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OBJECTIVES: To determine the proportion of under-5 deaths that occurred at home in rural South Africa, whether care was sought prior to death, and determinants of home deaths amongst those who sought care. METHODS: Verbal autopsy data were used for all under-5 deaths, 2000-2015, in two health and demographic surveillance system sites. Trends in place of death and care-seeking were assessed. Associations between sociodemographic factors and home death despite seeking care were assessed by multivariate logistic regressions. RESULTS: There were 3760 under-5 deaths; 1954 (53%) at home and 1510 (41%) in health facilities. Eighty-four per cent of children who died at home accessed healthcare during their final illness. Amongst neonates for whom care was sought, those who were 8-27 days old were more likely to die at home than those who were 0-7 days old (OR = 5.56, 95%CI 2.69-11.55, P 

Original publication

DOI

10.1111/tmi.13239

Type

Journal article

Journal

Trop Med Int Health

Publication Date

07/2019

Volume

24

Pages

862 - 878

Keywords

autopsie sociale, autopsie verbale, care-seeking, child mortality, décès à domicile, facteurs de risque sociodémographiques, home deaths, mortalité infantile, recherche de soins, rural South Africa, social autopsy, sociodemographic risk factors, verbal autopsy, zone rurale d'Afrique du Sud, Cause of Death, Child Mortality, Child, Preschool, Female, Humans, Infant, Infant Mortality, Infant, Newborn, Longitudinal Studies, Male, Patient Acceptance of Health Care, Rural Population, South Africa