Mortality measurement in transition: proof of principle for standardised multi-country comparisons
Open Access
- 4 August 2010
- journal article
- research article
- Published by Wiley in Tropical Medicine & International Health
- Vol. 15 (10), 1256-1265
- https://doi.org/10.1111/j.1365-3156.2010.02601.x
Abstract
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.Keywords
This publication has 39 references indexed in Scilit:
- Assessing the repeatability of verbal autopsy for determining cause of death: two case studies among women of reproductive age in Burkina Faso and IndonesiaPopulation Health Metrics, 2009
- Implications of mortality transition for primary health care in rural South Africa: a population-based surveillance studyThe Lancet, 2008
- Validation of the Symptom Pattern Method for Analyzing Verbal Autopsy DataPLoS Medicine, 2007
- Research into health, population and social transitions in rural South Africa: Data and methods of the Agincourt Health and Demographic Surveillance System1Scandinavian Journal of Public Health, 2007
- Association between body mass index and blood pressure across three populations in Africa and AsiaJournal of Human Hypertension, 2006
- Creating and Validating an Algorithm to Measure AIDS Mortality in the Adult Population using Verbal AutopsyPLoS Medicine, 2006
- Core Verbal Autopsy Procedures with Comparative Validation Results from Two CountriesPLoS Medicine, 2006
- The InterVA model: verbal autopsy interpretation in rural EthiopiaBulletin of the World Health Organization, 2006
- Verbal autopsyPublished by WHO Press ,2006
- Application of the verbal autopsy during a clinical trialSocial Science & Medicine, 1990