Inpatient child mortality by travel time to hospital in a rural area of Tanzania

by Rachel Manongi, Frank Mtei, George Mtove et al.
Tropical Medicine & International Health – Article first published online: 24 March 2014

8 pp. 176 kB:
http://onlinelibrary.wiley.com/doi/10.1111/tmi.12294/pdf

There are very few studies of the association between child mortality and access to hospital care for sick children in Africa where both travel times and facility-based mortality are much higher than those found among users of primary care services. The authors have addressed this question by studying travel times and mortality among children admitted to a district hospital in north-east Tanzania over 1 year. They conclude that the mortality impact of poor access to hospital care in areas of high paediatric mortality is likely to be substantial although uncertainty over the mortality benefit of inpatient care is the largest constraint in making an accurate estimate.

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