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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Mortality measurement in transition: Proof of principle for standardised multi-country comparisons
Tropical Medicine and International Health, Volume 15, No. 10, Year 2010
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Description
OBJECTIVE: To demonstrate the viability and value of comparing cause-specific mortality across four socioeconomically and culturally diverse settings using a completely standardised approach to VA interpretation. METHODS: Deaths occurring between 1999 and 2004 in Butajira (Ethiopia), Agincourt (South Africa), FilaBavi (Vietnam) and Purworejo (Indonesia) health and socio-demographic surveillance sites were identified. VA interviews were successfully conducted with the caregivers of the deceased to elicit information on signs and symptoms preceding death. The information gathered was interpreted using the InterVA method to derive population cause-specific mortality fractions for each of the four settings. RESULTS: The mortality profiles derived from 4784 deaths using InterVA illustrate the potential of the method to characterise sub-national profiles well. The derived mortality patterns illustrate four populations with plausible, markedly different disease profiles, apparently at different stages of health transition. CONCLUSIONS: Given the standardised method of VA interpretation, the observed differences in mortality cannot be because of local differences in assigning cause of death. Standardised, fit-for-purpose methods are needed to measure population health and changes in mortality patterns so that appropriate health policy and programmes can be designed, implemented and evaluated over time and place. The InterVA approach overcomes several longstanding limitations of existing methods and represents a valuable tool for health planners and researchers in resource-poor settings. © 2010 Blackwell Publishing Ltd.
Authors & Co-Authors
Fottrell, Edward F.
Sweden, Umea
Umeå Universitet
Kahn, Kathleen
Sweden, Umea
Umeå Universitet
South Africa, Johannesburg
University of the Witwatersrand
Ng, Nawi
Sweden, Umea
Umeå Universitet
Indonesia, Yogyakarta
Universitas Gadjah Mada
Sartorius, Benn
South Africa, Johannesburg
University of the Witwatersrand
Huong, Dao Lan
Viet Nam, Hanoi
Filabavi Demographic Surveillance Site
van Minh, Hoang V.
Viet Nam, Hanoi
Filabavi Demographic Surveillance Site
Fantahun, Mesganaw A.
Ethiopia, Addis Ababa
Addis Ababa University
Byass, P.
Sweden, Umea
Umeå Universitet
Statistics
Citations: 8
Authors: 8
Affiliations: 5
Identifiers
Doi:
10.1111/j.1365-3156.2010.02601.x
ISSN:
13602276
e-ISSN:
13653156
Research Areas
Health System And Policy
Study Design
Cross Sectional Study
Study Locations
Ethiopia
South Africa