What are the Main Diagnoses in Hospitalized Patients in Madagascar ? A Sentinel Surveillance in 18 Hospitals from 2014 to 2018
Abstract Background In Madagascar, a sentinel surveillance system was set up in 18 hospitals since 2014 and was managed by the Ministry of Public Health and the Institut Pasteur de Madagascar. In order to improve the access to appropriate health care in Madagascar, the main clinical diagnoses in hos...
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2025-07-01
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| Series: | Journal of Epidemiology and Global Health |
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| Online Access: | https://doi.org/10.1007/s44197-025-00392-z |
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| author | Laurence Randrianasolo Tojonirina Rabehasimbola Léa Randriamampionona Mireille Randria Toky Ramarokoto Barivola Bernardson Feno Manitra Rakotoarimanana Maherisoa Ratsitorahina Roland Razanatsimba Andriamasoandro Hasina Alain Randimbitsialonina Hajalalaina Razafindrazaka Jery Soa Bakolitiana Rafaliarisoa Nirinarilala Ramanantoanina Haja Randrianary Solofinirina Rakotonimanana Gisèle Ranarijaona Giovanie Djaosany Ramananarivo Rasoamirantsoa Jacqueline Rasolofoharizanany Iharisoa Ravaonandrasana Delbert Radama Andriamanjava Liva Fanambinantsoa Victor Ralijaona Prosper Randrianasolo Randrianavelo Jaona Ralaivao Noelson Rakotovao Nyelsen Amaïde Tsikomia Antoine Olivier Randrianantenaina Jean Erick Botoihely Stéphan Pierre Aimé Bruno Zafilahy Totohako Claude Marcel Andrianantenaina Patrice Piola Laurence Baril Anou Dreyfus Rindra Randremanana |
| author_facet | Laurence Randrianasolo Tojonirina Rabehasimbola Léa Randriamampionona Mireille Randria Toky Ramarokoto Barivola Bernardson Feno Manitra Rakotoarimanana Maherisoa Ratsitorahina Roland Razanatsimba Andriamasoandro Hasina Alain Randimbitsialonina Hajalalaina Razafindrazaka Jery Soa Bakolitiana Rafaliarisoa Nirinarilala Ramanantoanina Haja Randrianary Solofinirina Rakotonimanana Gisèle Ranarijaona Giovanie Djaosany Ramananarivo Rasoamirantsoa Jacqueline Rasolofoharizanany Iharisoa Ravaonandrasana Delbert Radama Andriamanjava Liva Fanambinantsoa Victor Ralijaona Prosper Randrianasolo Randrianavelo Jaona Ralaivao Noelson Rakotovao Nyelsen Amaïde Tsikomia Antoine Olivier Randrianantenaina Jean Erick Botoihely Stéphan Pierre Aimé Bruno Zafilahy Totohako Claude Marcel Andrianantenaina Patrice Piola Laurence Baril Anou Dreyfus Rindra Randremanana |
| author_sort | Laurence Randrianasolo |
| collection | DOAJ |
| description | Abstract Background In Madagascar, a sentinel surveillance system was set up in 18 hospitals since 2014 and was managed by the Ministry of Public Health and the Institut Pasteur de Madagascar. In order to improve the access to appropriate health care in Madagascar, the main clinical diagnoses in hospitalized patients were analyzed. Methods At hospitalization of a patient, each unit involved in the sentinel surveillance recorded the clinical diagnosis through an e-health platform. Data from September 2014 to July 2018 were analyzed. Morbidity and annual incidence of diseases according to ICD-10 were reported. Results A total of 140,789 inpatients information was recorded. The median age was 28.2 years (IQR: 18.3; 45.3). 21.6% of the children < 15 years suffered from communicable diseases. The hospital morbidity was 4.01% for malaria, 0.84% for tuberculosis, 0.09% for HIV/AIDS and 0.05% for plague. The hospital morbidity of non-communicable diseases was higher compared to communicable diseases with 7.8%, 7.1% and 3.1% for ”Diseases of the circulatory system”, "Injury, poisoning and certain other consequences of external causes" and "Mental and behavioural disorders”, respectively. "Pregnancy, childbirth and puerperium" represented 20.5% of the hospitalized patients. Conclusions The e-health platform enabled continuous and standardized data collection. Communicable diseases affect mainly children < 15 years. Non-communicable diseases are on the rise and need more attention by national health authorities. A number of hospitalizations could be prevented by a better health care management at the community-based health care level and by implementation of a Universal Health Coverage (UHC) in Madagascar. |
| format | Article |
| id | doaj-art-5e0dd28b09b94b7db28da166066cb8a4 |
| institution | DOAJ |
| issn | 2210-6014 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Springer |
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| series | Journal of Epidemiology and Global Health |
| spelling | doaj-art-5e0dd28b09b94b7db28da166066cb8a42025-08-20T03:04:18ZengSpringerJournal of Epidemiology and Global Health2210-60142025-07-0115111510.1007/s44197-025-00392-zWhat are the Main Diagnoses in Hospitalized Patients in Madagascar ? A Sentinel Surveillance in 18 Hospitals from 2014 to 2018Laurence Randrianasolo0Tojonirina Rabehasimbola1Léa Randriamampionona2Mireille Randria3Toky Ramarokoto4Barivola Bernardson5Feno Manitra Rakotoarimanana6Maherisoa Ratsitorahina7Roland Razanatsimba Andriamasoandro8Hasina Alain Randimbitsialonina9Hajalalaina Razafindrazaka10Jery Soa Bakolitiana Rafaliarisoa11Nirinarilala Ramanantoanina12Haja Randrianary13Solofinirina Rakotonimanana14Gisèle Ranarijaona15Giovanie Djaosany16Ramananarivo Rasoamirantsoa17Jacqueline Rasolofoharizanany18Iharisoa Ravaonandrasana19Delbert Radama Andriamanjava20Liva Fanambinantsoa21Victor Ralijaona22Prosper Randrianasolo23Randrianavelo24Jaona Ralaivao25Noelson Rakotovao26Nyelsen Amaïde Tsikomia27Antoine Olivier Randrianantenaina28Jean Erick Botoihely29Stéphan Pierre30Aimé Bruno Zafilahy Totohako31Claude Marcel Andrianantenaina32Patrice Piola33Laurence Baril34Anou Dreyfus35Rindra Randremanana36Clinical Research and Epidemiology Unit, Institut Pasteur de MadagascarClinical Research and Epidemiology Unit, Institut Pasteur de MadagascarMinistry of Public HealthMinistry of Public HealthClinical Research and Epidemiology Unit, Institut Pasteur de MadagascarClinical Research and Epidemiology Unit, Institut Pasteur de MadagascarClinical Research and Epidemiology Unit, Institut Pasteur de MadagascarClinical Research and Epidemiology Unit, Institut Pasteur de MadagascarMinistry of Public HealthMinistry of Public HealthMinistry of Public HealthMinistry of Public HealthMinistry of Public HealthMinistry of Public HealthMinistry of Public HealthMinistry of Public HealthMinistry of Public HealthMinistry of Public HealthMinistry of Public HealthMinistry of Public HealthMinistry of Public HealthMinistry of Public HealthMinistry of Public HealthMinistry of Public HealthMinistry of Public HealthMinistry of Public HealthMinistry of Public HealthMinistry of Public HealthMinistry of Public HealthMinistry of Public HealthMinistry of Public HealthMinistry of Public HealthMinistry of Public HealthClinical Research and Epidemiology Unit, Institut Pasteur de MadagascarClinical Research and Epidemiology Unit, Institut Pasteur de MadagascarClinical Research and Epidemiology Unit, Institut Pasteur de MadagascarClinical Research and Epidemiology Unit, Institut Pasteur de MadagascarAbstract Background In Madagascar, a sentinel surveillance system was set up in 18 hospitals since 2014 and was managed by the Ministry of Public Health and the Institut Pasteur de Madagascar. In order to improve the access to appropriate health care in Madagascar, the main clinical diagnoses in hospitalized patients were analyzed. Methods At hospitalization of a patient, each unit involved in the sentinel surveillance recorded the clinical diagnosis through an e-health platform. Data from September 2014 to July 2018 were analyzed. Morbidity and annual incidence of diseases according to ICD-10 were reported. Results A total of 140,789 inpatients information was recorded. The median age was 28.2 years (IQR: 18.3; 45.3). 21.6% of the children < 15 years suffered from communicable diseases. The hospital morbidity was 4.01% for malaria, 0.84% for tuberculosis, 0.09% for HIV/AIDS and 0.05% for plague. The hospital morbidity of non-communicable diseases was higher compared to communicable diseases with 7.8%, 7.1% and 3.1% for ”Diseases of the circulatory system”, "Injury, poisoning and certain other consequences of external causes" and "Mental and behavioural disorders”, respectively. "Pregnancy, childbirth and puerperium" represented 20.5% of the hospitalized patients. Conclusions The e-health platform enabled continuous and standardized data collection. Communicable diseases affect mainly children < 15 years. Non-communicable diseases are on the rise and need more attention by national health authorities. A number of hospitalizations could be prevented by a better health care management at the community-based health care level and by implementation of a Universal Health Coverage (UHC) in Madagascar.https://doi.org/10.1007/s44197-025-00392-zMadagascarHospital sentinel networkWeb-based databasee-Health platformCommunicable diseasesNon-communicable diseases |
| spellingShingle | Laurence Randrianasolo Tojonirina Rabehasimbola Léa Randriamampionona Mireille Randria Toky Ramarokoto Barivola Bernardson Feno Manitra Rakotoarimanana Maherisoa Ratsitorahina Roland Razanatsimba Andriamasoandro Hasina Alain Randimbitsialonina Hajalalaina Razafindrazaka Jery Soa Bakolitiana Rafaliarisoa Nirinarilala Ramanantoanina Haja Randrianary Solofinirina Rakotonimanana Gisèle Ranarijaona Giovanie Djaosany Ramananarivo Rasoamirantsoa Jacqueline Rasolofoharizanany Iharisoa Ravaonandrasana Delbert Radama Andriamanjava Liva Fanambinantsoa Victor Ralijaona Prosper Randrianasolo Randrianavelo Jaona Ralaivao Noelson Rakotovao Nyelsen Amaïde Tsikomia Antoine Olivier Randrianantenaina Jean Erick Botoihely Stéphan Pierre Aimé Bruno Zafilahy Totohako Claude Marcel Andrianantenaina Patrice Piola Laurence Baril Anou Dreyfus Rindra Randremanana What are the Main Diagnoses in Hospitalized Patients in Madagascar ? A Sentinel Surveillance in 18 Hospitals from 2014 to 2018 Journal of Epidemiology and Global Health Madagascar Hospital sentinel network Web-based database e-Health platform Communicable diseases Non-communicable diseases |
| title | What are the Main Diagnoses in Hospitalized Patients in Madagascar ? A Sentinel Surveillance in 18 Hospitals from 2014 to 2018 |
| title_full | What are the Main Diagnoses in Hospitalized Patients in Madagascar ? A Sentinel Surveillance in 18 Hospitals from 2014 to 2018 |
| title_fullStr | What are the Main Diagnoses in Hospitalized Patients in Madagascar ? A Sentinel Surveillance in 18 Hospitals from 2014 to 2018 |
| title_full_unstemmed | What are the Main Diagnoses in Hospitalized Patients in Madagascar ? A Sentinel Surveillance in 18 Hospitals from 2014 to 2018 |
| title_short | What are the Main Diagnoses in Hospitalized Patients in Madagascar ? A Sentinel Surveillance in 18 Hospitals from 2014 to 2018 |
| title_sort | what are the main diagnoses in hospitalized patients in madagascar a sentinel surveillance in 18 hospitals from 2014 to 2018 |
| topic | Madagascar Hospital sentinel network Web-based database e-Health platform Communicable diseases Non-communicable diseases |
| url | https://doi.org/10.1007/s44197-025-00392-z |
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