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

Thursday, 15th of September 2016

Abstract below; full article is available at

https://www.dovepress.com/health-in-a-fragile-state-a-five-year-review-of-mortality-patterns-and-peer-reviewed-article-IJGM

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

 

Authors Kulane A, Sematimba D, Mohamed LM, Ali AH, Lu X

Received 23 March 2016

Accepted for publication 27 May 2016

Published 31 August 2016 Volume 2016:9 Pages 303—310

DOI https://dx.doi.org/10.2147/IJGM.S109024

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Professor Scott Fraser

Asli Kulane,¹ Douglas Sematimba,¹ Lul M Mohamed,² Abdirashid H Ali,² Xin Lu<sup>1,3,4

1</sup>Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden;²Women and Child Care Section, Banadir Maternity & Children Hospital, Mogadishu, Somalia; ³College of Information System and Management, National University of Defense Technology, Changsha, People´s Republic of China;⁴Flowminder Foundation, Stockholm, Sweden

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.