Causes Of Mortality In Rural Areas Of Drc: Case Of The Ime / Kimpese Reference General Hospital

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Gaëlle Nkoji-Tunda, Junior Bulabula-Penge, Jemimah Kianda, Eddy Kinganda-Lusamaki, Fabrice Mambu-Mbika, Patrick Mukadi, Steve Ahuka-Mundeke


Context: The study describes the causes of death in DRC by referring to the causes of death at the hospital IME/KIMPESE. The lack of reliable data on the causes of death in the DRC motivated the initiation of the study. Knowing the causes of death and the frequency of death makes it possible to assess the effectiveness of the health system in a country, the assessment of the competence of the staff of a heath establishment, the amelioration of the evaluation of the management of patients by the doctor, sensitization on patients and finally the development of effective strategies and programs to reduce the burden of main causes of the death in the DRC and KIMPESE especially.

Method: This is a descriptive retrospective study conducted at the morgue of General Hospital Reference IME/KIMPESE over a period of 12 months from January 1st to December 31th 2017.

Findings: Among 4356 hospitalized patients in 2017, 309 cases of death were found in the morgue register of the hospital.

It appears from the study that: the male sex was the most affected; the services of internal medicine and Pediatric have recorded the large number of deaths. The most common causes of death were crania-encephalic trauma, cerebrovascular accident, malaria. Infectious diseases were predominant in the occurrence of deaths; the age group above 15 years was the most affected by death; the months of August and september recorded the highest death rate, while the month of December had the lowest rate.

Conclusion: The results obtained from this paper provide an overview of the major causes of the mortality in the DRC, which can be used to reorient disease control strategies by integrating the major causes of death into when developing programs to combat mortality.

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