Child, maternal, and adult mortality in rural Ethiopia in 2019: a cross-sectional mortality survey using electronic verbal autopsies

被引:2
作者
Mekonnen, Wubegzier [1 ]
Mariam, Damen Haile [1 ]
Meh, Catherine [2 ,3 ]
Yigezu, Biratu [4 ]
Assalif, Anteneh T. [2 ,3 ]
Aimone, Ashley [2 ,3 ]
Atnafu, Solomon [5 ]
Ahmed, Hayat [6 ]
Asnake, Wubetsh [7 ]
Jha, Prabhat [2 ,3 ]
机构
[1] Addis Ababa Univ, Coll Hlth Sci, Sch Publ Hlth, Addis Ababa, Ethiopia
[2] Univ Toronto, Unity Hlth Toronto, Ctr Global Hlth Res, Toronto, ON, Canada
[3] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada
[4] Cent Stat Agcy, Addis Ababa, Ethiopia
[5] Addis Ababa Univ, Coll Nat & Computat Sci, Dept Comp Sci, Addis Ababa, Ethiopia
[6] Addis Ababa Univ, Coll Hlth Sci, Sch Med, Addis Ababa, Ethiopia
[7] Ethiopian Publ Hlth Assoc, Addis Ababa, Ethiopia
基金
加拿大健康研究院;
关键词
Ethiopia; Rural; Mortality; Causes of death; Electronic verbal autopsies;
D O I
10.1016/j.eclinm.2024.102573
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background Ethiopia, with about 10% of Africa ' s population, has little direct information on causes of death, particularly in rural areas where 80% of Ethiopians live. In 2019 - 2020, we conducted electronic verbal autopsies (eVA) to examine causes of death and quantify cause-speci fi c mortality rates in rural Ethiopia. Methods We examined deaths under 70 years in the three years prior to the survey dates (November 25, 2019 - February 29, 2020) among 2% of East Gojjam Zone (Amhara Region) using registered deaths and adding random sampling in this cross-sectional study. Trained surveyors interviewed relatives of the deceased with central dual-physician assignment of causes as the main outcome. We documented details on age, sex and location of death, and derived overall rural death rates using 2007 Census data and the United Nations national estimates for 2019. To these, we applied our sample-weighted causes to derive cause-speci fi c mortality rates. We calculated death risks for the leading causes for major age groups. Findings We studied 3516 deaths: 55% male, 97% rural, and 68% occurring at home. At ages 5 and older, injuries were notable, accounting for over a third of deaths at 5 - 14 years, half of the deaths at ages 15 - 29 years, and a quarter of deaths at ages 30 - 69 years. Neonatal mortality was high, mostly from prematurity/low birthweight and infections. Among children under 5 (excluding neonates), infections caused nearly two-thirds of deaths. Most maternal deaths (84%) arose from direct causes. After injuries, especially suicide, assaults, and road traf fi c accidents, vascular disease (15%) and cancer (13%) were the leading causes among adults at 30 - 69 years. HIV/AIDS and tuberculosis deaths were also important causes among adults. Interpretation Rural Ethiopia has a high burden of avoidable mortality, particularly injury, including suicide, assaults, and road traffic accidents.
引用
收藏
页数:10
相关论文
共 37 条
  • [1] The burden of injuries in Ethiopia from 1990-2017: evidence from the global burden of disease study
    Ali, Solomon
    Destaw, Zelalem
    Misganaw, Awoke
    Worku, Asnake
    Negash, Legesse
    Bekele, Abebe
    Zergaw, Ababi
    Walker, Ally
    Odell, Chris
    Naghavi, Mohsen
    Abate, Ebba
    Mirkuzie, Alemnesh H.
    [J]. INJURY EPIDEMIOLOGY, 2020, 7 (01)
  • [2] [Anonymous], 2016, Verbal autopsy standards: the 2016 WHO verbal autopsy instrument
  • [3] [Anonymous], 1993, The ICD-10 classification of mental and behavioural disorders: diagnostic criteria for research, DOI DOI 10.1177/14664240931130021627
  • [4] [Anonymous], 2016, Ethiopia Demographic and Health Survey 2016 Final Report
  • [5] Injury related adult deaths in Addis Ababa, Ethiopia: analysis of data from verbal autopsy
    Anteneh, Aderaw
    Endris, Bilal Shikur
    [J]. BMC PUBLIC HEALTH, 2020, 20 (01)
  • [6] Bekry A., 1999, Ethiop J Health Dev, V13, P247
  • [7] National, regional, and worldwide estimates of stillbirth rates in 2015, with trends from 2000: a systematic analysis
    Blencowe, Hannah
    Cousens, Simon
    Jassir, Fiorella Bianchi
    Say, Lale
    Chou, Doris
    Mathers, Colin
    Hogan, Dan
    Shiekh, Suhail
    Qureshi, Zeshan U.
    You, Danzhen
    Lawn, Joy E.
    [J]. LANCET GLOBAL HEALTH, 2016, 4 (02): : E98 - E108
  • [8] Child, maternal, and adult mortality in Sierra Leone: nationally representative mortality survey 2018-20
    Carshon-Marsh, Ronald
    Aimone, Ashley
    Ansumana, Rashid
    Swaray, Ibrahim Bob
    Assalif, Anteneh
    Musa, Alimatu
    Meh, Catherine
    Smart, Francis
    Fu, Sze Hang
    Newcombe, Leslie
    Kamadod, Rajeev
    Saikia, Nandita
    Gelband, Hellen
    Jambai, Amara
    Jha, Prabhat
    [J]. LANCET GLOBAL HEALTH, 2022, 10 (01): : E114 - E123
  • [9] Central Statistical Agency, 2007, Statistical report Amhara region
  • [10] Centre of Excellence for CRVS Systems, 2019, Snapshot of civil registration and vital statistics systems of Ethiopia. Civil Registration and Vital Statistics Systems