Mortality Among Displaced Former UNITA Members and Their Families in Angola: A Retrospective Cluster Survey.

Hdl Handle:
http://hdl.handle.net/10144/17737
Title:
Mortality Among Displaced Former UNITA Members and Their Families in Angola: A Retrospective Cluster Survey.
Authors:
Grein, T; Checchi, F; Escribà, J; Tamrat, A; Karunakara, U; Stokes, C; Brown, V; Legros, D
Journal:
BMJ/British Medical Journal
Abstract:
OBJECTIVE: To measure retrospectively mortality among a previously inaccessible population of former UNITA members and their families displaced within Angola, before and after their arrival in resettlement camps after ceasefire of 4 April 2002. DESIGN: Three stage cluster sampling for interviews. Recall period for mortality assessment was from 21 June 2001 to 15-31 August 2002. SETTING: Eleven resettlement camps over four provinces of Angola (Bié, Cuando Cubango, Huila, and Malange) housing 149 000 former UNITA members and their families. PARTICIPANTS: 900 consenting family heads of households, or most senior household members, corresponding to an intended sample size of 4500 individuals. MAIN OUTCOME MEASURES: Crude mortality and proportional mortality, overall and by period (monthly, and before and after arrival in camps). RESULTS: Final sample included 6599 people. The 390 deaths reported during the recall period corresponded to an average crude mortality of 1.5/10 000/day (95% confidence interval 1.3 to 1.8), and, among children under 5 years old, to 4.1/10 000/day (3.3 to 5.2). Monthly crude mortality rose gradually to a peak in March 2002 and remained above emergency thresholds thereafter. Malnutrition was the leading cause of death (34%), followed by fever or malaria (24%) and war or violence (18%). Most war victims and people who had disappeared were women and children. CONCLUSIONS: This population of displaced Angolans experienced global and child mortality greatly in excess of normal levels, both before and after the 2002 ceasefire. Malnutrition deaths reflect the extent of the food crisis affecting this population. Timely humanitarian assistance must be made available to all populations in such conflicts.
Affiliation:
Epicentre, 8 rue Saint Sabin, 75011 Paris, France.
Issue Date:
20-Sep-2003
URI:
http://hdl.handle.net/10144/17737
DOI:
10.1136/bmj.327.7416.650
PubMed ID:
14500436
Additional Links:
http://www.bmj.com/cgi/content/full/327/7416/650
Language:
en
Description:
To obtain this article, click on "Additional Links"
ISSN:
1468-5833
Appears in Collections:
Emergencies/refugees

Full metadata record

DC FieldValue Language
dc.contributor.authorGrein, T-
dc.contributor.authorChecchi, F-
dc.contributor.authorEscribà, J-
dc.contributor.authorTamrat, A-
dc.contributor.authorKarunakara, U-
dc.contributor.authorStokes, C-
dc.contributor.authorBrown, V-
dc.contributor.authorLegros, D-
dc.date.accessioned2008-02-07T16:23:15Z-
dc.date.available2008-02-07T16:23:15Z-
dc.date.issued2003-09-20-
dc.identifier.citationMortality Among Displaced Former UNITA Members and Their Families in Angola: A Retrospective Cluster Survey. 2003, 327 (7416):650 BMJen
dc.identifier.issn1468-5833-
dc.identifier.pmid14500436-
dc.identifier.doi10.1136/bmj.327.7416.650-
dc.identifier.urihttp://hdl.handle.net/10144/17737-
dc.descriptionTo obtain this article, click on "Additional Links"-
dc.description.abstractOBJECTIVE: To measure retrospectively mortality among a previously inaccessible population of former UNITA members and their families displaced within Angola, before and after their arrival in resettlement camps after ceasefire of 4 April 2002. DESIGN: Three stage cluster sampling for interviews. Recall period for mortality assessment was from 21 June 2001 to 15-31 August 2002. SETTING: Eleven resettlement camps over four provinces of Angola (Bié, Cuando Cubango, Huila, and Malange) housing 149 000 former UNITA members and their families. PARTICIPANTS: 900 consenting family heads of households, or most senior household members, corresponding to an intended sample size of 4500 individuals. MAIN OUTCOME MEASURES: Crude mortality and proportional mortality, overall and by period (monthly, and before and after arrival in camps). RESULTS: Final sample included 6599 people. The 390 deaths reported during the recall period corresponded to an average crude mortality of 1.5/10 000/day (95% confidence interval 1.3 to 1.8), and, among children under 5 years old, to 4.1/10 000/day (3.3 to 5.2). Monthly crude mortality rose gradually to a peak in March 2002 and remained above emergency thresholds thereafter. Malnutrition was the leading cause of death (34%), followed by fever or malaria (24%) and war or violence (18%). Most war victims and people who had disappeared were women and children. CONCLUSIONS: This population of displaced Angolans experienced global and child mortality greatly in excess of normal levels, both before and after the 2002 ceasefire. Malnutrition deaths reflect the extent of the food crisis affecting this population. Timely humanitarian assistance must be made available to all populations in such conflicts.en
dc.language.isoenen
dc.relation.urlhttp://www.bmj.com/cgi/content/full/327/7416/650-
dc.rightsArchived on this site with kind permission from BMJ.en
dc.subject.meshAdolescenten
dc.subject.meshAdulten
dc.subject.meshAgeden
dc.subject.meshAged, 80 and overen
dc.subject.meshAngolaen
dc.subject.meshCause of Deathen
dc.subject.meshChilden
dc.subject.meshChild, Preschoolen
dc.subject.meshCluster Analysisen
dc.subject.meshConfidence Intervalsen
dc.subject.meshDiarrheaen
dc.subject.meshFemaleen
dc.subject.meshFeveren
dc.subject.meshHealth Surveysen
dc.subject.meshHumansen
dc.subject.meshInfanten
dc.subject.meshInfant, Newbornen
dc.subject.meshMalariaen
dc.subject.meshMaleen
dc.subject.meshMiddle Ageden
dc.subject.meshNutrition Disordersen
dc.subject.meshRefugeesen
dc.subject.meshRelief Worken
dc.subject.meshRetrospective Studiesen
dc.subject.meshViolenceen
dc.subject.meshWaren
dc.titleMortality Among Displaced Former UNITA Members and Their Families in Angola: A Retrospective Cluster Survey.en
dc.contributor.departmentEpicentre, 8 rue Saint Sabin, 75011 Paris, France.en
dc.identifier.journalBMJ/British Medical Journalen

Related articles on PubMed

All Items in MSF are protected by copyright, with all rights reserved, unless otherwise indicated.