South Africa - Why do so many children die at home in Rural South Africa?
Reference ID | AHPU.ZA011.CHLDDETHRA.2015 |
Year | 1992 - 2015 |
Country | South Africa |
Producer(s) |
Jessica Price (PI) Anthony Harden (supervisor) Merlin Wilcox (co-supervisor) |
Metadata | Documentation in PDF |
Created on
Apr 30, 2018
Last modified
May 22, 2018
Page views
36607
Sampling
Sampling Procedure
I would like to access the Verbal Autopsy data for all under-5 deaths in the Agincourt HDSS site dating back to 1992. I will produce descriptive statistics for the period, considering overall trends, in addition to analyzing the data according to place of death (home vs in-health facility). A comparative analysis will be conducted using data from the Africa Health Research institute and the Dikgale HDSS site. I will also present descriptive statistics relating to identified “barriers to care” as collected by the verbal autopsies. I would like to access sociodemographic explanatory variables from the household surveys and regular census updates of the community to allow for regressions to better compile a set of risk factors for under-5 mortality, and specifically for home deaths.
Following the initial secondary data analysis I would hope to conduct a series of interviews with the families of children who have died in the recent past, to better understand that barriers to accessing care). (This will be formally presented as a new project involving primary data collection). In addition I would like to analyse a sample of the “open narratives” recorded as part of the older verbal autopsies to provide insights into care pathways, points of delay, and barriers to access.
Finally I would like to design and model interventions (likely systems level interventions) to reduce under-5 mortality in the region, and to use priority setting methods (e.g. list tool) to determine a “package of care”.