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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

 20172013
Demographics
 Median age1215
 Male to female ratio0.91.0
 Mean household size (95% CI)6.76.4
Mortality
 Mortality rates (Deaths per 10,000 persons/day (95% CI))
  CMR0.98 (0.78–1.2)1.4 (1.2–1.7)
  U5MR1.3 (0.8–2.00)1.9 (1.3–2.5)
 Reported cause of death - overall (% (95% CI))
  Fever/malaria31.1 (22.7–40.9)34.1 (25.4--42.9)
  Diarrhoea14.6 (8.3–24.6)16.2 (8.8–23.6)
  Respiratory infection7.9 (4.7–13.1)7.5 (3.7–11.3)
  Trauma/accident6.7 (3.5–12.4)5.8 (1.2–10.3)
  Measles6.7 (3.6–12.1)2.9 (1.1–6.3)
  Pregnancy related2.4 (0.9–6.2)6.4 (2.4–10.3)
  Perinatal/neonatal (infant)1.8 (0.6–5.5)nr
  Violence0.6 (0.1–4.5)7.5 (3.9–11.1)
  Herniaanr4.6 (2.2–8.6)
  Don’t know/missing4.3 (2.1–8.5)0.6 (0.6–1.8)
  Other23.8 (17.0–32.2)14.5 (9.8–20.3)
 Reported cause of death - < 5 years (% (95% CI))
  Fever/malaria51.2 (35.8–66.3)56.8 (38.4–75.3)
  Diarrhoea14 (6.8–26.6)18.2 (5.9–30.5)
  Respiratory infection7 (2.1–20.4)4.5 (−2.4–11.5)
  Trauma/accident2.3 (0.3–15.9)2.3 (−2.5–7.0)
  Measles11.4 (4.3–23.4)
  Neonatal/perinatal7 (2.6–17.3)nr
  Violence2.3 (−2.5–7.0)
  Don’t know/missing9.3 (3.5–22.5)4.5 (0.8–14.2)
  Other9.3 (2.7–27.3)
 Reported cause of death - > = 5 years (% (95% CI))
  Fever/malaria24 (14.9–36.2)26.4 (16.0–36.7)
  Diarrhoea14.9 (7.1–28.4)15.5 (8.4–22.7)
  Respiratory infection8.3 (4.7–14.1)8.5 (4.7–12.4)
  Trauma/accident8.3 (4.3–15.4)7.0 (1.0 (13.0)
  Measles9.1 (5.0–15.9) 
  Pregnancy related3.3 (1.3–8.2)8.5 (3.0 (14.0)
  Violence0.8 (0.1–6.2)9.3 (4.6 (14.0)
  Herniaanr6.2 (2.9–11.4)
  Don’t know/ missing2.5 (0.8–7.5)0.8 (20.8–2.4)
  Other28.9 (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 five36.7 (32.4–41.1)40.3 (40.3–44.4)
  Type of illness - Overall (% (95% CI))
   Fever/malaria56.7 (51.7–61.5)56.4 (52.2–60.5)
   Respiratory infection12.0 (9.0–15.9)4.0 (2.4–5.5)
   Diarrhoea10.7 (8.5–13.4)17.9 (14.7–21.1)
   Other infectious4.8 (3.0–7.5)Nr
   Pregnancy related1.4 (0.8–2.4)7.6 (5.2–10.0)
   Trauma/accident1 (0.5–2.0)0.9 (0.1–1.6)
   Measles0.3 (0.1–1.2)
   Other13.1 (10.6–16.1)13.1 (9.0–17.2)
  Type of illness - < 5 years (% (95% CI)
   Fever/malaria58.5 (50.8–65.8)65.0 (57.6–72.4)
   Respiratory infection17.3 (12.1–24.1)3.8 (0.8–6.8)
   Diarrhoea15.8 (11.5–21.3)26.9 (20.5–33.4
   Other infectious3.8 (2.0–7.3) 
   Trauma/accident0.4 (0.0–2.9) 
   Measles0.4 (0.0–2.9) 
   Other3.8 (2.0–7.3)4.3 (1.4–7.2)
  Type of illness - > =5 years (% (95% CI))
   Fever/malaria55.8 (49.5–61.7)50.6 (44.4–56.7)
   Respiratory infection8.9 (5.8–13.4)4.0 (2.4–5.7)
   Diarrhoea7.8 (5.2–11.5)11.8 (8.1–15.6)
   Other infectious5.3 (3.0–9.3) 
   Pregnancy related2.2 (1.3–3.8)12.7 (8.4–17.1)
   Childbirth relatednr0.3(−0.3–0.9)
   Trauma/accident1.3 (0.6–2.9)1.4 (0.2–2.7)
   Measles0.2 (0.0–1.7) 
   Other18.4 (14.6–23.1)19.1 (13.3–24.9)
Healthcare Access
 Sought healthcare amongst person ill57.5 (50.4–64.3)63.8 (57.1–70.5)
  Reasons for not seeking care (% (95% CI))
   Consultation costs58.3 (50.1–66.1)63.8 (52.2–75.4)
   Sought drugs at market or pharmacy48.7 (39.9–57.5)40.0 (52.2–75.4)
   Too far12.0 (7.8–18.1) 
   Transport costs9.0 (5.1–15.4) 
   Not considered sick enough6.0 (3.2–10.9)7.1 (2.4–11.9)
   Lack of confidence4.3 (1.9–9.8) 
   Used traditional medicine2.7 (1.4–5.0)10.0 (5.7–14.3)
   Lack of time1.3 (0.5–3.5) 
   Lack of medicines in health facilities1.33 (0.4–4.4) 
   Other priorities0.7 (0.2–2.8) 
   Refused care0.3 (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 household2.0 (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