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Your search keyword '"Sheila Ogwang"' showing total 3 results
3 results on '"Sheila Ogwang"'

1. Pregnancy-related mortality in Africa and Asia: evidence from INDEPTH Health and Demographic Surveillance System sites

Author

P. Kim Streatfield, Nurul Alam, Yacouba Compaoré, Clementine Rossier, Abdramane B. Soura, Bassirou Bonfoh, Fabienne Jaeger, Eliezer K. Ngoran, Juerg Utzinger, Pierre Gomez, Momodou Jasseh, Akosua Ansah, Cornelius Debpuur, Abraham Oduro, John Williams, Sheila Addei, Margaret Gyapong, Vida A. Kukula, Evasius Bauni, George Mochamah, Carolyne Ndila, Thomas N. Williams, Meghna Desai, Hellen Moige, Frank O. Odhiambo, Sheila Ogwang, Donatien Beguy, Alex Ezeh, Samuel Oti, Menard Chihana, Amelia Crampin, Alison Price, Valérie Delaunay, Aldiouma Diallo, Laetitia Douillot, Cheikh Sokhna, Mark A. Collinson, Kathleen Kahn, Stephen M. Tollman, Kobus Herbst, Joël Mossong, Jacques B.O. Emina, Osman A. Sankoh, and Peter Byass

Subjects
maternal mortality, cause of death, Africa, Asia, verbal autopsy, INDEPTH Network, Public aspects of medicine, RA1-1270
Abstract

Background: Women continue to die in unacceptably large numbers around the world as a result of pregnancy, particularly in sub-Saharan Africa and Asia. Part of the problem is a lack of accurate, population-based information characterising the issues and informing solutions. Population surveillance sites, such as those operated within the INDEPTH Network, have the potential to contribute to bridging the information gaps. Objective: To describe patterns of pregnancy-related mortality at INDEPTH Network Health and Demographic Surveillance System sites in sub-Saharan Africa and southeast Asia in terms of maternal mortality ratio (MMR) and cause-specific mortality rates. Design: Data on individual deaths among women of reproductive age (WRA) (15–49) resident in INDEPTH sites were collated into a standardised database using the INDEPTH 2013 population standard, the WHO 2012 verbal autopsy (VA) standard, and the InterVA model for assigning cause of death. Results: These analyses are based on reports from 14 INDEPTH sites, covering 14,198 deaths among WRA over 2,595,605 person-years observed. MMRs varied between 128 and 461 per 100,000 live births, while maternal mortality rates ranged from 0.11 to 0.74 per 1,000 person-years. Detailed rates per cause are tabulated, including analyses of direct maternal, indirect maternal, and incidental pregnancy-related deaths across the 14 sites. Conclusions: As expected, these findings confirmed unacceptably high continuing levels of maternal mortality. However, they also demonstrate the effectiveness of INDEPTH sites and of the VA methods applied to arrive at measurements of maternal mortality that are essential for planning effective solutions and monitoring programmatic impacts.

Published
2014
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2. Trauma-related mortality among adults in rural western Kenya: characterising deaths using data from a health and demographic surveillance system

Author

Anne M. Van Eijk, Laurence Slutsker, Penelope A. Phillips-Howard, Mary J. Hamel, Olivia Howland, Nyaguara Amek, Caryl M. Beynon, Frank Odhiambo, Kevin M. De Cock, Kayla F. Laserson, Sheila Ogwang, and Robyn Norton

Subjects
Gerontology, Male, Rural Population, Poison control, ALCOHOL, Occupational safety and health, DISEASE, Cause of Death, ADOLESCENTS, Medicine, Cause of death, education.field_of_study, Multidisciplinary, Mortality rate, wa_900, Accidents, Traffic, Middle Aged, Multidisciplinary Sciences, Epidemiological Monitoring, Science & Technology - Other Topics, Female, Research Article, AFRICA, Adult, Adolescent, Alcohol Drinking, General Science & Technology, Science, Population, wa_395, qz_35, PEOPLE, Injury prevention, INJURY, wd_600, QUALITY, Humans, INTERPERSONAL VIOLENCE, education, Aged, Demography, Science & Technology, business.industry, Multiple Trauma, WOMENS HEALTH, GLOBAL BURDEN, Verbal autopsy, Health Surveys, Kenya, Relative risk, Accidental Falls, business
Abstract

Background\ud Information on trauma-related deaths in low and middle income countries is limited but needed to target public health interventions. Data from a health and demographic surveillance system (HDSS) were examined to characterise such deaths in rural western Kenya.\ud \ud Methods And Findings\ud Verbal autopsy data were analysed. Of 11,147 adult deaths between 2003 and 2008, 447 (4%) were attributed to trauma; 71% of these were in males. Trauma contributed 17% of all deaths in males 15 to 24 years; on a population basis mortality rates were greatest in persons over 65 years. Intentional causes accounted for a higher proportion of male than female deaths (RR 2.04, 1.37-3.04) and a higher proportion of deaths of those aged 15 to 65 than older people. Main causes in males were assaults (n=79, 25%) and road traffic injuries (n=47, 15%); and falls for females (n=17, 13%). A significantly greater proportion of deaths from poisoning (RR 5.0, 2.7-9.4) and assault (RR 1.8, 1.2-2.6) occurred among regular consumers of alcohol than among non-regular drinkers. In multivariate analysis, males had a 4-fold higher risk of death from trauma than females (Adjusted Relative Risk; ARR 4.0; 95% CI 1.7-9.4); risk of a trauma death rose with age, with the elderly at 7-fold higher risk (ARR 7.3, 1.1-49.2). Absence of care was the strongest predictor of trauma death (ARR 12.2, 9.4-15.8). Trauma-related deaths were higher among regular alcohol drinkers (ARR 1.5, 1.1-1.9) compared with non-regular drinkers.\ud \ud Conclusions\ud While trauma accounts for a small proportion of deaths in this rural area with a high prevalence of HIV, TB and malaria, preventive interventions such as improved road safety, home safety strategies for the elderly, and curbing harmful use of alcohol, are available and could help diminish this burden. Improvements in systems to record underlying causes of death from trauma are required.

Published
2013

3. Pregnancy-related mortality in Africa and Asia: evidence from INDEPTH Health and Demographic Surveillance System sites.

Author

Streatfield, P. Kim, Emina, Jacques B. O., Gomez, Pierre, Jasseh, Momodou, Ansah, Akosua, Debpuur, Cornelius, Oduro, Abraham, Williams, John, Addei, Sheila, Gyapong, Margaret, Kukula, Vida A., Bauni, Evasius, Mochamah, George, Ndila, Carolyne, Williams, Thomas N., Desai, Meghna, Moige, Hellen, Odhiambo, Frank O., Ogwang, Sheila, and Beguy, Donatien

Subjects
AGE distribution, AUTOPSY, CAUSES of death, MEDICAL databases, INFORMATION storage & retrieval systems, MATERNAL mortality, PUBLIC health surveillance
Abstract

Background:Women continue to die in unacceptably large numbers around the world as a result of pregnancy, particularly in sub-Saharan Africa and Asia. Part of the problem is a lack of accurate, population-based information characterising the issues and informing solutions. Population surveillance sites, such as those operated within the INDEPTH Network, have the potential to contribute to bridging the information gaps. Objective: To describe patterns of pregnancy-related mortality at INDEPTH Network Health and Demographic Surveillance System sites in sub-Saharan Africa and southeast Asia in terms of maternal mortality ratio (MMR) and cause-specific mortality rates. Design: Data on individual deaths among women of reproductive age (WRA) (15-49) resident in INDEPTH sites were collated into a standardised database using the INDEPTH 2013 population standard, the WHO 2012 verbal autopsy (VA) standard, and the InterVA model for assigning cause of death. Results: These analyses are based on reports from 14 INDEPTH sites, covering 14,198 deaths amongWRAover 2,595,605 person-years observed. MMRs varied between 128 and 461 per 100,000 live births, while maternal mortality rates ranged from 0.11 to 0.74 per 1,000 person-years. Detailed rates per cause are tabulated, including analyses of direct maternal, indirect maternal, and incidental pregnancy-related deaths across the 14 sites. Conclusions: As expected, these findings confirmed unacceptably high continuing levels of maternal mortality. However, they also demonstrate the effectiveness of INDEPTH sites and of the VA methods applied to arrive at measurements of maternal mortality that are essential for planning effective solutions and monitoring programmatic impacts. [ABSTRACT FROM AUTHOR]

Published
2014
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