Cause-specific mortality in Africa and Asia: evidence from INDEPTH health and demographic surveillance system sites

Global Health Action

Momodou Jasseh¹  Valérie Delaunay¹  Stephen M. Tollman¹  Nguyen T.K. Chuc¹  Kobus Herbst¹  Frank O. Odhiambo¹  Abbas Bhuiya¹  Catherine Kyobutungi¹  Osman A. Sankoh¹  Thomas N. Williams¹  Nurul Alam¹  Ali Sié¹  Alex Ezeh¹  Margaret Gyapong¹  Sanjay Juvekar¹  Abdramane B. Soura¹  Eliezer K. Ngoran¹  Siswanto Wilopo¹  Berhe Weldearegawi¹  Amelia Crampin¹  Abraham Oduro¹  Donatien Beguy¹  Bassirou Bonfoh¹  Shashi Kant¹  Wasif A. Khan²  Peter Byass³  P. Kim Streatfield⁴  Marcel Tanner⁵ 

[1] INDEPTH Network, Accra, Ghana;International Centre for Diarrhoeal Disease Research, Bangladesh;MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa;Matlab HDSS, Bangladesh;Swiss Tropical and Public Health Institute, Basel, Switzerland;

关键词: mortality;    cause of death;    Africa;    Asia;    verbal autopsy;    INDEPTH Network;   

DOI  :  10.3402/gha.v7.25362

来源: DOAJ

【 摘 要 】

Background: Because most deaths in Africa and Asia are not well documented, estimates of mortality are often made using scanty data. The INDEPTH Network works to alleviate this problem by collating detailed individual data from defined Health and Demographic Surveillance sites. By registering all deaths over time and carrying out verbal autopsies to determine cause of death across many such sites, using standardised methods, the Network seeks to generate population-based mortality statistics that are not otherwise available. Objective: To build a large standardised mortality database from African and Asian sites, detailing the relevant methods, and use it to describe cause-specific mortality patterns. Design: Individual demographic and verbal autopsy (VA) data from 22 INDEPTH sites were collated into a standardised database. The INDEPTH 2013 population was used for standardisation. The WHO 2012 VA standard and the InterVA-4 model were used for assigning cause of death. Results: A total of 111,910 deaths occurring over 12,204,043 person-years (accumulated between 1992 and 2012) were registered across the 22 sites, and for 98,429 of these deaths (88.0%) verbal autopsies were successfully completed. There was considerable variation in all-cause mortality between sites, with most of the differences being accounted for by variations in infectious causes as a proportion of all deaths. Conclusions: This dataset documents individual deaths across Africa and Asia in a standardised way, and on an unprecedented scale. While INDEPTH sites are not constructed to constitute a representative sample, and VA may not be the ideal method of determining cause of death, nevertheless these findings represent detailed mortality patterns for parts of the world that are severely under-served in terms of measuring mortality. Further papers explore details of mortality patterns among children and specifically for NCDs, external causes, pregnancy-related mortality, malaria, and HIV/AIDS. Comparisons will also be made where possible with other findings on mortality in the same regions. Findings presented here and in accompanying papers support the need for continued work towards much wider implementation of universal civil registration of deaths by cause on a worldwide basis.

【 授权许可】

Unknown