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

Streatfield, P. Kim and Khan, Wasif A. and Bhuiya, Abbas and Alam, Nurul and Sié, Ali and Soura, Abdramane B. and Bonfoh, Bassirou and Ngoran, Eliezer K. and Weldearegawi, Berhe and Jasseh, Momodou and Oduro, Abraham and Gyapong, Margaret and Kant, Shashi and Juvekar, Sanjay and Wilopo, Siswanto and Williams, Thomas N. and Odhiambo, Frank O. and Beguy, Donatien and Ezeh, Alex and Kyobutungi, Catherine and Crampin, Amelia and Delaunay, Valérie and Tollman, Stephen M. and Herbst, Kobus and Chuc, Nguyen T. K. and Sankoh, Osman A. and Tanner, Marcel and Byass, Peter. (2014) Cause-specific mortality in Africa and Asia : evidence from INDEPTH health and demographic surveillance system sites. Global health action, Vol. 7 , 25362.

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Official URL: http://edoc.unibas.ch/dok/A6319291

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Abstract

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.; 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.; 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.; 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.; 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.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
03 Faculty of Medicine > Departement Public Health > Sozial- und Präventivmedizin > Malaria Vaccines (Tanner)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Health Interventions > Malaria Vaccines (Tanner)
UniBasel Contributors:Tanner, Marcel
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:Co-Action Publishing]
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:04 Sep 2015 14:32
Deposited On:09 Jan 2015 09:24

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