The overlapping burden of the three leading causes of disability and death in sub-Saharan African children

Despite substantial declines since 2000, lower respiratory infections (LRIs), diarrhoeal diseases, and malaria remain among the leading causes of nonfatal and fatal disease burden for children under 5 years of age (under 5), primarily in sub-Saharan Africa (SSA). The spatial burden of each of these...

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Main Authors: Reiner, RC, Hay, SI, Sartorius, BKD
Other Authors: LBD Triple Burden Collaborators
Format: Journal article
Language:English
Published: Springer Nature 2022
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author Reiner, RC
Hay, SI
Sartorius, BKD
author2 LBD Triple Burden Collaborators
author_facet LBD Triple Burden Collaborators
Reiner, RC
Hay, SI
Sartorius, BKD
author_sort Reiner, RC
collection OXFORD
description Despite substantial declines since 2000, lower respiratory infections (LRIs), diarrhoeal diseases, and malaria remain among the leading causes of nonfatal and fatal disease burden for children under 5 years of age (under 5), primarily in sub-Saharan Africa (SSA). The spatial burden of each of these diseases has been estimated subnationally across SSA, yet no prior analyses have examined the pattern of their combined burden. Here we synthesise subnational estimates of the burden of LRIs, diarrhoea, and malaria in children under-5 from 2000 to 2017 for 43 sub-Saharan countries. Some units faced a relatively equal burden from each of the three diseases, while others had one or two dominant sources of unit-level burden, with no consistent pattern geographically across the entire subcontinent. Using a subnational counterfactual analysis, we show that nearly 300 million DALYs could have been averted since 2000 by raising all units to their national average. Our findings are directly relevant for decision-makers in determining which and targeting where the most appropriate interventions are for increasing child survival.
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spelling oxford-uuid:b6c937cf-5bb3-4b21-8fc0-d8f2ce6945e92023-11-24T12:04:48ZThe overlapping burden of the three leading causes of disability and death in sub-Saharan African childrenJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b6c937cf-5bb3-4b21-8fc0-d8f2ce6945e9EnglishSymplectic ElementsSpringer Nature2022Reiner, RCHay, SISartorius, BKDLBD Triple Burden CollaboratorsDespite substantial declines since 2000, lower respiratory infections (LRIs), diarrhoeal diseases, and malaria remain among the leading causes of nonfatal and fatal disease burden for children under 5 years of age (under 5), primarily in sub-Saharan Africa (SSA). The spatial burden of each of these diseases has been estimated subnationally across SSA, yet no prior analyses have examined the pattern of their combined burden. Here we synthesise subnational estimates of the burden of LRIs, diarrhoea, and malaria in children under-5 from 2000 to 2017 for 43 sub-Saharan countries. Some units faced a relatively equal burden from each of the three diseases, while others had one or two dominant sources of unit-level burden, with no consistent pattern geographically across the entire subcontinent. Using a subnational counterfactual analysis, we show that nearly 300 million DALYs could have been averted since 2000 by raising all units to their national average. Our findings are directly relevant for decision-makers in determining which and targeting where the most appropriate interventions are for increasing child survival.
spellingShingle Reiner, RC
Hay, SI
Sartorius, BKD
The overlapping burden of the three leading causes of disability and death in sub-Saharan African children
title The overlapping burden of the three leading causes of disability and death in sub-Saharan African children
title_full The overlapping burden of the three leading causes of disability and death in sub-Saharan African children
title_fullStr The overlapping burden of the three leading causes of disability and death in sub-Saharan African children
title_full_unstemmed The overlapping burden of the three leading causes of disability and death in sub-Saharan African children
title_short The overlapping burden of the three leading causes of disability and death in sub-Saharan African children
title_sort overlapping burden of the three leading causes of disability and death in sub saharan african children
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