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Title Mortality transition over a quarter century in rural South Africa: findings from population surveillance in Agincourt 1993-2018
Full text http://hdl.handle.net/1885/300244; https://openresearch-repository.anu.edu.au/bitstream/1885/300244/3/Mortality%20transition%20over%20a%20quarter%20century%20in%20rural%20South%20Africa%20%20findings%20from%20population%20surveillance%20in%20Agincourt%201993-2018.pdf.jpg
Date 2021
Author(s) Kabudula, Chodziwadziwa; Houle, Brian; Ohene-Kwofie, Daniel; Mahlangua, Daniel; Ng, Nawi; Minh, Hoang Van; Gómez-Olivé, Francesc; Tollman, Stephen M.; Kahn, Kathleen
Abstract Background: Mortality burden in South Africa since the mid-1990s has been characterized by a quadruple disease burden: HIV/AIDS and tuberculosis (TB); other communicable diseases (excluding HIV/AIDS and TB), maternal causes, perinatal conditions and nutritional deficiencies; non-communicable diseases (NCDs); and injuries. Causes from these broad groupings have persistently constituted the top 10 causes of death. However, proportions and rankings have varied over time, alongside overall mortality levels. Objective: To provide evidence on the contributions of age and cause-of-death to changes in mortality levels in a rural South African population over a quarter century (1993'2018). Methods: Using mortality and cause-of-death data from the Agincourt Health and SocioDemographic Surveillance System (HDSS), we derive estimates of the distribution of deaths by cause, and hazards of death by age, sex, and time period, 1993'2018. We derive estimates of life expectancies at birth and years of life expectancy gained at age 15 if most common causes of death were deleted. We compare mortality indicators and cause-of-death trends from the Agincourt HDSS with South African national indicators generated from publicly available datasets. Results: Mortality and cause-of-death transition reveals that overall mortality levels have returned to pre-HIV epidemic levels. In recent years, the concentration of mortality has shifted towards older ages, and the mortality burden from cardiovascular diseases and other chronic NCDs are more prominent as people living with HIV/AIDS access ART and live longer. Changes in life expectancy at birth, distribution of deaths by age, and major cause-of-death categories in the Agincourt population follow a similar pattern to the South African population. Conclusion: The Agincourt HDSS provides critical information about general mortality, causeof-death, and age patterns in rural South Africa. Realigning and strengthening the South African public health and healthcare systems is needed to concurrently cater for the prevention, control, and treatment of multiple disease conditions. - The ongoing Agincourt Health and socio-Demographic Surveillance System has been enabled with funding from the South African Department of Science and Innovation through the South African Population Research Infrastructure Network (SAPRIN) which is hosted by the South African Medical Research Council; the South African Medical Research Council; the University of the Witwatersrand, and previously the Wellcome Trust, UK (grants 058893/Z/99/A, 069683/Z/02/Z, 085477/Z/08/Z, and 085477/B/08/Z)
Subject(s) South Africa; mortality; verbal autopsy; non- communicable diseases (NCDs); health and socio-demographic surveillance system (HDSS)
Language en_AU
Publisher Co-Action Publishing
Type of publication Journal article
Format application/pdf
Source Global Health Action
Rights © 2022 The authors; http://creativecommons.org/licenses/by/4.0/; Creative Commons Attribution licence
Identifier 1654-9716; 10.1080/16549716.2021.1990507
Repository Canberra - Australian National University
Added to C-A: 2023-09-27;15:53:58