In 2023, the infant mortality rate in India was at about 24.5 deaths per 1,000 live births, a significant decrease from previous years. Infant mortality as an indicatorThe infant mortality rate is the number of deaths of children under one year of age per 1,000 live births. This rate is an important key indicator for a country’s health and standard of living; a low infant mortality rate indicates a high standard of healthcare. Causes of infant mortality include premature birth, sepsis or meningitis, sudden infant death syndrome, and pneumonia. Globally, the infant mortality rate has shrunk from 63 infant deaths per 1,000 live births to 27 since 1990 and is forecast to drop to 8 infant deaths per 1,000 live births by the year 2100. India’s rural problemWith 32 infant deaths per 1,000 live births, India is neither among the countries with the highest nor among those with the lowest infant mortality rate. Its decrease indicates an increase in medical care and hygiene, as well as a decrease in female infanticide. Increasing life expectancy at birth is another indicator that shows that the living conditions of the Indian population are improving. Still, India’s inhabitants predominantly live in rural areas, where standards of living as well as access to medical care and hygiene are traditionally lower and more complicated than in cities. Public health programs are thus put in place by the government to ensure further improvement.

UNICEF's country profile for Nigeria, including under-five mortality rates, child health, education and sanitation data.

Progress in health outcomes across Africa has been uneven, marked by significant disparities among countries, which not only challenges the global health security but impede progress towards achieving the United Nations’ Sustainable Development Goals 3 and 10 (SDG 3 and SDG 10) and Universal Health Coverage (UHC). This paper examines the progress of African countries in reducing intra-country health outcome disparities between 2000 and 2019. In other words, the paper investigates the convergence hypothesis in health outcome using a panel data from 40 African countries. Data were sourced from the World Development Indicators, the World Governance Indicators, and the World Health Organization database. Employing a non-linear dynamic factor model, the study focused on three health outcomes: infant mortality rate, under-5 mortality rate, and life expectancy at birth. The findings indicate that while the hypothesis of convergence is not supported for the selected countries, evidence of convergence clubs is observed for the three health outcome variables. The paper further examine the factors contributing to club formation by using the marginal effects of the ordered logit regression model. The findings indicate that the overall impact of the control variables aligns with existing research. Moreover, governance quality and domestic government health expenditure emerge as significant determinants influencing the probability of membership in specific clubs for the child mortality rate models. In the life expectancy model, governance quality significantly drives club formation. The results suggest that there is a need for common health policies for the different convergence clubs, while country-specific policies should be implemented for the divergent countries. For instance, policies and strategies promoting health prioritization in national budget allocation and reallocation should be encouraged within each final club. Efforts to promote good governance policies by emphasizing anti-corruption measures and government effectiveness should also be encouraged. Moreover, there is a need to implement regional monitoring mechanisms to ensure progress in meeting health commitments, while prioritizing urbanization plans in countries with poorer health outcomes to enhance sanitation access.

Enclosed are data from CIESIN's Global subnational infant mortality rates database. Further documentation for these data is available in the enclosed catalog and on the CIESIN Poverty Mapping web site at: http://www.ciesin.columbia.edu/povmap Center for International Earth Science Information Network (CIESIN), Columbia University; 2005 Global subnational infant mortality rates [dataset]. CIESIN, Palisades, NY, USA. Available at: http://www.ciesin.columbia.edu/povmap/ds_global.html

Background: Substantial mortality occurs after hospital discharge in children younger than 5 years with suspected sepsis, especially in low-income countries. A better understanding of its epidemiology is needed for effective interventions to reduce child mortality in these countries. We evaluated risk factors for death after discharge in children admitted to hospital for suspected sepsis in Uganda, and assessed how these differed by age, time of death, and location of death. Methods: In this prospective observational cohort study, we recruited 0-60-month-old children admitted with suspected sepsis from the community to the paediatric wards of six Ugandan hospitals. The primary outcome was six-month post-discharge mortality among those discharged alive. We evaluated the interactive impact of age, time of death, and location of death on risk factors for mortality. Findings: 6,545 children were enrolled, with 6,191 discharged alive. The median (interquartile range) time from discharge to death was 28 (9-74) days, with a six-month post-discharge mortality rate of 5·5%, constituting 51% of total mortality. Deaths occurred at home (45%), in-transit to care (18%), or in hospital (37%) during a subsequent readmission. Post-discharge death was strongly associated with weight-for-age z-scores < -3 (adjusted risk ratio [aRR] 4·7, 95% CI 3·7–5·8 vs a Z score of >–2), referral for further care (7·3, 5·6–9·5), and unplanned discharge (3·2, 2·5–4·0). The hazard ratio of those with severe anaemia increased with time since discharge, while the hazard ratios of discharge vulnerabilities (unplanned, poor feeding) decreased with time. Age influenced the effect of several variables, including anthropometric indices (less impact with increasing age), anaemia (greater impact), and admission temperature (greater impact). Data Collection Methods: All data were collected at the point of care using encrypted study tablets and these data were then uploaded to a Research Electronic Data Capture (REDCap) database hosted at the BC Children’s Hospital Research Institute (Vancouver, Canada). At admission, trained study nurses systematically collected data on clinical, social and demographic variables. Following discharge, field officers contacted caregivers at 2 and 4 months by phone, and in-person at 6 months, to determine vital status, post-discharge health-seeking, and readmission details. Verbal autopsies were conducted for children who had died following discharge. Data Processing Methods: For this analysis, data from both cohorts (0-6 months and 6-60 months) were combined and analysed as a single dataset. We used periods of overlapping enrolment (72% of total enrolment months) between the two cohorts to determine site-specific proportions of children who were 0-6 and 6-60 months of age. These proportions were used to weight the cohorts for the calculation of overall mortality rate. Z-scores were calculated using height and weight. Hematocrit was converted to hemoglobin. Distance to hospital was calculated using latitude and longitude. Extra symptom and diagnosis categories were created based on text field in these two variables. BCS score was created by summing all individual components. Abbreviations: MUAC -mid upper arm circumference wfa – weight for age wfl – weight for length bmi – body mass index lfa – length for age abx - antibiotics hr – heart rate rr – respiratory rate antimal - antimalarial sysbp – systolic blood pressure diasbp – diastolic blood pressure resp – respiratory cap - capillary BCS - Blantyre Coma Scale dist- distance hos - hospital ed - education disch - discharge dis -discharge fu – follow-up pd – post-discharge loc - location materl - maternal Ethics Declaration: This study was approved by the Mbarara University of Science and Technology Research Ethics Committee (No. 15/10-16), the Uganda National Institute of Science and Technology (HS 2207), and the University of British Columbia / Children & Women’s Health Centre of British Columbia Research Ethics Board (H16-02679). This manuscript adheres to the guidelines for STrengthening the Reporting of OBservational studies in Epidemiology (STROBE). Study Protocol & Supplementary Materials: Smart Discharges to improve post-discharge health outcomes in children: A prospective before-after study with staggered implementation, NOTE for restricted files: If you are not yet a CoLab member, please complete our membership application survey to gain access to restricted files within 2 business days. Some files may remain restricted to CoLab members. These files are deemed more sensitive by the file owner and are meant to be shared on a case-by-case basis. Please contact the CoLab coordinator at sepsiscolab@bcchr.ca or visit our website.

Context

HELP NGO has $10 million and wants to invest it for a good reason. As a data analyst, I need to cluster those countries who are in utmost need of this Financial Aid and the terms which this research based is on, Child Mortality, Income and GDP of the countries.

Content

There are total 167 rows and 10 columns and from that we need to apply the clustering techniques to sort out the countries. With the help of K-Means and Hierarchical Clustering I have achieved this. Also used the Univariate Analysis and Bivariate Analysis for the clustering purposes.

Diseases of the Respiratory System: Effects are generally irritation and reduced lung function with increased incidence of respiratory disease, especially in more susceptible members of the population such as young children, the elderly and asthmatics. Diseases of the Respiratory System includes: ICD-9 BTL codes B31-B32, ICD-9 code CH08 for some ex-USSR countries, ICD-9 code C052 for China, ICD-10 codes J00-J99, European mortality indicator database (HFA-MDB), available at www.euro.who.int, for missing figures for some european countries: indicator "3250 Deaths, Diseases of the Respiratory System" The original dataset uses a value of -9999 to indicate no data available, i have substituted a value of 0. Online resource: http://geodata.grid.unep.ch URL original source: http://www3.who.int/whosis/mort/text/download.cfm?path=whosis,evidence,whsa,mort_download&language=english

IntroductionThe largest risk of child mortality occurs within the first week after birth. Early neonatal mortality remains a global public health concern, especially in sub-Saharan African countries. More than 75% of neonatal death occurs within the first seven days of birth, but there are limited prospective follow- up studies to determine time to death, incidence and predictors of death in Ethiopia particularly in the study area. The study aimed to determine incidence and predictors of early neonatal mortality among neonates admitted to the neonatal intensive care unit of Addis Ababa public hospitals, Ethiopia 2021.MethodsInstitutional prospective cohort study was conducted in four public hospitals found in Addis Ababa City, Ethiopia from June 7th, 2021 to July 13th, 2021. All early neonates consecutively admitted to the corresponding neonatal intensive care unit of selected hospitals were included in the study and followed until 7 days-old. Data were coded, cleaned, edited, and entered into Epi data version 3.1 and then exported to STATA software version 14.0 for analysis. The Kaplan Meier survival curve with log- rank test was used to compare survival time between groups. Moreover, both bi-variable and multivariable Cox proportional hazard regression model was used to identify the predictors of early neonatal mortality. All variables having P-value ≤0.2 in the bi-variable analysis model were further fitted to the multivariable model. The assumption of the model was checked graphically and using a global test. The goodness of fit of the model was performed using the Cox-Snell residual test and it was adequate.ResultsA total of 391 early neonates with their mothers were involved in this study. The incidence rate among admitted early neonates was 33.25 per 1000 neonate day’s observation [95% confidence interval (CI): 26.22, 42.17]. Being preterm birth [adjusted hazard ratio (AHR): 6.0 (95% CI 2.02, 17.50)], having low fifth minute Apgar score [AHR: 3.93 (95% CI; 1.5, 6.77)], low temperatures [AHR: 2.67 (95%CI; 1.41, 5.02)] and, resuscitating of early neonate [AHR: 2.80 (95% CI; 1.51,5.10)] were associated with increased hazard of early neonatal death. However, early neonatal crying at birth [AHR: 0.48 (95%CI; 0.26, 0.87)] was associated with reduced hazard of death.ConclusionsEarly neonatal mortality is high in Addis Ababa public Hospitals. Preterm birth, low five-minute Apgar score, hypothermia and crying at birth were found to be independent predictors of early neonatal death. Good care and attention to neonate with low Apgar scores, premature, and hypothermic neonates.

INTRO

This dataset covers the most recent and updated health statistics of the world (countries recognized by WHO- all), BUT the data could not be directly used as the major indicator of various subtopics in the dataset was mixed so I have filtered based on various indicators and hence, divided into subcategories. I know so many datasets seem overwhelming, but I will be giving the various categories they belong to and what they represent so do not worry!)

The dataset was filtered to increase user readability and create amazing and beautiful visualizations and EDA’s. Listed below will be the various datasets (named csv’s) and what they represent under their categories.

Also, before starting I will soon be uploading a viz for the same and this data cleaning and filtering has along with compiling has been a great task so...

Let us get started.

DATASET (CONTENTS)

Life expectancy and Healthy life expectancy

lifeExpectancyAtBirth.csv -> Life expectancy at birth, country wise mentioned in age (years). HALElifeExpectancyAtBirth.csv -> Healthy life expectancy (HALE) at birth, country wise mentioned in age(years).csv WHOregionLifeExpectancAtBirth.csv -> Life expectancy at birth, Region wise mentioned in age (years). HAleWHOregionLifeExpectancy.csv -> Healthy life expectancy at birth, region wise mentioned in age(years). %HaleInLifeExpectancy.csv -> Healthy life and life expectancy at birth with the % of HALE in life expectancy.

Maternal mortality

Data from 2014 to 2019 indicate that approximately 81% of all births globally took place in the presence of skilled health personnel, an increase from 64% in the 2000–2006 period

maternalMortalityRatio.csv-> Maternal mortality ratio per 100,000 births birthAttendedBySkilledPersonal.csv-> Births attended by skilled personals (percentile)

Newborn and child mortality

infantMortalityRate.csv-> Probability of dying between birth and age 1 per 1000 live births. neonatalMortalityRate.csv -> Probability of children dying in the first 28 days of life. under5MortalityRate.csv- > Probability of children dying below the age of 5 per 1000 live births.

Communicable Diseases

incedenceOfMalaria.csv-> Malaria incidence per 1000 population at risk incedenceOfTuberculosis.csv-> Incidence of TB per 100,000 population per year. hepatitusBsurfaceAntigen.csv -> Hepatitis B surface antigen (HBsAg) prevalence among children under 5 years) interventionAgianstNTD's.csv -> Reported number of people requiring interventions against NTDs. newHivInfections.csv ->New HIV infections per 1000 uninfected population

Noncommunicable diseases and mental health

30-70cancerChdEtc.csv -> Probability of dying between the age of 30 and exact age of 70 from any of the cardiovascular disease, cancer, diabetes, or chronic respiratory disease. crudeSuicideRates.csv -> Crude suicide rates per 100,000 population

Substance abuse

AlcoholSubstanceAbuse.csv -> Total (recorded + unrecorded) alcohol per capita (15 +) consumption’s

Road Traffic Injuries

roadTrafficDeaths.csv -> Estimated road traffic death rate per 100,000 population

Sexual and reproductive health

reproductiveAgeWomen.csv -> Married or in-union women of reproductive age who have their need for family planning satisfied with modern methods (%) adolescentBirthRate.csv -> Adolescent birth rate per 1000 women aged 15-19 years

Achieve universal health coverage (UHC) including financial risk protection

uhcCoverage.csv ->UHC index of service coverage (SCI) dataAvailibilityForUhc.csv ->Data availability of UHC index of essential service coverage (%) population10%SDG3.8.2.csv ->Population with household expenditures on health greater than 10% of total household expenditure or income (SDG indicator 3.8.2) (%) population25%SDG3.8.2.csv -> Population with household expenditures on health greater than 25% of total household expenditure or income (SDG indicator 3.8.2) (%)

Mortality from environment pollution

airPollutionDeathRate.csv -> Ambient and household air pollution attributable death rate per 100,00 population and the same data with age-standardized. mortalityRateUnsafeWash.csv -> Mortality rate attributed to exposure to unsafe WASH services per 100,000 population SDG3.9.2 mortalityRatePoisoning.csv -> Mortality rate attributed to unintentional poisoning per 100,000 population

Tobacco control

tobaccoAge15.csv ->Prevalence of current tobacco use among persons aged 15 years and older (age- standardized rate)

Health Workforce

medicalDoctors.csv -> Medical doctors per 10,000 population. nursingAndMidwife.csv -> Nursing and midwifery personnel per 10,000 ...

Goal 3Ensure healthy lives and promote well-being for all at all agesTarget 3.1: By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live birthsIndicator 3.1.1: Maternal mortality ratioSH_STA_MORT: Maternal mortality ratioIndicator 3.1.2: Proportion of births attended by skilled health personnelSH_STA_BRTC: Proportion of births attended by skilled health personnel (%)Target 3.2: By 2030, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live birthsIndicator 3.2.1: Under-5 mortality rateSH_DYN_IMRTN: Infant deaths (number)SH_DYN_MORT: Under-five mortality rate, by sex (deaths per 1,000 live births)SH_DYN_IMRT: Infant mortality rate (deaths per 1,000 live births)SH_DYN_MORTN: Under-five deaths (number)Indicator 3.2.2: Neonatal mortality rateSH_DYN_NMRTN: Neonatal deaths (number)SH_DYN_NMRT: Neonatal mortality rate (deaths per 1,000 live births)Target 3.3: By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseasesIndicator 3.3.1: Number of new HIV infections per 1,000 uninfected population, by sex, age and key populationsSH_HIV_INCD: Number of new HIV infections per 1,000 uninfected population, by sex and age (per 1,000 uninfected population)Indicator 3.3.2: Tuberculosis incidence per 100,000 populationSH_TBS_INCD: Tuberculosis incidence (per 100,000 population)Indicator 3.3.3: Malaria incidence per 1,000 populationSH_STA_MALR: Malaria incidence per 1,000 population at risk (per 1,000 population)Indicator 3.3.4: Hepatitis B incidence per 100,000 populationSH_HAP_HBSAG: Prevalence of hepatitis B surface antigen (HBsAg) (%)Indicator 3.3.5: Number of people requiring interventions against neglected tropical diseasesSH_TRP_INTVN: Number of people requiring interventions against neglected tropical diseases (number)Target 3.4: By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-beingIndicator 3.4.1: Mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory diseaseSH_DTH_NCOM: Mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory disease (probability)SH_DTH_NCD: Number of deaths attributed to non-communicable diseases, by type of disease and sex (number)Indicator 3.4.2: Suicide mortality rateSH_STA_SCIDE: Suicide mortality rate, by sex (deaths per 100,000 population)SH_STA_SCIDEN: Number of deaths attributed to suicide, by sex (number)Target 3.5: Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcoholIndicator 3.5.1: Coverage of treatment interventions (pharmacological, psychosocial and rehabilitation and aftercare services) for substance use disordersSH_SUD_ALCOL: Alcohol use disorders, 12-month prevalence (%)SH_SUD_TREAT: Coverage of treatment interventions (pharmacological, psychosocial and rehabilitation and aftercare services) for substance use disorders (%)Indicator 3.5.2: Alcohol per capita consumption (aged 15 years and older) within a calendar year in litres of pure alcoholSH_ALC_CONSPT: Alcohol consumption per capita (aged 15 years and older) within a calendar year (litres of pure alcohol)Target 3.6: By 2020, halve the number of global deaths and injuries from road traffic accidentsIndicator 3.6.1: Death rate due to road traffic injuriesSH_STA_TRAF: Death rate due to road traffic injuries, by sex (per 100,000 population)Target 3.7: By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmesIndicator 3.7.1: Proportion of women of reproductive age (aged 15–49 years) who have their need for family planning satisfied with modern methodsSH_FPL_MTMM: Proportion of women of reproductive age (aged 15-49 years) who have their need for family planning satisfied with modern methods (% of women aged 15-49 years)Indicator 3.7.2: Adolescent birth rate (aged 10–14 years; aged 15–19 years) per 1,000 women in that age groupSP_DYN_ADKL: Adolescent birth rate (per 1,000 women aged 15-19 years)Target 3.8: Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for allIndicator 3.8.1: Coverage of essential health servicesSH_ACS_UNHC: Universal health coverage (UHC) service coverage indexIndicator 3.8.2: Proportion of population with large household expenditures on health as a share of total household expenditure or incomeSH_XPD_EARN25: Proportion of population with large household expenditures on health (greater than 25%) as a share of total household expenditure or income (%)SH_XPD_EARN10: Proportion of population with large household expenditures on health (greater than 10%) as a share of total household expenditure or income (%)Target 3.9: By 2030, substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil pollution and contaminationIndicator 3.9.1: Mortality rate attributed to household and ambient air pollutionSH_HAP_ASMORT: Age-standardized mortality rate attributed to household air pollution (deaths per 100,000 population)SH_STA_AIRP: Crude death rate attributed to household and ambient air pollution (deaths per 100,000 population)SH_STA_ASAIRP: Age-standardized mortality rate attributed to household and ambient air pollution (deaths per 100,000 population)SH_AAP_MORT: Crude death rate attributed to ambient air pollution (deaths per 100,000 population)SH_AAP_ASMORT: Age-standardized mortality rate attributed to ambient air pollution (deaths per 100,000 population)SH_HAP_MORT: Crude death rate attributed to household air pollution (deaths per 100,000 population)Indicator 3.9.2: Mortality rate attributed to unsafe water, unsafe sanitation and lack of hygiene (exposure to unsafe Water, Sanitation and Hygiene for All (WASH) services)SH_STA_WASH: Mortality rate attributed to unsafe water, unsafe sanitation and lack of hygiene (deaths per 100,000 population)Indicator 3.9.3: Mortality rate attributed to unintentional poisoningSH_STA_POISN: Mortality rate attributed to unintentional poisonings, by sex (deaths per 100,000 population)Target 3.a: Strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control in all countries, as appropriateIndicator 3.a.1: Age-standardized prevalence of current tobacco use among persons aged 15 years and olderSH_PRV_SMOK: Age-standardized prevalence of current tobacco use among persons aged 15 years and older, by sex (%)Target 3.b: Support the research and development of vaccines and medicines for the communicable and non-communicable diseases that primarily affect developing countries, provide access to affordable essential medicines and vaccines, in accordance with the Doha Declaration on the TRIPS Agreement and Public Health, which affirms the right of developing countries to use to the full the provisions in the Agreement on Trade-Related Aspects of Intellectual Property Rights regarding flexibilities to protect public health, and, in particular, provide access to medicines for allIndicator 3.b.1: Proportion of the target population covered by all vaccines included in their national programmeSH_ACS_DTP3: Proportion of the target population with access to 3 doses of diphtheria-tetanus-pertussis (DTP3) (%)SH_ACS_MCV2: Proportion of the target population with access to measles-containing-vaccine second-dose (MCV2) (%)SH_ACS_PCV3: Proportion of the target population with access to pneumococcal conjugate 3rd dose (PCV3) (%)SH_ACS_HPV: Proportion of the target population with access to affordable medicines and vaccines on a sustainable basis, human papillomavirus (HPV) (%)Indicator 3.b.2: Total net official development assistance to medical research and basic health sectorsDC_TOF_HLTHNT: Total official development assistance to medical research and basic heath sectors, net disbursement, by recipient countries (millions of constant 2018 United States dollars)DC_TOF_HLTHL: Total official development assistance to medical research and basic heath sectors, gross disbursement, by recipient countries (millions of constant 2018 United States dollars)Indicator 3.b.3: Proportion of health facilities that have a core set of relevant essential medicines available and affordable on a sustainable basisSH_HLF_EMED: Proportion of health facilities that have a core set of relevant essential medicines available and affordable on a sustainable basis (%)Target 3.c: Substantially increase health financing and the recruitment, development, training and retention of the health workforce in developing countries, especially in least developed countries and small island developing StatesIndicator 3.c.1: Health worker density and distributionSH_MED_DEN: Health worker density, by type of occupation (per 10,000 population)SH_MED_HWRKDIS: Health worker distribution, by sex and type of occupation (%)Target 3.d: Strengthen the capacity of all countries, in particular developing countries, for early warning, risk reduction and management of national and global health risksIndicator 3.d.1: International Health Regulations (IHR) capacity and health emergency preparednessSH_IHR_CAPS: International Health Regulations (IHR) capacity, by type of IHR capacity (%)Indicator 3.d.2: Percentage of bloodstream infections due to selected antimicrobial-resistant organismsiSH_BLD_MRSA: Percentage of bloodstream infection due to methicillin-resistant Staphylococcus aureus (MRSA) among patients seeking care and whose

This dataset gives the average annual number of deaths during a year per 1,000 population at midyear; also known as crude death rate. This information was found at the CIA's World Factbook 2007. The site had this to say about death rate, "The death rate, while only a rough indicator of the mortality situation in a country, accurately indicates the current mortality impact on population growth. This indicator is significantly affected by age distribution, and most countries will eventually show a rise in the overall death rate, in spite of continued decline in mortality at all ages, as declining fertility results in an aging population." Source: https://www.cia.gov/library/publications/the-world-factbook/docs/notesanddefs.html#2010 Accessed: 9.17.07

Tables containing information about research questions and teams. Table of contents: Top 10 Research Questions in Each Team. Table S1. Top 10 Research Questions in Disease Burden, Aetiology & Distribution. Table S2. Top 10 Research Questions in Nutrition & Long-Term Outcomes. Table S3. Top 10 Research Questions in Preventive Nutrition Strategies. Table S4. Top 10 Research Questions in Diagnostics. Table S5. Top 10 Research Questions in Vaccines for Diarrhoeal Prevention. Table S6. Top 10 Research Questions in WASH Interventions. Table S7. Top 10 Research Questions in Case Management. Table S8. Top 10 Research Questions in Emerging Interventions. Table S9. Top 10 Research Questions in Other Innovations. Table S10. Top 10 Research Questions in Monitoring & Evaluation. Top Twenty Research Questions By D4 Category. Table S11. Top 20 Research Questions in Description. Table S12. Top 20 Research Questions in Discovery. Table S13. Top 20 Research Questions in Development. Table S14. Top 20 Research Questions in Delivery. Table S15. All Research Questions. Table S16. Team Composition, Including Team Leaders, Participants, Countries Represented, and Institutional Affiliations. Table S17. Description of Standard CHNRI Criteria. Table S18. Description of CHNRI Criteria for Monitoring and Evaluation team. (DOCX)

This dataset shows where media and press are most free to express their views and opinions. Countries rankings are based on laws, violence, and deaths of reporters and journalists. This is a Different measure of freedom than the world freedom index but just as important. This dataset shows the availability of dissenting views and opinions allowed within a Country. In the 2006 Rankings the US Fell to 53rd position, bummer. pretty much the same countries were in the top positions, Denmark dropped a bit due to the Mohammed cartoons. Source URL: http://www.rsf.org/article.php3?id_article=19381

Background: In many low-income countries, over five percent of hospitalized children die following hospital discharge. The lack of available tools to identify those at risk of post-discharge mortality has limited the ability to make progress towards improving outcomes. We aimed to develop algorithms designed to predict post-discharge mortality among children admitted with suspected sepsis. Methods: Four prospective cohort studies of children in two age groups (0–6 and 6–60 months) were conducted between 2012–2021 in six Ugandan hospitals. Prediction models were derived for six-months post-discharge mortality, based on candidate predictors collected at admission, each with a maximum of eight variables, and internally validated using 10-fold cross-validation. Findings: 8,810 children were enrolled: 470 (5.3%) died in hospital; 257 (7.7%) and 233 (4.8%) post-discharge deaths occurred in the 0-6-month and 6-60-month age groups, respectively. The primary models had an area under the receiver operating characteristic curve (AUROC) of 0.77 (95%CI 0.74–0.80) for 0-6-month-olds and 0.75 (95%CI 0.72–0.79) for 6-60-month-olds; mean AUROCs among the 10 cross-validation folds were 0.75 and 0.73, respectively. Calibration across risk strata was good: Brier scores were 0.07 and 0.04, respectively. The most important variables included anthropometry and oxygen saturation. Additional variables included: illness duration, jaundice-age interaction, and a bulging fontanelle among 0-6-month-olds; and prior admissions, coma score, temperature, age-respiratory rate interaction, and HIV status among 6-60-month-olds. Data Processing Methods: The post-processed data files were created using R version 4.2.2. (R Foundation for Statistical Computing, Vienna, Austria) and briefly involved renaming columns from the different datasets so that they are consistent, converting categories coded as “unknown”, “don’t know”, or “missing” to NA, creating new columns, calculating z-scored variables, and converting relevant columns to factors or dates. Ethics Declaration: These studies were approved by the Mbarara University of Science and Technology (No. 15/10-16), the Uganda National Council for Science and Technology (HS 2207), and the University of British Columbia (H16-02679).

BackgroundDespite the widespread implementation of the pneumococcal conjugate vaccine, Streptococcus pneumoniae remains the leading cause of severe pneumonia associated with mortality among children less than 5 years of age worldwide, with the highest mortality rates recorded in Africa and Asia. However, information on the effectiveness and prevalence of vaccine serotypes post-roll out remains scarce in most African countries. Hence, this systematic review aimed to describe what is known about the decline of childhood invasive pneumococcal disease post-introduction of the pneumococcal conjugate vaccine in Africa.MethodsThis systematic review included articles published between 2009 and 2018 on the implementation of the pneumococcal conjugate vaccine in Africa. We searched PubMed, Scopus and African Index Medicus for articles in English. Studies on implementation programmes of pneumococcal conjugate vaccine 10/13, with before and after data from different African countries, were considered eligible. The review followed the procedures published in PROSPERO (ID = CRD42016049192).ResultsIn total, 2,280 studies were identified through electronic database research, and only 8 studies were eligible for inclusion in the final analysis. Approximately half (n = 3) of these studies were from South Africa. The overall decline in invasive pneumococcal disease ranged from 31.7 to 80.1%. Invasive pneumococcal diseases caused by vaccine serotypes declined significantly, the decline ranged from 35.0 to 92.0%. A much higher decline (55.0–89.0%) was found in children below 24 months of age. Of all vaccine serotypes, the relative proportions of serotypes 1, 5 and 19A doubled following vaccine roll out.InterpretationFollowing the introduction of the pneumococcal conjugate vaccine, a significant decline was observed in invasive pneumococcal disease caused by vaccine serotypes. However, data on the effectiveness in this region remain scarce, meriting continued surveillance to assess the effectiveness of pneumococcal vaccination to improve protection against invasive pneumococcal disease.

This dataset includes births, deaths and the ratio of births to deaths by metropolitan area for the years 2000-2006. The actual births and deaths for 2000 and estimates were taken from the U.S. Census Components of Population Change. Ratios were calculated based on that data.