Factors Associated with Intra-Hospital Mortality of Children from 0 to 59 Months in the City of Mwene-Ditu in DR Congo: A Retrospective Analytical Study
Introduction: The mortality of children aged under 59 months remains a public health problem in the majority of low-income countries. Reducing this mortality must be included among the national priorities. The DR Congo (DRC) in general and the city of Mwene-Ditu, in particular, are not spared from this scourge. The objective of this study is to contribute to the reduction of infant mortality by researching the associated factors in order to propose preventive measures. Methods: A retrospective analytical study was conducted at the Christ Roi General Reference Hospital in the Makota Health District in Mwene-Ditu (DRC) covering a period of 12 months, from January 1 to December 31, 2021. A structured questionnaire was used for data collection based on the documentary review. The Odds Ratio (OR 95% CI) and the exact Fisher test were used to study the associations between the independent variable and the dependent ones. OR was significant when it was greater than 1 and its lower limit also and the p-value when it was less than 0.05. Results: At the end of this study, 216 cases were retained. It appears that children under 12 months accounted for 58.3% and 52% of male children. The intra-hospital mortality rate was estimated at 11.1%. Malaria (37.5%), dehydration (25%) and Acute Respiratory Infection (ARI) (16.7%) topped the list of causes of death. The duration of hospitalization ≤ 3 days (OR = 20.26 [6.54 - 62.77], p = 0.00) and dehydration (OR = 11.00 [2.14 - 56.49], p = 0.00) were the factors associated with intra-hospital mortality of children aged 0 to 59 months admitted to the Christ-Roi General Reference Hospital. Conclusion: Early recourse to the hospital environment in the event of childhood illnesses and the correct care of children can boost the reduction of mortality in this age group.
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Kabeya, T. K. , Tshisungu, B. B. , Okoto, S. , Tshibangu, F. I. , Tshibangu, D. I. , Tshakuimba, E. K. and Kabila, J. L. (2022). Factors Associated with Intra-Hospital Mortality of Children from 0 to 59 Months in the City of Mwene-Ditu in DR Congo: A Retrospective Analytical Study. Open Access Library Journal, 9, e9584. doi: http://dx.doi.org/10.4236/oalib.1109584.
WHO (2022) Maternal, Newborn, Child and Adolescent Health and Ageing.
https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/child-data
Koffi, A.K., Libite, P.R., Moluh, S., Wounang, R. and Kalter, H.D. (2015) Social Autopsy Study Identifies Determinants of Neonatal Mortality in Doume, Nguelemendouka and Abong-Mbang Health Districts, Eastern Region of Cameroon. Journal of Global Health, 5, Article ID: 010413. https://doi.org/10.7189/jogh.05.010413
Liu, L., Oza, S., Hogan, D., Perin, J., Rudan, I., Lawn, J.E., Cousens, S., Mathers, C. and Black, R.E. (2015) Global, Regional, and National Causes of Child Mortality in 2000-13, with Projections to Inform Post-2015 Priorities: An Updated Systematic Analysis. The Lancet, 385, 430-440. https://doi.org/10.1016/S0140-6736(14)61698-6
Pérez, D.V., Jordan, I., Esteban, E., García-Soler, P., Murga, V., Bonil, V., Ortiz, I., Flores, C., Bustinza, A. and Cambra, F.J. (2014) Prognostic factors in pediatric sepsis study, from the Spanish Society of Pediatric Intensive Care. The Pediatric Infectious Disease Journal, 33, 152-157.
https://doi.org/10.1097/01.inf.0000435502.36996.72
Schlapbach, L.J., Straney, L., Alexander, J., MacLaren, G., Festa, M., Schibler, A. and Slater, A. (2015) Mortality Related to Invasive Infections, Sepsis, and Septic Shock in Critically Ill Children in Australia and New Zealand, 2002-13: A Multi-centre Retrospective Cohort Study. The Lancet Infectious Diseases, 15, 46-54.
https://doi.org/10.1016/S1473-3099(14)71003-5
Koum, D.C.K., Essomba, N.E., Ngaba, G.P., Sintat, S., Ndombo, P.K. and Coppieters, Y. (2015) Morbidité et facteurs de risque de mortalité néonatale dans un hôpital de référence de Douala. Pan African Medical Journal, 20, Article 258.
http://www.panafrican-med-journal.com/content/article/20/258/full/
https://doi.org/10.11604/pamj.2015.20.258.5648
Noria, H., Sarah, O. and Asmaa, O. (2015) Facteurs de risques de mortalité néonatale dans l’hôpital de gynécologie-obstétrique de la wilaya de Sidi Bel Abbes, Algérie. The Pan African Medical Journal, 20, Article 387.
https://doi.org/10.11604/pamj.2015.20.387.5032
http://www.panafrican-med-journal.com/content/article/20/387/full/
Kambale, R.M., Kasengi, J.B., Kivukuto, J.M., Cubaka, L.M., Mungo, B.M. and Balaluka, G.B. (2016) Profil infectieux et mortalité des enfants agés de 0 à 5 ans admis pour malnutrition aiguë sévère: étude de cohorte rétrospective au Centre Nutritionnel et Thérapeutique de Bukavu, République Démocratique du Congo. The Pan African Medical Journal, 23, Article 139. https://doi.org/10.11604/pamj.2016.23.139.8370
http://www.panafrican-med-journal.com/content/article/23/139/full/
Seck, N., Keïta, Y., Boiro, D., Basse, I., Thiam, I., Ndongo, A. A., Dieng, Y.J. and Diagne, I. (2017) Mortalité pédiatrique au Centre Hospitalier Régional de Saint-Louis (Sénégal). Médecine d’Afrique Noire, 64, 42-46.
https://pesquisa.bvsalud.org/portal/resource/pt/afr-199014
Nguefack, F., Mah, E., Kinkela, M.N., Tagne, T., Chelo, D., Dongmo, R. and Ndombo, P.K. (2020) Profil des décès survenus chez les enfants agés de 3 à 59 mois dans l’unité des soins intensifs d’un centre pédiatrique à Yaoundé-Cameroun. Pan African Medical Journal, 36, Article 246. https://doi.org/10.11604/pamj.2020.36.246.11292
https://www.panafrican-med-journal.com//content/article/36/246/full
Mukuna, N.B., Kabyahura, N.N., Kawumbu, M.J.B. and Lubang, L.E. (2020) Causes et fréquences des anémies sévères chez les enfants sous cinq ans à l’Hôpital Général de Référence de Kabinda. International Journal of Innovation and Applied Studies, 31, 555-559.
https://scholar.google.fr/scholar?start=10&q=mortalit%C3%A9 infantile en rdc&hl=fr&as_sdt=0,5&as_ylo=2018#d=gs_qabs&t=1650692559952&u=%23p%3DINQkxrKX_-sJ
Kahinda, J.S.M., Mucail-a-Mucail, T., Kabimbi, M.M., Kafutshi, D.M., Ilonda, R.L., Lukomba, D.K. and Katumbo, A.M. (2021) Profil sociodémographique, clinique et évolutif des enfants de moins de 5 ans hospitalisés pour malnutrition aiguë sévère à l’hôpital Sendwe de Lubumbashi. Revue de l’Infirmier Congolais, 5, 8-14.
Sango Kyungu, F., Mufite Kapya, D., Numbi Banza, J., Nday Ilunga, L., Nsenga Ndala, B., Kabulo Wa Ngoy, D., Malulu Kabwe, D., Kakudji Mutungula, F., Banze Lukanda, J.-L., Nkumwimba Wa Mwamba, V., Mpiana Lubeji, T., Pamba Mazomena, P., Ngoy Mwilambwe, C., Banza Mwana Bute, M. and Ilunga Kandolo, S. (2021) Epidemiological Profile of Deaths in Children Aged 0 to 59 in the Pygmy Community. Case of the Manono and Ankoro Health District of Tanganyika Province in the Democratic Republic of Congo. Open Access Library Journal, 8, e8229.
https://doi.org/10.4236/oalib.1108229
Nsagha, S.D., Assob, N.J.C., Kamga, F.H.L., Njunda, L.A., Nde, P.F., Mpei, E. and Ngowe, N.M. (2014) Facteurs Influençant la mortalité au service de pédiatrie de l’hopital régional de Nkongsamba au cameroun. African Journal of Integrated Health, 3, 38-45.
Abdala, A.K., Kilindukila, G.J., Bafwafwa, D.D.N., Mutombo, A.M., Ongemba, J.L., Shindano, E.M. and Wembonyama, S.O. (2021) La Morbidité infanto-juvénile en milieu hospitalier africain: Cas de la ville de Kindu, République Démocratique du Congo. Journal of Medicine, Public Health and Policy Research, 1, 14-19.
Rafamatanantsoa, J.F., Randriamizao, H.M.R., Tsifiregna, R.L., Andriamanantena, V.L., Hunald, F.A., Andrianampanalinarivo, H.R. and Rakotomanga, J. (2018) Facteurs associés à la mortalité néonatale précoce vue au Centre Hospitalier de Référence de District d’Itaosy, Antananarivo (Madagascar). Revue d’Anesthésie-Réanimation et de Médecine d’Urgence, 10, 10-14
Kaba, S., Beninguisse, G. and Nganawara, D. (2020) Etudes Rétrospectives Des Facteurs Individuels Et Contextuels Sur La Variation De La Mortalité Des Enfants De Moins De 5 Ans Durant l’Année 2018 En Guinée. European Scientific Journal, 16, 173-186.
https://doi.org/10.19044/esj.2020.v16n27p173
Guilavogui, T., Koïvogui, A., Camara, A., Delamou, D., Diallo, A.S. and Lo, Y. (2018) The Challenge of Rapid Management of Fever in Children under 5 in Guinea. Epidemiology & Infection, 146, 1987-1995. https://doi.org/10.1017/S0950268818002029
Nzame, Y., Ntsame, S., Ndoutoume, R., Gahouma, D. and Koko, J. (2020) épidémiologie des Urgences Pédiatriques de Nuit au Centre Hospitalier Universitaire de Libreville. Health Sciences and Disease, 21, 88-91.
Doumbia, A.K., Togo, B., Togo, P., Traore, F., Coulibaly, O., Dembele, A., Maiga, B., Dicko, F., Diakité, A.A. and Sylla, M. (2016) Morbidité et mortalité chez les enfants de 01 à 59 mois hospitalises au service de pédiatrie générale du CHU Gabriel toure de janvier a décembre 2013. Revue Malienne d’Infectiologie et de Microbiologie, 8, 54-62. https://doi.org/10.53597/remim.v0i0.912
Kingwengwe, A.A., Ndjadi, A.K., Lukusa, P.M., Ilunga, P.M., Ibeki, E.K., Kyanga, P.A., et al. (2019) Epidemiology of Pediatric Medical Emergencies at the Kindu Reference General Hospital (HGRK): State of Affairs and Perspectives. Open Access Library Journal, 6, e5715. https://doi.org/10.4236/oalib.1105715
Bah, A., et al. (2021) Morbidité et mortalité des enfants au service de pédiatrie de l’hôpital Nianankoro Fomba de Ségou. Mali Santé Publique, 11, 81-84.
https://doi.org/10.53318/msp.v11i1.1898
Mutombo, A.M., Kamona, Y.M., Tshibanda, C.N., Mukuku, O., Ngwej, D.T., Wembonyama, S.O., Luboya, O.N. and Lutumba, P. (2018) Paludisme grave chez les enfants agés de moins de 5 ans à l’hôpital Panda à Likasi, République Démocratique du Congo. Revue de l’Infirmier Congolais, 2, 4-10.
Kasongo, N.W.A., Shongo, Y.P. and Numbi, O.L. (2019) L’Epidémiologie hospitalière des infections respiratoires aigües chez les enfants de moins de cinq ans en milieu à ressources limitées. (Cas des structures médicales de la ville de Lubumbashi.). Revue Africaine de Médecine et de Santé Publique, 2, 64-74.
Diall, H., Bathily, S., Sylla, M., Coulibaly, O., Maiga, B., Traoré, F., et al. (2018) Prévalence de la malnutrition chez les enfants hospitalisés dans le service de Pédiatrie du CHU Gabriel Touré (Bamako) de mai 2011 à avril 2012. Mali Santé Publique, 8, 22-24. https://doi.org/10.53318/msp.v8i01.1464
