enrolled; 8009 cases and 16,018 controls. At the end of the study, 485 children died, 322 cases, and 163 controls. The mortality rate for cases was four times that of the controls; 40 and 10 deaths per 1000 live births, respectively. The difference in mortality rates among cases and controls was highest for children under five years. The impact of a mother's death was acute during the first six months after the woman's death. Type of roof, water treatment, number of children aged 5 - 17 years, and the number of adult females in the household were protective factors for child mortality while mother survival status, type of floor, and not having a toilet were risk factors. Interpretation The findings of this study point out the importance of integrating maternal and child healthcare services during pregnancy, childbirth, and beyond six weeks post-partum. The Government of Kenya should consider implementing a nutritional program for infants and young children orphaned by maternal death.
Author: National Research Council
Publisher: National Academies Press
ISBN: 030917211X
Category : Medical
Languages : en
Pages : 44
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Book Description
In 1997 the committee published Reproductive Health in Developing Countries: Expanding Dimensions, Building Solutions, a report that recommended actions to improve reproductive health for women around the world. As a follow- on activity, the committee proposed an investigation into the social and economic consequences of maternal morbidity and mortality. With funding from the William and Flora Hewlett Foundation, the Andrew W. Mellon Foundation, and the U.S. Agency for International Development, the committee organized a workshop on this topic in Washington, DC, on October 19-20, 1998. The Consequences of Maternal Morbidity and Maternal Mortality assesses the scientific knowledge about the consequences of maternal morbidity and mortality and discusses key findings from recent research. Although the existing research on this topic is scarce, the report drew on similar literature on the consequences of adult disease and death, especially the growing literature on the socioeconomic consequences of AIDS, to look at potential consequences from maternal disability and death.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309084377
Category : Medical
Languages : en
Pages : 713
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Book Description
The death of a child is a special sorrow. No matter the circumstances, a child's death is a life-altering experience. Except for the child who dies suddenly and without forewarning, physicians, nurses, and other medical personnel usually play a central role in the lives of children who die and their families. At best, these professionals will exemplify "medicine with a heart." At worst, families' encounters with the health care system will leave them with enduring painful memories, anger, and regrets. When Children Die examines what we know about the needs of these children and their families, the extent to which such needs areâ€"and are notâ€"being met, and what can be done to provide more competent, compassionate, and consistent care. The book offers recommendations for involving child patients in treatment decisions, communicating with parents, strengthening the organization and delivery of services, developing support programs for bereaved families, improving public and private insurance, training health professionals, and more. It argues that taking these steps will improve the care of children who survive as well as those who do notâ€"and will likewise help all families who suffer with their seriously ill or injured child. Featuring illustrative case histories, the book discusses patterns of childhood death and explores the basic elements of physical, emotional, spiritual, and practical care for children and families experiencing a child's life-threatening illness or injury.
Author: Committee to Study Female Morbidity and Mortality in Sub-Saharan Africa
Publisher: National Academies Press
ISBN: 0309562228
Category : Medical
Languages : en
Pages : 489
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Book Description
The relative lack of information on determinants of disease, disability, and death at major stages of a woman's lifespan and the excess morbidity and premature mortality that this engenders has important adverse social and economic ramifications, not only for Sub-Saharan Africa, but also for other regions of the world as well. Women bear much of the weight of world production in both traditional and modern industries. In Sub-Saharan Africa, for example, women contribute approximately 60 to 80 percent of agricultural labor. Worldwide, it is estimated that women are the sole supporters in 18 to 30 percent of all families, and that their financial contribution in the remainder of families is substantial and often crucial. This book provides a solid documentary base that can be used to develop an agenda to guide research and health policy formulation on female health--both for Sub-Saharan Africa and for other regions of the developing world. This book could also help facilitate ongoing, collaboration between African researchers on women's health and their U.S. colleagues. Chapters cover such topics as demographics, nutritional status, obstetric morbidity and mortality, mental health problems, and sexually transmitted diseases, including HIV.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309166837
Category : Medical
Languages : en
Pages : 270
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Book Description
Each year more than 4 million children are born with birth defects. This book highlights the unprecedented opportunity to improve the lives of children and families in developing countries by preventing some birth defects and reducing the consequences of others. A number of developing countries with more comprehensive health care systems are making significant progress in the prevention and care of birth defects. In many other developing countries, however, policymakers have limited knowledge of the negative impact of birth defects and are largely unaware of the affordable and effective interventions available to reduce the impact of certain conditions. Reducing Birth Defects: Meeting the Challenge in the Developing World includes descriptions of successful programs and presents a plan of action to address critical gaps in the understanding, prevention, and treatment of birth defects in developing countries. This study also recommends capacity building, priority research, and institutional and global efforts to reduce the incidence and impact of birth defects in developing countries.
Author: Tracey Lynn Sumits
Publisher:
ISBN:
Category : Dissertations, Academic
Languages : en
Pages : 348
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Book Description
Author: UNICEF.
Publisher: UNICEF
ISBN: 9280643185
Category : Business & Economics
Languages : en
Pages : 168
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Book Description
Having a child remains one of the biggest health risks for women worldwide. Fifteen hundred women die every day while giving birth. That's a half a million mothers every year. UNICEF's flagship publication, The State of the World's Children 2009, addresses maternal mortality, one of the most intractable problems for development work.The difference in pregnancy risk between women in developing countries and their peers in the industrialised world is often termed the greatest health divide in the world. A woman in Niger has a one in seven chance of dying during the course of her lifetime from complications during pregnancy or delivery. That's in stark contrast to the risk for mothers in America, where it's one in 4,800 or in Ireland, where it's just one in 48,000. Addressing that gap is a multidisciplinary challenge, requiring an emphasis on education, human resources, community involvement and social equality. At a minimum, women must be guaranteed antenatal care, skilled birth attendants and emergency obstetrics, and postpartum care. These essential interventions will only be guaranteed within the context of improved education and the abolition of discrimination.
Author: Robert Black
Publisher: World Bank Publications
ISBN: 1464803684
Category : Medical
Languages : en
Pages : 419
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Book Description
The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.
Author: Jennifer C. Crain
Publisher:
ISBN:
Category : Children
Languages : en
Pages : 0
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Book Description
"Mass orphanhood in sub-Saharan Africa (SSA) results from conflict, poverty, and disease. In the absence of resilient fostering systems, orphans may be more vulnerable to health hazards after losing one or both parents, depending on each parent's care roles. Using multiple logistic regression on national household survey data for four SSA countries, this thesis explores: 1) which socioeconomic and demographic factors are risk factors for child undernutrition; and 2) whether different types of orphans confer varied degrees of vulnerability to undernutrition. Child age, household wealth, and mother's education are significant and reliable predictors of undernutrition. The child's sex, and maternal and paternal orphanhood also have some impact, but the results are not as reliable. These findings add to limited scholarship about health outcomes of maternal versus paternal orphans. More investigations into individual countries' orphan crisis are needed."--P.ii.
Author: Lynn P. Freedman
Publisher: Earthscan
ISBN: 184407224X
Category : Child health services
Languages : en
Pages : 202
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Book Description
First Published in 2005. Routledge is an imprint of Taylor & Francis, an informa company.
