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Differential patterns of disease and injury in Mozambique: New perspectives from a pragmatic, multicenter, surveillance study of 7809 emergency presentations

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Listed:
  • Ana O Mocumbi
  • Bonifácio Cebola
  • Artur Muloliwa
  • Frederico Sebastião
  • Samuel J Sitefane
  • Naisa Manafe
  • Igor Dobe
  • Norberto Lumbandali
  • Ashley Keates
  • Nerolie Stickland
  • Yih-Kai Chan
  • Simon Stewart

Abstract

Background: There is a paucity of primary data to understand the overall pattern of disease and injuries as well as related health-service utilization in resource-poor countries in Africa. Objective: To generate reliable and robust data describing the pattern of emergency presentations attributable to communicable disease (CD), non-communicable disease (NCD) and injuries in three different regions of Mozambique. Methods: We undertook a pragmatic, prospective, multicentre surveillance study of individuals (all ages) presenting to the emergency departments of three hospitals in Southern (Maputo), Central (Beira) and Northern (Nampula) Mozambique. During 24-hour surveillance in the seasonally distinct months of April and October 2016/2017, we recorded data on 7,809 participants randomly selected from 39,124 emergency presentations to the three participating hospitals. Applying a pragmatic surveillance protocol, data were prospectively collected on the demography, clinical history, medical profile and treatment of study participants. Findings: A total of 4,021 males and 3,788 (48.5%) females comprising 630 infants (8.1%), 2,070 children (26.5%), 1,009 adolescents (12.9%) and, 4,100 adults (52.5%) were studied. CD was the most common presentation (3,914 cases/50.1%) followed by NCD (1,963/25.1%) and injuries (1,932/24.7%). On an adjusted basis, CD was more prevalent in younger individuals (17.9±17.7 versus 26.6±19.2 years;p

Suggested Citation

  • Ana O Mocumbi & Bonifácio Cebola & Artur Muloliwa & Frederico Sebastião & Samuel J Sitefane & Naisa Manafe & Igor Dobe & Norberto Lumbandali & Ashley Keates & Nerolie Stickland & Yih-Kai Chan & Simon , 2019. "Differential patterns of disease and injury in Mozambique: New perspectives from a pragmatic, multicenter, surveillance study of 7809 emergency presentations," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-18, July.
    • Handle: RePEc:plo:pone00:0219273
    DOI: 10.1371/journal.pone.0219273
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    References listed on IDEAS

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    1. Bart Victor & Meridith Blevins & Ann F Green & Elisée Ndatimana & Lázaro González-Calvo & Edward F Fischer & Alfredo E Vergara & Sten H Vermund & Omo Olupona & Troy D Moon, 2014. "Multidimensional Poverty in Rural Mozambique: A New Metric for Evaluating Public Health Interventions," PLOS ONE, Public Library of Science, vol. 9(9), pages 1-10, September.
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