{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T05:09:47Z","timestamp":1778735387715,"version":"3.51.4"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T00:00:00Z","timestamp":1771286400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T00:00:00Z","timestamp":1771286400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Child mortality is a critical global health indicator, reflecting a nation's development and healthcare quality. Despite significant progress in reducing child mortality globally, Somalia continues to experience high rates, particularly among infants and young children, due to preventable and treatable conditions. Malnutrition, birth complications and infectious diseases are the leading causes of death.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess and analyse the trends in pediatric mortality over the past 2\u2009years at a national referral hospital in Mogadishu, Somalia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cross\u2010sectional study, conducted in the pediatric Department of Banadir Hospital in Mogadishu, Somalia, reviewed records of 1513 pediatric deaths during the study period, of which 70 were excluded due to incomplete records, leaving 1443 cases that met the inclusion criteria for analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The overall pediatric mortality rate during the study period was 5.3%. Male children accounted for 56.5% of deaths, whereas females represented 43.5%. Infants under 1\u2009year were disproportionately affected, contributing to most deaths. The primary causes of death were severe acute malnutrition (29.04%), birth asphyxia (10.33%) and preterm (13.65%). The majority of deaths occurred within the first 24\u2009h after admission and between 2 and 5\u2009days of hospitalisation. Significant associations were found between the age of the child and the cause of death (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u2009537.485,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Additionally, there were significant associations between the year of death and the age of the child (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200917.669,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), as well as the number of deaths in children per year (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200989.057,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The leading cause of pediatric death was SAM, followed by prematurity and birth asphyxia. Most deaths occurred within the first 24\u2009h of hospital admission. Nationwide, multi\u2010centre studies and interventions are highly recommended.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.70321","type":"journal-article","created":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T10:11:49Z","timestamp":1771323109000},"page":"730-737","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Retrospective Analysis of Pediatric Mortality Trends Over 2\u2009Years at a National Referral Hospital in Mogadishu, Somalia"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3245-1303","authenticated-orcid":false,"given":"Abdulkadir Mohamed Ahmed","family":"Keynan","sequence":"first","affiliation":[{"name":"Department Research, Training and Disease Surveillance at Banadir Hospital  Mogadishu Somalia"},{"name":"Benadir University, Faculty of Medicine and Surgery  Mogadishu Somalia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed Mohamed","family":"Dirie","sequence":"additional","affiliation":[{"name":"Dean Faculty of Health Science Salaam University  Mogadishu Somalia"},{"name":"Department of Community Health, Faculty of Medicine and Health Sciences University Putra Malaysia  Selango Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shafie Abdirahman","family":"Dirie","sequence":"additional","affiliation":[{"name":"Somali National University and Executive Director at Foolaad Institute for Health Studies (FIHS)  Mogadishu Somalia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Abdirahman","family":"Omar","sequence":"additional","affiliation":[{"name":"Department Research, Training and Disease Surveillance at Banadir Hospital  Mogadishu Somalia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdullahi Abdihakim","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Science Salaam University  Mogadishu Somalia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osman Abubakar","family":"Fiidow","sequence":"additional","affiliation":[{"name":"Department of Public Health, Faculty of Health Science Salaam University  Mogadishu Somalia"},{"name":"Department of Research and Development Somali Center for Research and Consultancy  Mogadishu Somalia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,17]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-016-0709-4"},{"key":"e_1_2_11_3_1","unstructured":"G.Wilson Fell L.Hug Y.Liu et\u00a0al. \u201cSpecial Thanks to the Technical Advisory Group of the UN IGME for Providing Technical Guidance on Methods for Child Mortality Estimation Work \u201d2025."},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.18356\/9789211068092"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-0026"},{"key":"e_1_2_11_6_1","unstructured":"United Nations Children's Fund (UNICEF) \u201cThe Demographic and Health Surveys (DHS) Program ICF. Levels & Trends in Child Mortality \u201d2024."},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-11276-9"},{"key":"e_1_2_11_8_1","first-page":"1","volume-title":"Levels and Trends in Child Mortality: Estimates: Report 2018","author":"UN IGME","year":"2018"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.4054\/DemRes.2020.43.43"},{"key":"e_1_2_11_10_1","unstructured":"DNS Government of Somalia and Demographic Survey \u201cSHD Survey 2020 Somalia \u201d2020."},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/children9101518"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-024-04964-z"},{"key":"e_1_2_11_13_1","unstructured":"\u201cReproductive Maternal Neonatal Child and Adolescent Health Strategy \u201d2020."},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2024-096692"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978\u2010016\u20100230\u20100"},{"key":"e_1_2_11_16_1","volume-title":"Somali Guidelines for Integrated Management of Acute Malnutrition","author":"Federal Ministry of Health Somalia","year":"2020"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-0218.42062"},{"key":"e_1_2_11_18_1","first-page":"1","article-title":"Time Series Analysis of Impact of COVID\u201019 on Infant and Neonatal Mortality in the United States","author":"Zhang Z.","year":"2025","journal-title":"Pediatric Research"},{"key":"e_1_2_11_19_1","volume-title":"UNICEF Somalia Annual Report 2023","author":"United Nations Children's Fund (UNICEF)","year":"2024"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2016.27"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-18955-3"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2008.07.030"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/1475-9276-11-39"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-024-02740-9"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40795-017-0147-1"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjpo-2023-002403"},{"key":"e_1_2_11_27_1","volume-title":"The Demographic and Health Surveys (DHS) Program","author":"Hug L.","year":"1996"}],"container-title":["Journal of Paediatrics and Child Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.70321","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jpc.70321","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.70321","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T04:14:05Z","timestamp":1778732045000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpc.70321"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,17]]},"references-count":26,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1111\/jpc.70321"],"URL":"https:\/\/doi.org\/10.1111\/jpc.70321","archive":["Portico"],"relation":{},"ISSN":["1034-4810","1440-1754"],"issn-type":[{"value":"1034-4810","type":"print"},{"value":"1440-1754","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,17]]},"assertion":[{"value":"2025-09-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-31","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}