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Prevalence of diarrhoea, acute respiratory infections, and malaria over time (1995-2017): A regional analysis of 23 countries in West and Central Africa.
Simen-Kapeu, Aline; Bogler, Lisa; Weber, Ann-Charline; Ntambi, John; Zagre, Noel Marie; Vollmer, Sebastian; Ekpini, Rene Ehounou.
Afiliação
  • Simen-Kapeu A; United Nations Children's Fund (UNICEF), West and Central Africa Regional Office, Dakar, Senegal.
  • Bogler L; Department of Economics and Centre for Modern Indian Studies, University of Göttingen, Göttingen, Germany.
  • Weber AC; Department of Economics and Centre for Modern Indian Studies, University of Göttingen, Göttingen, Germany.
  • Ntambi J; United Nations Children's Fund (UNICEF), West and Central Africa Regional Office, Dakar, Senegal.
  • Zagre NM; UNICEF Area Representative for Gabon and São Tomé and Príncipe and to the ECCAS, Libreville, Gabon.
  • Vollmer S; Department of Economics and Centre for Modern Indian Studies, University of Göttingen, Göttingen, Germany.
  • Ekpini RE; United Nations Children's Fund (UNICEF), West and Central Africa Regional Office, Dakar, Senegal.
J Glob Health ; 11: 13008, 2021.
Article em En | MEDLINE | ID: mdl-34484715
ABSTRACT
BACKGOUND The global community recognizes the urgent need to end preventable child deaths, making it an essential part of the third Sustainable Development Goal. Pneumonia, diarrhoea, and malaria still remain the leading causes of deaths among children under five years, especially in one of the poorest geographic regions of the world - West and Central Africa. This region carries a disproportionately high share of the global burden, both in terms of morbidity and mortality. The study aims to assess levels and trends of the prevalence of these three childhood diseases in West and Central Africa to better inform ongoing and future programmes to improve child survival.

METHODS:

Demographic and Health Surveys and Multiple Indicator Cluster Surveys available from 1995 to 2017 for 23 countries in West and Central Africa were analysed. We estimated the prevalence of diarrhoea, acute respiratory infections (ARI), malaria, and fever as a proxy for malaria, and split the data into three time periods to assess these trends in disease prevalence over time. Further analyses were done to assess the variations by geographic location (urban and rural) and gender (boys and girls).

RESULTS:

In West and Central Africa, the reduction of the prevalence rates of diarrhoea, acute respiratory infections, malaria, and fever has decelerated over time (1995-2009), and little improvements occurred between 2010 and 2017. The reduction within the region has been uneven and the prevalence rates either increased or stagnated for diarrhoea (nine countries), ARI (four countries), and fever (six countries). The proportion of affected children was high in emergency or fragile settings. Disaggregated analyses of population-based data show persistent gaps between the prevalence of diseases by geographic location and gender, albeit not significant for the latter.

CONCLUSIONS:

Without intensified commitment to reducing the prevalence of pneumonia, malaria, and diarrhoea, many countries will not be able to meet the SDG goal to end preventable child deaths. Evidence-driven programmes that focus on improving equitable access to preventive health care information and services must be fostered, especially in complex emergency settings. This will be an opportunity to strengthen primary health care, including community health programmes, to achieve universal health coverage.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Infecções Respiratórias / Malária Idioma: En Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Infecções Respiratórias / Malária Idioma: En Ano de publicação: 2021 Tipo de documento: Article