Kasprowicz Daniel, Korzeniewski Krzysztof, Wilczyńska Wanesa
Clinique Medicale Beyzym, Ambatoboeny District, Manerinerina 403, Madagascar.
Department of Epidemiology and Tropical Medicine, Military Institute of Medicine-National Research Institute, 04-141 Warsaw, Poland.
J Clin Med. 2025 Sep 8;14(17):6329. doi: 10.3390/jcm14176329.
Ambatoboeny District in northern Madagascar faces significant health challenges due to widespread poverty, poor access to healthcare, and limited diagnostic capabilities. Despite high disease burden, data on morbidity patterns in the region are scarce. This study aims to identify the most prevalent diseases and most affected demographic groups, thus providing valuable insight into the region's health profile. : A retrospective analysis was conducted on medical records from 3678 patients who were admitted at Clinique Médicale BEYZYM, a secondary-level referral facility in Manerinerina, Boeny Region between January and December 2024. Diagnoses were retrieved from physician registration ledgers, hospitalization records, monthly laboratory reports, monthly general hospital activity reports and monthly reports , which were cross-referenced and verified by trained clinical staff. Records were included if they contained identifiable demographic data and at least one clinical diagnosis. Diagnoses were coded using ICD-11 and were classified into 15 major categories. : The median patient age was 19.5 years (IQR: 7-42), with females accounting for 54% of the cohort. Most patients (87.2%) resided in Ambatoboeny. The most common reasons for admission were infectious and parasitic diseases (35.75%, 95% CI: 34.20-37.30), respiratory diseases (22.73%, 95% CI: 21.38-24.08), and diseases of the genitourinary system (13.95%, 95% CI: 12.83-15.07), collectively accounting for 72.43% of all recorded cases. Statistically significant differences in morbidity patterns were observed across age and sex groups. : The findings underscore the multifaceted burden of disease in the Ambatoboeny District, where both infectious and chronic conditions coexist in a resource-limited setting. Delayed healthcare-seeking behavior, cultural beliefs, and diagnostic limitations further complicate care delivery. This study provides foundational data to inform targeted health policies, humanitarian medical missions, and diagnostic capacity-building tailored to local needs.
马达加斯加北部的安巴托博埃尼区面临着重大的健康挑战，原因包括普遍贫困、获得医疗保健的机会有限以及诊断能力不足。尽管疾病负担沉重，但该地区发病率模式的数据却很稀少。本研究旨在确定最普遍的疾病和受影响最严重的人口群体，从而为该地区的健康状况提供有价值的见解。：对2024年1月至12月期间在博尼地区马内里纳里纳的二级转诊机构贝齐姆医疗诊所收治的3678名患者的病历进行了回顾性分析。诊断信息从医生登记账本、住院记录、月度实验室报告、月度综合医院活动报告和月度报告中获取，并由训练有素的临床工作人员进行交叉核对和核实。如果记录包含可识别的人口统计数据和至少一项临床诊断，则将其纳入。诊断使用国际疾病分类第11版（ICD - 11）进行编码，并分为15个主要类别。：患者的年龄中位数为19.5岁（四分位距：7 - 42岁），女性占队列的54%。大多数患者（87.2%）居住在安巴托博埃尼。入院的最常见原因是传染病和寄生虫病（35.75%，95%置信区间：34.20 - 37.30）、呼吸系统疾病（22.73%，95%置信区间：21.38 - 24.08）以及泌尿生殖系统疾病（13.95%，95%置信区间：12.83 - 15.07），这些疾病合计占所有记录病例的72.43%。在年龄和性别组中观察到发病率模式存在统计学上的显著差异。：研究结果强调了安巴托博埃尼区疾病负担的多面性，在这个资源有限的环境中，传染病和慢性病并存。延迟就医行为、文化信仰和诊断限制进一步使医疗服务的提供变得复杂。本研究提供了基础数据，为制定针对当地需求的有针对性的卫生政策、人道主义医疗任务和诊断能力建设提供参考。
