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首页> 外文期刊>South African medical journal = >The South African child death review pilot: A multiagency approach to strengthen healthcare and protection for children
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The South African child death review pilot: A multiagency approach to strengthen healthcare and protection for children

机译：南非儿童死亡审查试点项目：一种多机构方法，以加强对儿童的医疗保健和保护

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BACKGROUND: Child mortality trends in South Africa (SA) show a decrease, but remain high and appear to have plateaued. To attain the new sustainable development goals, we need a better understanding of causes of death and the associated factors. OBJECTIVES: To describe the SA child death review (CDR) pilot, the pattern of child deaths reviewed and the factors associated with these deaths. METHODS: CDR teams were established at two pilot sites, Salt River mortuary (Western Cape Province) and Phoenix mortuary (KwaZulu-Natal Province). All child deaths were reviewed by a multidisciplinary team at the pilot sites for the period 1 January 2014 - 31 December 2014. RESULTS: The CDR pilot reviewed 711 cases. Over half (53.3%) were natural deaths, as opposed to 42.6% non-natural deaths. Most infant deaths (83.9%) were due to natural causes, while 91.7% of deaths in the 15 - 17-year-old age group were due to injuries. The leading cause of deaths reviewed (30.8%) was respiratory tract infection (RTI), mainly among infants (51.6%). Homicide was the second most common cause of death and affected children of all ages, with the highest burden (52.8%) in the 15 - 17-year age group. Child abuse and neglect accounted for 11.3% of deaths. RTI was shown to be more likely after the neonatal period (odds ratio (OR) 2.92; p0.000) and in preterm infants (OR 1.98; p=0.005). CONCLUSIONS: CDR teams have been effective in improving identification of the causes of out-of-hospital deaths, as well as by identifying remediable factors critical to reducing child deaths further.
机译：背景：南非（SA）的儿童死亡率趋势有所下降，但仍然很高，并且似乎处于稳定状态。为了实现新的可持续发展目标，我们需要更好地了解死亡原因和相关因素。目的：描述SA儿童死亡回顾（CDR）飞行员，儿童死亡的回顾模式以及与这些死亡相关的因素。方法：CDR小组在两个试点建立，分别是盐河太平间（西开普省）和菲尼克斯太平间（夸祖鲁-纳塔尔省）。多学科小组在试验地点对2014年1月1日至2014年12月31日期间的所有儿童死亡进行了审查。结果：CDR飞行员审查了711例病例。超过一半（53.3％）是自然死亡，而非自然死亡为42.6％。大多数婴儿死亡（83.9％）是由于自然原因造成的，而15-17岁年龄段的死亡中有91.7％是由于伤害造成的。所审查的主要死亡原因（30.8％）是呼吸道感染（RTI），主要是婴儿（51.6％）。凶杀是所有年龄段儿童的第二大常见死亡原因，在15-17岁年龄段，其负担最重（52.8％）。虐待和忽视儿童占死亡的11.3％。新生儿后（比值比（OR）为2.92; p <0.000）和早产儿（OR 1.98; p = 0.005）显示出RTI的可能性更高。结论：CDR小组在改善对院外死亡原因的识别以及识别对进一步减少儿童死亡至关重要的可补救因素方面一直有效。

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