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Fig 1.

Flow chart on data identification and collection processes.

N.B: For the sample size estimation, we assumed that, 18% of study population (630000) were children under-five years old; a = 0.05; power = 80%, and proportion of death cases with missing data on cause-specific death = 10%. Using the computer-based Creative Research Systems Survey software (http://www.surveysystem.com), we assumed a desired confidence level of 95% and a confidence interval of 4% units on each side; the estimated sample size for this study is 600 deaths. Therefore, a minimum of 660 cases of death in children aged 29days to 59 months was targeted as the sample size in this study. DH = District Hospital; ICD-10-CM = the International Classification of Diseases and Clinical Modifications 10th revision.

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Fig 2.

Cumulative proportion of age at death by gender among children under-five years registered at the Infectious Diseases Surveillance Sites in Yaoundé, Cameroon: 2006–2012.

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Table 1.

Distribution of the main CoD in children 1–59 months old in Yaoundé, 2006–2012 (N = 817).

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Table 2.

List of ICD-10-CM codes collected for this study and percent of diagnostic CoD in children 1–59 months old in Yaoundé, 2006–2012.

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Fig 3.

Frequent causes of deaths in our study with comparative percentages for the Sub-Saharan Africa region.

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Table 3.

Distribution of pneumococcal disease associated deaths by study case definition in children 1–59 months old in Yaoundé, between January 2006 to December 2012 (N = 158).

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