Table 3.
Weighted mean rates of MNS visits per 1000 refugees per month by sex and age group from 2009 to 2018
| MNS category | Years | Male | Female | ||||
|---|---|---|---|---|---|---|---|
| <5 years old | 5 and above | Total | <5 years old | 5 and above | Total | ||
| Weighted mean visit rate per 1000 per month (weighted SD)a | |||||||
| Epilepsy/seizures | 2009–2010 | 0.44 (0.86) | 0.91 (1.37) | 0.83 (1.26) | 0.33 (0.71) | 0.80 (1.44) | 0.72 (1.29) |
| 2011–2012 | 0.59 (0.99) | 1.53 (1.81) | 1.37 (1.64) | 0.47 (0.88) | 1.24 (1.55) | 1.11 (1.42) | |
| 2013–2014 | 0.48 (0.89) | 1.36 (1.62) | 1.20 (1.46) | 0.45 (0.98) | 1.08 (1.25) | 0.97 (1.16) | |
| 2015–2016 | 0.50 (0.96) | 1.53 (1.71) | 1.34 (1.52) | 0.48 (0.93) | 1.33 (1.50) | 1.19 (1.35) | |
| 2017–2018 | 0.56 (0.86) | 1.44 (1.51) | 1.29 (1.36) | 0.45 (0.68) | 1.28 (1.21) | 1.13 (1.09) | |
| Alcohol/substance | 2009–2010 | 0.00 (0.00) | 0.06 (0.08) | 0.05 (0.07) | 0.00 (0.00) | 0.01 (0.03) | 0.01 (0.02) |
| 2011–2012 | 0.003 (0.02) | 0.08 (0.14) | 0.07 (0.12) | 0.001 (0.01) | 0.02 (0.04) | 0.01 (0.03) | |
| 2013–2014 | 0.002 (0.03) | 0.06 (0.14) | 0.05 (0.12) | 0.003 (0.05) | 0.02 (0.07) | 0.02 (0.06) | |
| 2015–2016 | 0.003 (0.03) | 0.14 (0.57) | 0.11 (0.45) | 0.003 (0.02) | 0.06 (0.28) | 0.05 (0.23) | |
| 2017–2018 | 0.002 (0.01) | 0.12 (0.28) | 0.10 (0.23) | 0.004 (0.02) | 0.05 (0.17) | 0.04 (0.14) | |
| Intellectual disability | 2009–2010 | 0.04 (0.09) | 0.07 (0.08) | 0.07 (0.08) | 0.02 (0.03) | 0.04 (0.06) | 0.04 (0.06) |
| 2011–2012 | 0.11 (0.27) | 0.12 (0.17) | 0.12 (0.18) | 0.06 (0.15) | 0.10 (0.21) | 0.09 (0.19) | |
| 2013–2014 | 0.07 (0.29) | 0.09 (0.22) | 0.09 (0.22) | 0.06 (0.25) | 0.08 (0.24) | 0.08 (0.23) | |
| 2015–2016 | 0.08 (0.44) | 0.12 (0.33) | 0.11 (0.30) | 0.09 (0.42) | 0.10 (0.29) | 0.10 (0.26) | |
| 2017–2018 | 0.10 (0.39) | 0.12 (0.26) | 0.11 (0.25) | 0.09 (0.29) | 0.10 (0.21) | 0.09 (0.20) | |
| Psychotic disorder | 2009–2010 | 0.01 (0.05) | 0.61 (0.65) | 0.51 (0.56) | 0.01 (0.04) | 0.49 (0.60) | 0.41 (0.52) |
| 2011–2012 | 0.004 (0.01) | 1.02 (0.99) | 0.84 (0.83) | 0.01 (0.02) | 0.83 (1.04) | 0.69 (0.88) | |
| 2013–2014 | 0.01 (0.02) | 0.80 (0.98) | 0.65 (0.83) | 0.01 (0.06) | 0.66 (0.93) | 0.54 (0.78) | |
| 2015–2016 | 0.01 (0.05) | 0.74 (0.89) | 0.61 (0.75) | 0.01 (0.05) | 0.64 (0.85) | 0.53 (0.71) | |
| 2017–2018 | 0.01 (0.02) | 0.68 (1.02) | 0.56 (0.86) | 0.005 (0.02) | 0.58 (0.80) | 0.48 (0.67) | |
| Emotional disorder | 2009–2010 | 0.02 (0.11) | 0.21 (0.27) | 0.18 (0.23) | 0.01 (0.05) | 0.36 (0.59) | 0.30 (0.49) |
| 2011–2012 | 0.01 (0.06) | 0.36 (0.60) | 0.30 (0.49) | 0.01 (0.05) | 0.66 (1.17) | 0.55 (0.97) | |
| 2013–2014 | 0.002 (0.01) | 0.26 (0.47) | 0.21 (0.38) | 0.001 (0.004) | 0.49 (0.96) | 0.41 (0.82) | |
| 2015–2016 | 0.003 (0.01) | 0.26 (0.53) | 0.21 (0.44) | 0.002 (0.01) | 0.41 (0.98) | 0.34 (0.82) | |
| 2017–2018 | 0.002 (0.01) | 0.25 (0.68) | 0.21 (0.57) | 0.01 (0.02) | 0.46 (1.74) | 0.38 (1.46) | |
| Somatic complaint | 2009–2010 | 0.003 (0.01) | 0.11 (0.17) | 0.09 (0.14) | 0.004 (0.03) | 0.21 (0.41) | 0.17 (0.35) |
| 2011–2012 | 0.01 (0.03) | 0.17 (0.31) | 0.14 (0.27) | 0.01 (0.04) | 0.40 (0.90) | 0.33 (0.78) | |
| 2013–2014 | 0.01 (0.04) | 0.14 (0.29) | 0.12 (0.24) | 0.01 (0.08) | 0.31 (0.83) | 0.26 (0.71) | |
| 2015–2016 | 0.01 (0.08) | 0.16 (0.36) | 0.13 (0.31) | 0.02 (0.14) | 0.31 (0.97) | 0.26 (0.83) | |
| 2017–2018 | 0.02 (0.07) | 0.16 (0.38) | 0.13 (0.32) | 0.02 (0.08) | 0.29 (0.78) | 0.24 (0.66) | |
| Other complaint | 2009–2010 | 0.03 (0.07) | 0.25 (0.52) | 0.21 (0.44) | 0.03 (0.06) | 0.61 (1.34) | 0.52 (1.15) |
| 2011–2012 | 0.03 (0.08) | 0.17 (0.34) | 0.15 (0.29) | 0.02 (0.06) | 0.39 (0.83) | 0.33 (0.71) | |
| 2013–2014 | 0.02 (0.07) | 0.12 (0.28) | 0.10 (0.24) | 0.01 (0.06) | 0.27 (0.97) | 0.23 (0.84) | |
| 2015–2016 | 0.02 (0.11) | 0.15 (0.27) | 0.13 (0.23) | 0.02 (0.09) | 0.27 (0.72) | 0.23 (0.62) | |
| 2017–2018 | 0.03 (0.33) | 0.25 (0.70) | 0.21 (0.60) | 0.04 (0.26) | 0.45 (1.57) | 0.38 (1.33) | |
| Total | 2009–2010 | 0.55 (1.00) | 2.22 (2.31) | 1.94 (2.06) | 0.40 (0.76) | 2.51 (3.11) | 2.17 (2.73) |
| 2011–2012 | 0.75 (1.23) | 3.46 (3.42) | 2.98 (3.00) | 0.58 (1.02) | 3.63 (4.09) | 3.12 (3.57) | |
| 2013–2014 | 0.60 (1.13) | 2.82 (3.20) | 2.42 (2.80) | 0.55 (1.24) | 2.91 (3.71) | 2.50 (3.26) | |
| 2015–2016 | 0.63 (1.31) | 3.08 (3.21) | 2.64 (2.77) | 0.63 (1.28) | 3.13 (3.78) | 2.69 (3.29) | |
| 2017–2018 | 0.72 (1.31) | 3.01 (3.43) | 2.61 (3.01) | 0.62 (1.00) | 3.20 (4.25) | 2.75 (3.66) | |
aRates were first calculated at the camp level. For each camp, the numerator of the rate was the total number of visits in each MNS category within a given 2-year period within each age/sex category. The denominator was the total number of person-time contributed by the camp in the same period, which reflected the camp’s monthly population during the months that the HIS was active within each age/sex category. The resulting rate was multiplied by 1000. Weighted mean rates and standard deviations were calculated within each age/sex category. Weights were calculated as the ratio of a camp’s contributed person-time to all camp’s contributed person-time within the HIS. Therefore, the weights summed to 1. MNS, mental, neurological, and substance use; HIS, health information system; CAR, Central African Republic; DRC, Democratic Republic of Congo