Cargando…

Health in a fragile state: a five-year review of mortality patterns and trends at Somalia’s Banadir Hospital

BACKGROUND: The recurrent civil conflict in Somalia has impeded progress toward improving health and health care, with lack of data and poor performance of health indicators. This study aimed at making inference about Banadir region by exploring morbidity and mortality trends at Banadir Hospital. Th...

Descripción completa

Detalles Bibliográficos
Autores principales: Kulane, Asli, Sematimba, Douglas, Mohamed, Lul M, Ali, Abdirashid H, Lu, Xin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5012843/
https://www.ncbi.nlm.nih.gov/pubmed/27621664
http://dx.doi.org/10.2147/IJGM.S109024
_version_ 1782452064602816512
author Kulane, Asli
Sematimba, Douglas
Mohamed, Lul M
Ali, Abdirashid H
Lu, Xin
author_facet Kulane, Asli
Sematimba, Douglas
Mohamed, Lul M
Ali, Abdirashid H
Lu, Xin
author_sort Kulane, Asli
collection PubMed
description BACKGROUND: The recurrent civil conflict in Somalia has impeded progress toward improving health and health care, with lack of data and poor performance of health indicators. This study aimed at making inference about Banadir region by exploring morbidity and mortality trends at Banadir Hospital. This is one of the few functional hospitals during war. METHODS: A retrospective analysis was conducted with data collected at Banadir Hospital for the period of January 2008–December 2012. The data were aggregated from patient records and summarized on a morbidity and mortality surveillance form with respect to age groups and stratified by sex. The main outcome was the number of patients that died in the hospital. Chi-square tests were used to evaluate the association between sex and hospital mortality. RESULTS: Conditions of infectious origin were the major presentations at the hospital. The year 2011 recorded the highest number of cases of diarrhea and mortality due to diarrhea. The stillbirth rate declined during the study period from 272 to 48 stillbirths per 1,000 live births by 2012. The sum of total cases that were attended to at the hospital by the end of 2012 was four times the number at the baseline year of the study in 2008; however, the overall mortality rate among those admitted declined between 2008 and 2012. CONCLUSION: There was reduction in patient mortality at the hospital over the study period. Data from Banadir Hospital are consistent with findings from Banadir region and could give credible public health reflections for the region given the lack of data on a population level.
format Online
Article
Text
id pubmed-5012843
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Dove Medical Press
record_format MEDLINE/PubMed
spelling pubmed-50128432016-09-12 Health in a fragile state: a five-year review of mortality patterns and trends at Somalia’s Banadir Hospital Kulane, Asli Sematimba, Douglas Mohamed, Lul M Ali, Abdirashid H Lu, Xin Int J Gen Med Original Research BACKGROUND: The recurrent civil conflict in Somalia has impeded progress toward improving health and health care, with lack of data and poor performance of health indicators. This study aimed at making inference about Banadir region by exploring morbidity and mortality trends at Banadir Hospital. This is one of the few functional hospitals during war. METHODS: A retrospective analysis was conducted with data collected at Banadir Hospital for the period of January 2008–December 2012. The data were aggregated from patient records and summarized on a morbidity and mortality surveillance form with respect to age groups and stratified by sex. The main outcome was the number of patients that died in the hospital. Chi-square tests were used to evaluate the association between sex and hospital mortality. RESULTS: Conditions of infectious origin were the major presentations at the hospital. The year 2011 recorded the highest number of cases of diarrhea and mortality due to diarrhea. The stillbirth rate declined during the study period from 272 to 48 stillbirths per 1,000 live births by 2012. The sum of total cases that were attended to at the hospital by the end of 2012 was four times the number at the baseline year of the study in 2008; however, the overall mortality rate among those admitted declined between 2008 and 2012. CONCLUSION: There was reduction in patient mortality at the hospital over the study period. Data from Banadir Hospital are consistent with findings from Banadir region and could give credible public health reflections for the region given the lack of data on a population level. Dove Medical Press 2016-08-31 /pmc/articles/PMC5012843/ /pubmed/27621664 http://dx.doi.org/10.2147/IJGM.S109024 Text en © 2016 Kulane et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Kulane, Asli
Sematimba, Douglas
Mohamed, Lul M
Ali, Abdirashid H
Lu, Xin
Health in a fragile state: a five-year review of mortality patterns and trends at Somalia’s Banadir Hospital
title Health in a fragile state: a five-year review of mortality patterns and trends at Somalia’s Banadir Hospital
title_full Health in a fragile state: a five-year review of mortality patterns and trends at Somalia’s Banadir Hospital
title_fullStr Health in a fragile state: a five-year review of mortality patterns and trends at Somalia’s Banadir Hospital
title_full_unstemmed Health in a fragile state: a five-year review of mortality patterns and trends at Somalia’s Banadir Hospital
title_short Health in a fragile state: a five-year review of mortality patterns and trends at Somalia’s Banadir Hospital
title_sort health in a fragile state: a five-year review of mortality patterns and trends at somalia’s banadir hospital
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5012843/
https://www.ncbi.nlm.nih.gov/pubmed/27621664
http://dx.doi.org/10.2147/IJGM.S109024
work_keys_str_mv AT kulaneasli healthinafragilestateafiveyearreviewofmortalitypatternsandtrendsatsomaliasbanadirhospital
AT sematimbadouglas healthinafragilestateafiveyearreviewofmortalitypatternsandtrendsatsomaliasbanadirhospital
AT mohamedlulm healthinafragilestateafiveyearreviewofmortalitypatternsandtrendsatsomaliasbanadirhospital
AT aliabdirashidh healthinafragilestateafiveyearreviewofmortalitypatternsandtrendsatsomaliasbanadirhospital
AT luxin healthinafragilestateafiveyearreviewofmortalitypatternsandtrendsatsomaliasbanadirhospital