TY  - JOUR
PY  - 2016//
TI  - The South African child death review pilot: a multiagency approach to strengthen healthcare and protection for children
JO  - South African medical journal SAMJ
A1  - Mathews, Shanaaz
A1  - Martin, Lorna J.
A1  - Coetzee, David
A1  - Scott, Chris
A1  - Naidoo, Threnesan
A1  - Brijmohun, Yasheen
A1  - Quarrie, Karisha
SP  - 895
EP  - 895
VL  - 106
IS  - 9
N2  - 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. <br><br>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. <br><br>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; p<0.000) and in preterm infants (OR 1.98; p=0.005). <br><br>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.     S Afr Med J 2016;106(9):895-889. DOI:10.7196/SAMJ.2016.v106i9.11234<p />  <p>Language: en</p>
LA  - en
SN  - 0038-2469
UR  - http://dx.doi.org/10.7196/SAMJ.2016.v106i9.11234
ID  - ref1
ER  -