Cause-specific mortality rates in sub-Saharan Africa and Bangladesh

Martin Adjuik, Tom Smith, Sam Clark, Jim Todd, Anu Garrib, Yohannes Kinfu, Kathy Kahn, Mitiki Mola, Ali Ashraf, Honorati Masanja, Ubaje Adazu, Jahit Sacarlal, Nurul Alam, Adama Marra, Adjima Gbangou, Eleuther Mwageni, Fred Binka

Research output: Contribution to journalArticle

113 Citations (Scopus)

Abstract

Objective: To provide internationally comparable data on the frequencies of different causes of death. Methods: We analysed verbal autopsies obtained during 1999-2002 from 12 demographic surveillance sites in sub-Saharan Africa and Bangladesh to find cause-specific and age-specific mortality rates. The cause-of-death codes used by the sites were harmonized to conform to the ICD-10 system, and summarized with the classification system of the Global Burden of Disease 2000 (Version 2). Findings: Causes of death in the African sites differ strongly from those in Bangladesh, where there is some evidence of a health transition from communicable to noncommunicable diseases, and little malaria. HIV dominates in causes of mortality in the South African sites, which contrast with those in highly malaria endemic sites elsewhere in sub-Saharan Africa (even in neighbouring Mozambique). The contributions of measles and diarrhoeal diseases to mortality in sub-Saharan Africa are lower than has been previously suggested, while malaria is of relatively greater importance. Conclusion: The different patterns of mortality we identified may be a result of recent changes in the availability and effectiveness of health interventions against childhood cluster diseases.

Original languageEnglish
Pages (from-to)181-192
Number of pages12
JournalBulletin of the World Health Organization
Volume84
Issue number3
DOIs
Publication statusPublished - Mar 2006
Externally publishedYes

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Bangladesh
Africa South of the Sahara
Malaria
Cause of Death
Mortality
Health Transition
Mozambique
Measles
International Classification of Diseases
Cerebral Palsy
Autopsy
Demography
HIV
Health

Cite this

Adjuik, Martin ; Smith, Tom ; Clark, Sam ; Todd, Jim ; Garrib, Anu ; Kinfu, Yohannes ; Kahn, Kathy ; Mola, Mitiki ; Ashraf, Ali ; Masanja, Honorati ; Adazu, Ubaje ; Sacarlal, Jahit ; Alam, Nurul ; Marra, Adama ; Gbangou, Adjima ; Mwageni, Eleuther ; Binka, Fred. / Cause-specific mortality rates in sub-Saharan Africa and Bangladesh. In: Bulletin of the World Health Organization. 2006 ; Vol. 84, No. 3. pp. 181-192.
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Adjuik, M, Smith, T, Clark, S, Todd, J, Garrib, A, Kinfu, Y, Kahn, K, Mola, M, Ashraf, A, Masanja, H, Adazu, U, Sacarlal, J, Alam, N, Marra, A, Gbangou, A, Mwageni, E & Binka, F 2006, 'Cause-specific mortality rates in sub-Saharan Africa and Bangladesh', Bulletin of the World Health Organization, vol. 84, no. 3, pp. 181-192. https://doi.org/10.2471/BLT.05.026492

Cause-specific mortality rates in sub-Saharan Africa and Bangladesh. / Adjuik, Martin; Smith, Tom; Clark, Sam; Todd, Jim; Garrib, Anu; Kinfu, Yohannes; Kahn, Kathy; Mola, Mitiki; Ashraf, Ali; Masanja, Honorati; Adazu, Ubaje; Sacarlal, Jahit; Alam, Nurul; Marra, Adama; Gbangou, Adjima; Mwageni, Eleuther; Binka, Fred.

In: Bulletin of the World Health Organization, Vol. 84, No. 3, 03.2006, p. 181-192.

Research output: Contribution to journalArticle

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T1 - Cause-specific mortality rates in sub-Saharan Africa and Bangladesh

AU - Adjuik, Martin

AU - Smith, Tom

AU - Clark, Sam

AU - Todd, Jim

AU - Garrib, Anu

AU - Kinfu, Yohannes

AU - Kahn, Kathy

AU - Mola, Mitiki

AU - Ashraf, Ali

AU - Masanja, Honorati

AU - Adazu, Ubaje

AU - Sacarlal, Jahit

AU - Alam, Nurul

AU - Marra, Adama

AU - Gbangou, Adjima

AU - Mwageni, Eleuther

AU - Binka, Fred

PY - 2006/3

Y1 - 2006/3

N2 - Objective: To provide internationally comparable data on the frequencies of different causes of death. Methods: We analysed verbal autopsies obtained during 1999-2002 from 12 demographic surveillance sites in sub-Saharan Africa and Bangladesh to find cause-specific and age-specific mortality rates. The cause-of-death codes used by the sites were harmonized to conform to the ICD-10 system, and summarized with the classification system of the Global Burden of Disease 2000 (Version 2). Findings: Causes of death in the African sites differ strongly from those in Bangladesh, where there is some evidence of a health transition from communicable to noncommunicable diseases, and little malaria. HIV dominates in causes of mortality in the South African sites, which contrast with those in highly malaria endemic sites elsewhere in sub-Saharan Africa (even in neighbouring Mozambique). The contributions of measles and diarrhoeal diseases to mortality in sub-Saharan Africa are lower than has been previously suggested, while malaria is of relatively greater importance. Conclusion: The different patterns of mortality we identified may be a result of recent changes in the availability and effectiveness of health interventions against childhood cluster diseases.

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