{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T03:44:30Z","timestamp":1768448670266,"version":"3.49.0"},"reference-count":0,"publisher":"International Union Against Tuberculosis and Lung Disease","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["public health action"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:p>SETTING: Eight pediatric hospital in-patient wards in remote, rural and\/or insecure areas in Africa.OBJECTIVES: To describe, in children aged &lt;5 years, 1) overall and individual mortality rates, 2) the 10 most common causes of mortality, and 3) their case-fatality rates.DESIGN: Retrospective analysis of routinely collected standardized program data for 2010.RESULTS: During 2010, 21\u2009357 children aged &lt;5 years were admitted and 1520 died, resulting in an overall in-patient mortality rate among under-fives of 7%. This remained the same after considering the three most common causes of mortality per hospital. One hospital with a neonatal unit showed a mortality rate of 14%. Of the 10 most common causes of mortality in the eight hospitals, severe malaria, acute lower respiratory tract infection and neonatal infection counted for about 77% of total deaths. Ranking the 10 most common causes of mortality according to case-fatality rates, septicemia, meningitis, low birth weight with pathology, neonatal infection and neonatal asphyxia were the most common (case-fatality rates 15\u201340%).CONCLUSION: Despite widely different contexts, mortality rates for pediatric in-patients were consistently under 10%. To further reduce mortality, emphasis should be placed on treating sepsis and introducing implementable and\/or adapted care packages for neonatal-related pathologies.<\/jats:p>","DOI":"10.5588\/pha.12.0038","type":"journal-article","created":{"date-parts":[[2012,12,5]],"date-time":"2012-12-05T17:24:12Z","timestamp":1354728252000},"page":"117-121","source":"Crossref","is-referenced-by-count":13,"title":["Causes of pediatric mortality and case-fatality rates in eight M\u00e9decins Sans Fronti\u00e8res-supported hospitals in Africa"],"prefix":"10.5588","volume":"2","author":[{"given":"W.","family":"van den Boogaard","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Manzi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. D.","family":"Harries","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. J.","family":"Reid","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3554","published-online":{"date-parts":[[2012,12,1]]},"container-title":["Public Health Action"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.5588\/pha.12.0038","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T17:04:12Z","timestamp":1768410252000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.theunion.org\/lookup\/doi\/10.5588\/pha.12.0038"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,12]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2012,12,1]]},"published-print":{"date-parts":[[2012,12]]}},"alternative-id":["10.5588\/pha.12.0038"],"URL":"https:\/\/doi.org\/10.5588\/pha.12.0038","relation":{},"ISSN":["2220-8372"],"issn-type":[{"value":"2220-8372","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,12]]}}}