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Table 10 Comparison of data available from the 2013 and 2017 mortality and morbidity surveys, MSF Walikale project

From: Mortality and health survey, Walikale, Democratic Republic of the Congo, 2017: an example of the use of survey data for humanitarian program planning

 

2017

2013

Demographics

 Median age

12

15

 Male to female ratio

0.9

1.0

 Mean household size (95% CI)

6.7

6.4

Mortality

 Mortality rates (Deaths per 10,000 persons/day (95% CI))

  CMR

0.98 (0.78–1.2)

1.4 (1.2–1.7)

  U5MR

1.3 (0.8–2.00)

1.9 (1.3–2.5)

 Reported cause of death - overall (% (95% CI))

  Fever/malaria

31.1 (22.7–40.9)

34.1 (25.4--42.9)

  Diarrhoea

14.6 (8.3–24.6)

16.2 (8.8–23.6)

  Respiratory infection

7.9 (4.7–13.1)

7.5 (3.7–11.3)

  Trauma/accident

6.7 (3.5–12.4)

5.8 (1.2–10.3)

  Measles

6.7 (3.6–12.1)

2.9 (1.1–6.3)

  Pregnancy related

2.4 (0.9–6.2)

6.4 (2.4–10.3)

  Perinatal/neonatal (infant)

1.8 (0.6–5.5)

nr

  Violence

0.6 (0.1–4.5)

7.5 (3.9–11.1)

  Herniaa

nr

4.6 (2.2–8.6)

  Don’t know/missing

4.3 (2.1–8.5)

0.6 (0.6–1.8)

  Other

23.8 (17.0–32.2)

14.5 (9.8–20.3)

 Reported cause of death - < 5 years (% (95% CI))

  Fever/malaria

51.2 (35.8–66.3)

56.8 (38.4–75.3)

  Diarrhoea

14 (6.8–26.6)

18.2 (5.9–30.5)

  Respiratory infection

7 (2.1–20.4)

4.5 (−2.4–11.5)

  Trauma/accident

2.3 (0.3–15.9)

2.3 (−2.5–7.0)

  Measles

11.4 (4.3–23.4)

  Neonatal/perinatal

7 (2.6–17.3)

nr

  Violence

2.3 (−2.5–7.0)

  Don’t know/missing

9.3 (3.5–22.5)

4.5 (0.8–14.2)

  Other

9.3 (2.7–27.3)

 Reported cause of death - > = 5 years (% (95% CI))

  Fever/malaria

24 (14.9–36.2)

26.4 (16.0–36.7)

  Diarrhoea

14.9 (7.1–28.4)

15.5 (8.4–22.7)

  Respiratory infection

8.3 (4.7–14.1)

8.5 (4.7–12.4)

  Trauma/accident

8.3 (4.3–15.4)

7.0 (1.0 (13.0)

  Measles

9.1 (5.0–15.9)

 

  Pregnancy related

3.3 (1.3–8.2)

8.5 (3.0 (14.0)

  Violence

0.8 (0.1–6.2)

9.3 (4.6 (14.0)

  Herniaa

nr

6.2 (2.9–11.4)

  Don’t know/ missing

2.5 (0.8–7.5)

0.8 (20.8–2.4)

  Other

28.9 (21.2–38.1)

17.8 (11.9–25.2

Morbidity

 At least one ill person in household (% (95% CI))

89.3(86.3–91.7)

89.0 (85.4–92.8)

 % under five

36.7 (32.4–41.1)

40.3 (40.3–44.4)

  Type of illness - Overall (% (95% CI))

   Fever/malaria

56.7 (51.7–61.5)

56.4 (52.2–60.5)

   Respiratory infection

12.0 (9.0–15.9)

4.0 (2.4–5.5)

   Diarrhoea

10.7 (8.5–13.4)

17.9 (14.7–21.1)

   Other infectious

4.8 (3.0–7.5)

Nr

   Pregnancy related

1.4 (0.8–2.4)

7.6 (5.2–10.0)

   Trauma/accident

1 (0.5–2.0)

0.9 (0.1–1.6)

   Measles

0.3 (0.1–1.2)

   Other

13.1 (10.6–16.1)

13.1 (9.0–17.2)

  Type of illness - < 5 years (% (95% CI)

   Fever/malaria

58.5 (50.8–65.8)

65.0 (57.6–72.4)

   Respiratory infection

17.3 (12.1–24.1)

3.8 (0.8–6.8)

   Diarrhoea

15.8 (11.5–21.3)

26.9 (20.5–33.4

   Other infectious

3.8 (2.0–7.3)

 

   Trauma/accident

0.4 (0.0–2.9)

 

   Measles

0.4 (0.0–2.9)

 

   Other

3.8 (2.0–7.3)

4.3 (1.4–7.2)

  Type of illness - > =5 years (% (95% CI))

   Fever/malaria

55.8 (49.5–61.7)

50.6 (44.4–56.7)

   Respiratory infection

8.9 (5.8–13.4)

4.0 (2.4–5.7)

   Diarrhoea

7.8 (5.2–11.5)

11.8 (8.1–15.6)

   Other infectious

5.3 (3.0–9.3)

 

   Pregnancy related

2.2 (1.3–3.8)

12.7 (8.4–17.1)

   Childbirth related

nr

0.3(−0.3–0.9)

   Trauma/accident

1.3 (0.6–2.9)

1.4 (0.2–2.7)

   Measles

0.2 (0.0–1.7)

 

   Other

18.4 (14.6–23.1)

19.1 (13.3–24.9)

Healthcare Access

 Sought healthcare amongst person ill

57.5 (50.4–64.3)

63.8 (57.1–70.5)

  Reasons for not seeking care (% (95% CI))

   Consultation costs

58.3 (50.1–66.1)

63.8 (52.2–75.4)

   Sought drugs at market or pharmacy

48.7 (39.9–57.5)

40.0 (52.2–75.4)

   Too far

12.0 (7.8–18.1)

 

   Transport costs

9.0 (5.1–15.4)

 

   Not considered sick enough

6.0 (3.2–10.9)

7.1 (2.4–11.9)

   Lack of confidence

4.3 (1.9–9.8)

 

   Used traditional medicine

2.7 (1.4–5.0)

10.0 (5.7–14.3)

   Lack of time

1.3 (0.5–3.5)

 

   Lack of medicines in health facilities

1.33 (0.4–4.4)

 

   Other priorities

0.7 (0.2–2.8)

 

   Refused care

0.3 (0.0–2.5)

 

   Security

 

0.5 (0.5–1.4)

Bednet Availability

 Household owns at least 1 bednet (% (95% CI))

73.9 (66.6—80.1)

56.5 (49.7–63.3)

 Average number of bednets per household

2.0 (1.8–2.2)

1.6

  1. nr not reported
  2. a“hernia” is used to describe a range of symptoms or diseases and may not mean a true hernia