Mortality and health among internally displaced persons in western Kenya following post-election Violence; 2008: novel use of demographic surveillance
Bull. W.H.O. (Online)
; 88(8): 601608-2010. ilus
Article
in English
| AIM (Africa)
| ID: biblio-1259868
Responsible library:
CG1.1
ABSTRACT
Objective To evaluate mortality and morbidity among internally displaced persons (IDPs) who relocated in a demographic surveillance system (DSS) area in western Kenya following post-election violence. Methods In 2007; 204 000 individuals lived in the DSS area; where field workers visit households every 4 months to record migrations; births and deaths. We collected data on admissions among children 5 years of age in the district hospital and developed special questionnaires to record information on IDPs. Mortality; migration and hospitalization rates among IDPs and regular DSS residents were compared; and verbal autopsies were performed for deaths. Findings Between December 2007 and May 2008; 16 428 IDPs migrated into the DSS; and over half of them stayed 6 months or longer. In 2008; IDPs aged 15.49 years died at higher rates than regular residents of the DSS (relative risk; RR 1.34; 95confidence interval; CI 1.004.1.80). A greater percentage of deaths from human immunodeficiency virus (HIV) infection occurred among IDPs aged . 5 years (53) than among regular DSS residents (25.29) (P 0.001). Internally displaced children 5 years of age did not die at higher rates than resident children but were hospitalized at higher rates (RR 2.95; 95CI 2.44.3.58). Conclusion HIV-infected internally displaced adults in conflict-ridden parts of Africa are at increased risk of HIV-related death. Relief efforts should extend to IDPs who have relocated outside IDP camps; particularly if afflicted with HIV infection or other chronic conditions
Full text:
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Health context:
SDG3 - Health and Well-Being
Health problem:
Target 3.2: Reduce avoidable death in newborns and children under 5
Database:
AIM (Africa)
Main subject:
Refugees
/
Demography
/
Health Status
/
Surveys and Questionnaires
/
Mortality
/
Democracy
/
Kenya
Type of study:
Etiology study
/
Prognostic study
/
Risk factors
/
Screening study
Aspects:
Social determinants of health
/
Patient-preference
Country/Region as subject:
Africa
Language:
English
Journal:
Bull. W.H.O. (Online)
Year:
2010
Document type:
Article