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Title Main causes of death in Dande, Angola: results from Verbal Autopsies of deaths occurring during 2009'2012
Full text http://dx.doi.org/10.1186/s12889-016-3365-6; http://hdl.handle.net/1885/107132
Date 2016
Author(s) Rosário, Edite V N; Costa, Diogo; Timóteo, Luís; Rodrigues, Ana A; Varanda, Jorge; Nery, Susana V; Brito, Miguel
Abstract BACKGROUND: The Dande Health and Demographic Surveillance System (HDSS) located in Bengo Province, Angola, covers nearly 65,500 residents living in approximately 19,800 households. This study aims to describe the main causes of deaths (CoD) occurred within the HDSS, from 2009 to 2012, and to explore associations between demographic or socioeconomic factors and broad mortality groups (Group I'Communicable diseases, maternal, perinatal and nutritional conditions; Group II'Non-communicable diseases; Group III'Injuries; IND'Indeterminate). METHODS: Verbal Autopsies (VA) were performed after death identification during routine HDSS visits. Associations between broad groups of CoD and sex, age, education, socioeconomic position, place of residence and place of death, were explored using chi-square tests and fitting logistic regression models. RESULTS: From a total of 1488 deaths registered, 1009 verbal autopsies were performed and 798 of these were assigned a CoD based on the 10th revision of the International Classification of Diseases (ICD-10). Mortality was led by CD (61.0%), followed by IND (18.3%), NCD (11.6%) and INJ (9.1%). Intestinal infectious diseases, malnutrition and acute respiratory infections were the main contributors to under-five mortality (44.2%). Malaria was the most common CoD among children under 15years old (38.6%). Tuberculosis, traffic accidents and malaria led the CoD among adults aged 15'49 (13.5%, 10.5% and 8.0% respectively). Among adults aged 50 or more, diseases of the circulatory system (23.2%) were the major CoD, followed by tuberculosis (8.2%) and malaria (7.7%). CD were more frequent CoD among less educated people (adjusted odds ratio, 95% confidence interval for none vs. 5 or more years of school: 1.68, 1.04'2.72). CONCLUSION: Infectious diseases were the leading CoD in this region. Verbal autopsies proved useful to identify the main CoD, being an important tool in settings where vital statistics are scarce and death registration systems have limitations. - This work was funded by the promoters of the CISA: Camões'Institute for Cooperation and Language, Calouste Gulbenkian Foundation, Bengo Provincial Government and the Ministry of Health of Angola
Subject(s) Verbal Autopsy; Angola; Health and demographic surveillance system; Causes of death
Language en
Publisher BioMed Central
Type of publication Journal article
Format 15 pages
Source BMC Public Health
Rights © 2016 The Author(s). Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.; The Author(s).
Identifier BMC Public Health. 2016 Aug 04;16(1):719; 1471-2458; 10.1186/s12889-016-3365-6
Repository Canberra - Australian National University
Added to C-A: 2020-10-22;08:04:07