Evidence map›Paper›PMID 37490025›Full record

ArticleGlobal health action2023

Mortality patterns over a 10-year period in Kibera, an urban informal settlement in Nairobi, Kenya, 2009-2018.

Clifford Oduor, Irene Omwenga, Alice Ouma, Robert Mutinda, Samwel Kiplangat, Ondari D Mogeni, Leonard Cosmas, Allan Audi, George S Odongo, David Obor and 6 more

Open access · goldAbstract read
In one paragraph

Article in Global health action, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

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0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

16 authors at 5 institutions in 3 countries.

Clifford OduorCentre for Global Health Research, Kenya Medical Research Institute (KEMRI), Nairobi, Kenya.ORCID 0000-0002-8676-9122
Irene OmwengaCentre for Global Health Research, Kenya Medical Research Institute (KEMRI), Nairobi, Kenya.
Alice OumaCentre for Global Health Research, Kenya Medical Research Institute (KEMRI), Nairobi, Kenya.
Robert MutindaCentre for Global Health Research, Kenya Medical Research Institute (KEMRI), Nairobi, Kenya.
Samwel KiplangatCentre for Global Health Research, Kenya Medical Research Institute (KEMRI), Nairobi, Kenya.
Ondari D MogeniCentre for Global Health Research, Kenya Medical Research Institute (KEMRI), Nairobi, Kenya.
Leonard CosmasCentre for Global Health Research, Kenya Medical Research Institute (KEMRI), Nairobi, Kenya.
Allan AudiCentre for Global Health Research, Kenya Medical Research Institute (KEMRI), Kisumu, Kenya.
George S OdongoDivision of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA.
David OborCentre for Global Health Research, Kenya Medical Research Institute (KEMRI), Kisumu, Kenya.
Robert BreimanThe Emory Global Health Institute, Emory University, Atlanta, GA, USA.ORCID 0000-0002-7099-2936
Joel MontgomeryDivision of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA.
George AgogoDivision of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Nairobi, Kenya.ORCID 0000-0002-7685-7743
Patrick MunywokiDivision of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Nairobi, Kenya.ORCID 0000-0001-9419-7155
Godfrey BigogoCentre for Global Health Research, Kenya Medical Research Institute (KEMRI), Kisumu, Kenya.
Jennifer R VeraniDivision of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Kenya Medical Research Institute · KECenters for Disease Control and Prevention · USCenters for Disease Control and Prevention · KEEmory University · USInternational Vaccine Institute · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReliable mortality data are important for evaluating the impact of health interventions. However, data on mortality patterns among populations living in urban informal settlements are limited.

objectivesTo examine the mortality patterns and trends in an urban informal settlement in Kibera, Nairobi, Kenya.

methodsUsing data from a population-based surveillance platform we estimated overall and cause-specific mortality rates for all age groups using person-year-observation (pyo) denominators and using Poisson regression tested for trends in mortality rates over time. We compared associated mortality rates across groups using incidence rate ratios (IRR). Assignment of probable cause(s) of death was done using the InterVA-4 model.

resultsWe registered 1134 deaths from 2009 to 2018, yielding a crude mortality rate of 4.4 (95% Confidence Interval [CI]4.2-4.7) per 1,000 pyo. Males had higher overall mortality rates than females (incidence rate ratio [IRR], 1.44; 95% CI, 1.28-1.62). The highest mortality rate was observed among children aged < 12 months (41.5 per 1,000 pyo; 95% CI 36.6-46.9). All-cause mortality rates among children < 12 months were higher than that of children aged 1-4 years (IRR, 8.5; 95% CI, 6.95-10.35). The overall mortality rate significantly declined over the period, from 6.7 per 1,000 pyo (95% CI, 5.7-7.8) in 2009 to 2.7 (95% CI, 2.0-3.4) per 1,000 pyo in 2018. The most common cause of death was acute respiratory infections (ARI)/pneumonia (18.1%). Among children < 5 years, the ARI/pneumonia deaths rate declined significantly over the study period (5.06 per 1,000 pyo in 2009 to 0.61 per 1,000 pyo in 2018;

conclusionsOverall and some cause-specific mortality rates declined over time, representing important public health successes among this population.

Indexed as

Respiratory Tract InfectionsTuberculosis, PulmonaryChildFemaleHumansKenyaMalePopulation SurveillancePublic Healthcause of deathKenyaKiberaMortality rateurban informal settlements

Identifiers

PMID37490025
PMCPMC10392302
OpenAlexW4385230935

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.