Title page for ETD etd-10062010-192322


Document Type Master's Dissertation
Author Dlamini, Thomas
Email upetd@up.ac.za
URN etd-10062010-192322
Document Title Morbidity and mortality patterns among the under 5 year old children admitted to district hospitals in the Eastern Cape, 2000 - 2004
Degree MSc
Department Clinical Epidemiology
Supervisor
Advisor Name Title
Prof M J Matjila Supervisor
Keywords
  • mortality
  • pre-transitional causes
  • morbidity
Date 2010-04-16
Availability unrestricted
Abstract
Introduction.: The evaluation and improvement of the quality of health care services begins with the knowledge about the trends and causes of diseases.

Purpose: To describe the morbidity and mortality patterns for the under-5 year old children who were admitted in 11 district hospitals in Eastern Cape Province from 2000 to 2004.

Methods: Descriptive study where a multi-stage sampling technique was used to select 11 district hospitals. There were 25,122 causes of paediatric ward admissions (2000 to 2004) among under-5 children from ward register were reviewed and ICD-10 coded.

Findings: Pre-transitional causes were the leading causes of morbidity (68.4%) and mortality (74.2%) especially diarrhoeal lower respiratory tract infections and protein-energy malnutrition. There was particularly among male high infant morbidity and mortality rates observed from 2000 to 2004. Non-communicable diseases (8% morbidity and 4.2% mortality) and injuries (10% morbidity and 4.4% mortality) appeared to be of less public health concern among the under-5 children. Majority of under-5 mortality (43.4%) occurred within 24 hours of admissions (23.7% died on arrival). Influential variables for morbidity and mortality were region (Eastern), age (infants), year admitted and broad classification of the diseases (group I causes). There was a constant increase in morbidity and mortality which was observed during studied period.

Conclusion: Pre-transitional causes (especially diarrhoeal, lower respiratory tract infections and protein energy malnutrition) were of public health concern among the under-5 children and their magnitude has increased over the years studied.

Copyright 2010, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria

Please cite as follows:

Dlamini, T 2010, Morbidity and mortality patterns among the under 5 year old children admitted to district hospitals in the Eastern Cape, 2000 - 2004, MSc dissertation, University of Pretoria, Pretoria, viewed yymmdd < http://upetd.up.ac.za/thesis/available/etd-10062010-192322 / >

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