Adult non-communicable disease mortality in Africa and Asia: Evidence from INDEPTH Health and Demographic Surveillance System sites

P. Kim Streatfield; Wasif A. Khan; Abbas Bhuiya; Syed M.A. Hanifi; Nurul Alam; Cheik H. Bagagnan; Ali Sié; Pascal Zabré; Bruno Lankoandé; Clementine Rossier; Abdramane B. Soura; Bassirou Bonfoh; Siaka Kone; Eliezer K. Ngoran; Juerg Utzinger; Fisaha Haile; Yohannes A. Melaku; Berhe Weldearegawi; Pierre Gomez; Momodou Jasseh; Patrick Ansah; Cornelius Debpuur; Abraham Oduro; George Wak; Alexander Adjei; Margaret Gyapong; Doris Sarpong; Shashi Kant; Puneet Misra; Sanjay K. Rai; Sanjay Juvekar; Pallavi Lele; Evasius Bauni; George Mochamah; Carolyne Ndila; Thomas N. Williams; Kayla F. Laserson; Amek Nyaguara; Frank O. Odhiambo; Penelope Phillips-Howard; Alex Ezeh; Catherine Kyobutungi; Samuel Oti; Amelia Crampin; Moffat Nyirenda; Alison Price; Valérie Delaunay; Aldiouma Diallo; Laetitia Douillot; Cheikh Sokhna; F. Xavier Gómez-Olivé; Kathleen Kahn; Stephen M. Tollman; Kobus Herbst; Joël Mossong; Nguyen T.K. Chuc; Martin Bangha; Osman A. Sankoh; Peter Byass

doi:10.3402/gha.v7.25365

Adult non-communicable disease mortality in Africa and Asia: Evidence from INDEPTH Health and Demographic Surveillance System sites

P. Kim Streatfield, Wasif A. Khan, Abbas Bhuiya, Syed M.A. Hanifi, Nurul Alam, Cheik H. Bagagnan, Ali Sié, Pascal Zabré, Bruno Lankoandé, Clementine Rossier, Abdramane B. Soura, Bassirou Bonfoh, Siaka Kone, Eliezer K. Ngoran, Juerg Utzinger, Fisaha Haile, Yohannes A. Melaku, Berhe Weldearegawi, Pierre Gomez, Momodou JassehPatrick Ansah, Cornelius Debpuur, Abraham Oduro, George Wak, Alexander Adjei, Margaret Gyapong, Doris Sarpong, Shashi Kant, Puneet Misra, Sanjay K. Rai, Sanjay Juvekar, Pallavi Lele, Evasius Bauni, George Mochamah, Carolyne Ndila, Thomas N. Williams, Kayla F. Laserson, Amek Nyaguara, Frank O. Odhiambo, Penelope Phillips-Howard, Alex Ezeh, Catherine Kyobutungi, Samuel Oti, Amelia Crampin, Moffat Nyirenda, Alison Price, Valérie Delaunay, Aldiouma Diallo, Laetitia Douillot, Cheikh Sokhna, F. Xavier Gómez-Olivé, Kathleen Kahn, Stephen M. Tollman, Kobus Herbst, Joël Mossong, Nguyen T.K. Chuc, Martin Bangha, Osman A. Sankoh, Peter Byass

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Abstract

BACKGROUND: Mortality from non-communicable diseases (NCDs) is a major global issue, as other categories of mortality have diminished and life expectancy has increased. The World Health Organization's Member States have called for a 25% reduction in premature NCD mortality by 2025, which can only be achieved by substantial reductions in risk factors and improvements in the management of chronic conditions. A high burden of NCD mortality among much older people, who have survived other hazards, is inevitable. The INDEPTH Network collects detailed individual data within defined Health and Demographic Surveillance sites. By registering deaths and carrying out verbal autopsies to determine cause of death across many such sites, using standardised methods, the Network seeks to generate population-based mortality statistics that are not otherwise available.

OBJECTIVE: To describe patterns of adult NCD mortality from INDEPTH Network sites across Africa and Asia, according to the WHO 2012 verbal autopsy (VA) cause categories, with separate consideration of premature (15-64 years) and older (65+ years) NCD mortality.

RESULTS: A total of 80,726 adult (over 15 years) deaths were documented over 7,423,497 person-years of observation. NCDs were attributed as the cause for 35.6% of these deaths. Slightly less than half of adult NCD deaths occurred in the 15-64 age group. Detailed results are presented by age and sex for leading causes of NCD mortality. Per-site rates of NCD mortality were significantly correlated with rates of HIV/AIDS-related mortality.

DESIGN: All adult deaths at INDEPTH sites are routinely registered and followed up with VA interviews. For this study, VA archives were transformed into the WHO 2012 VA standard format and processed using the InterVA-4 model to assign cause of death. Routine surveillance data also provide person-time denominators for mortality rates.

CONCLUSIONS: These findings present important evidence on the distribution of NCD mortality across a wide range of African and Asian settings. This comes against a background of global concern about the burden of NCD mortality, especially among adults aged under 70, and provides an important baseline for future work.

Original language	English
Article number	25365
Pages (from-to)	25365
Number of pages	1
Journal	Global Health Action
Volume	7
Issue number	1
DOIs	https://doi.org/10.3402/gha.v7.25365
Publication status	Published - 1 Jan 2014
Externally published	Yes

Bibliographical note

This is an Open Access article distributed under the terms of the Creative Commons CC-BY 4.0 License (http://creativecommons.org/licenses/by/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.

Keywords

Adults
Africa
Asia
Indepth network
InterVA
Mortality
Non-communicable disease
Verbal autopsy
adults
non-communicable disease
INDEPTH Network
verbal autopsy
mortality

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.3402/gha.v7.25365Licence: CC BY

Streatfield_Adult_P2014Final published version, 1.6 MBLicence: CC BY

Cite this

Kim Streatfield, P., Khan, W. A., Bhuiya, A., Hanifi, S. M. A., Alam, N., Bagagnan, C. H., Sié, A., Zabré, P., Lankoandé, B., Rossier, C., Soura, A. B., Bonfoh, B., Kone, S., Ngoran, E. K., Utzinger, J., Haile, F., Melaku, Y. A., Weldearegawi, B., Gomez, P., ... Byass, P. (2014). Adult non-communicable disease mortality in Africa and Asia: Evidence from INDEPTH Health and Demographic Surveillance System sites. Global Health Action, 7(1), 25365. Article 25365. https://doi.org/10.3402/gha.v7.25365

@article{987c08a57480411e856231373b3e9f8c,

title = "Adult non-communicable disease mortality in Africa and Asia: Evidence from INDEPTH Health and Demographic Surveillance System sites",

abstract = "BACKGROUND: Mortality from non-communicable diseases (NCDs) is a major global issue, as other categories of mortality have diminished and life expectancy has increased. The World Health Organization's Member States have called for a 25% reduction in premature NCD mortality by 2025, which can only be achieved by substantial reductions in risk factors and improvements in the management of chronic conditions. A high burden of NCD mortality among much older people, who have survived other hazards, is inevitable. The INDEPTH Network collects detailed individual data within defined Health and Demographic Surveillance sites. By registering deaths and carrying out verbal autopsies to determine cause of death across many such sites, using standardised methods, the Network seeks to generate population-based mortality statistics that are not otherwise available.OBJECTIVE: To describe patterns of adult NCD mortality from INDEPTH Network sites across Africa and Asia, according to the WHO 2012 verbal autopsy (VA) cause categories, with separate consideration of premature (15-64 years) and older (65+ years) NCD mortality.RESULTS: A total of 80,726 adult (over 15 years) deaths were documented over 7,423,497 person-years of observation. NCDs were attributed as the cause for 35.6% of these deaths. Slightly less than half of adult NCD deaths occurred in the 15-64 age group. Detailed results are presented by age and sex for leading causes of NCD mortality. Per-site rates of NCD mortality were significantly correlated with rates of HIV/AIDS-related mortality.DESIGN: All adult deaths at INDEPTH sites are routinely registered and followed up with VA interviews. For this study, VA archives were transformed into the WHO 2012 VA standard format and processed using the InterVA-4 model to assign cause of death. Routine surveillance data also provide person-time denominators for mortality rates.CONCLUSIONS: These findings present important evidence on the distribution of NCD mortality across a wide range of African and Asian settings. This comes against a background of global concern about the burden of NCD mortality, especially among adults aged under 70, and provides an important baseline for future work.",

keywords = "Adults, Africa, Asia, Indepth network, InterVA, Mortality, Non-communicable disease, Verbal autopsy, adults, non-communicable disease, INDEPTH Network, verbal autopsy, mortality",

author = "{Kim Streatfield}, P. and Khan, {Wasif A.} and Abbas Bhuiya and Hanifi, {Syed M.A.} and Nurul Alam and Bagagnan, {Cheik H.} and Ali Si{\'e} and Pascal Zabr{\'e} and Bruno Lankoand{\'e} and Clementine Rossier and Soura, {Abdramane B.} and Bassirou Bonfoh and Siaka Kone and Ngoran, {Eliezer K.} and Juerg Utzinger and Fisaha Haile and Melaku, {Yohannes A.} and Berhe Weldearegawi and Pierre Gomez and Momodou Jasseh and Patrick Ansah and Cornelius Debpuur and Abraham Oduro and George Wak and Alexander Adjei and Margaret Gyapong and Doris Sarpong and Shashi Kant and Puneet Misra and Rai, {Sanjay K.} and Sanjay Juvekar and Pallavi Lele and Evasius Bauni and George Mochamah and Carolyne Ndila and Williams, {Thomas N.} and Laserson, {Kayla F.} and Amek Nyaguara and Odhiambo, {Frank O.} and Penelope Phillips-Howard and Alex Ezeh and Catherine Kyobutungi and Samuel Oti and Amelia Crampin and Moffat Nyirenda and Alison Price and Val{\'e}rie Delaunay and Aldiouma Diallo and Laetitia Douillot and Cheikh Sokhna and {Xavier G{\'o}mez-Oliv{\'e}}, F. and Kathleen Kahn and Tollman, {Stephen M.} and Kobus Herbst and Jo{\"e}l Mossong and Chuc, {Nguyen T.K.} and Martin Bangha and Sankoh, {Osman A.} and Peter Byass",

note = "This is an Open Access article distributed under the terms of the Creative Commons CC-BY 4.0 License (http://creativecommons.org/licenses/by/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.",

year = "2014",

month = jan,

day = "1",

doi = "10.3402/gha.v7.25365",

language = "English",

volume = "7",

pages = "25365",

journal = "Global Health Action",

issn = "1654-9880",

publisher = "Co-action Publishing",

number = "1",

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Kim Streatfield, P, Khan, WA, Bhuiya, A, Hanifi, SMA, Alam, N, Bagagnan, CH, Sié, A, Zabré, P, Lankoandé, B, Rossier, C, Soura, AB, Bonfoh, B, Kone, S, Ngoran, EK, Utzinger, J, Haile, F, Melaku, YA, Weldearegawi, B, Gomez, P, Jasseh, M, Ansah, P, Debpuur, C, Oduro, A, Wak, G, Adjei, A, Gyapong, M, Sarpong, D, Kant, S, Misra, P, Rai, SK, Juvekar, S, Lele, P, Bauni, E, Mochamah, G, Ndila, C, Williams, TN, Laserson, KF, Nyaguara, A, Odhiambo, FO, Phillips-Howard, P, Ezeh, A, Kyobutungi, C, Oti, S, Crampin, A, Nyirenda, M, Price, A, Delaunay, V, Diallo, A, Douillot, L, Sokhna, C, Xavier Gómez-Olivé, F, Kahn, K, Tollman, SM, Herbst, K, Mossong, J, Chuc, NTK, Bangha, M, Sankoh, OA & Byass, P 2014, 'Adult non-communicable disease mortality in Africa and Asia: Evidence from INDEPTH Health and Demographic Surveillance System sites', Global Health Action, vol. 7, no. 1, 25365, pp. 25365. https://doi.org/10.3402/gha.v7.25365

TY - JOUR

T1 - Adult non-communicable disease mortality in Africa and Asia

T2 - Evidence from INDEPTH Health and Demographic Surveillance System sites

AU - Kim Streatfield, P.

AU - Khan, Wasif A.

AU - Bhuiya, Abbas

AU - Hanifi, Syed M.A.

AU - Alam, Nurul

AU - Bagagnan, Cheik H.

AU - Sié, Ali

AU - Zabré, Pascal

AU - Lankoandé, Bruno

AU - Rossier, Clementine

AU - Soura, Abdramane B.

AU - Bonfoh, Bassirou

AU - Kone, Siaka

AU - Ngoran, Eliezer K.

AU - Utzinger, Juerg

AU - Haile, Fisaha

AU - Melaku, Yohannes A.

AU - Weldearegawi, Berhe

AU - Gomez, Pierre

AU - Jasseh, Momodou

AU - Ansah, Patrick

AU - Debpuur, Cornelius

AU - Oduro, Abraham

AU - Wak, George

AU - Adjei, Alexander

AU - Gyapong, Margaret

AU - Sarpong, Doris

AU - Kant, Shashi

AU - Misra, Puneet

AU - Rai, Sanjay K.

AU - Juvekar, Sanjay

AU - Lele, Pallavi

AU - Bauni, Evasius

AU - Mochamah, George

AU - Ndila, Carolyne

AU - Williams, Thomas N.

AU - Laserson, Kayla F.

AU - Nyaguara, Amek

AU - Odhiambo, Frank O.

AU - Phillips-Howard, Penelope

AU - Ezeh, Alex

AU - Kyobutungi, Catherine

AU - Oti, Samuel

AU - Crampin, Amelia

AU - Nyirenda, Moffat

AU - Price, Alison

AU - Delaunay, Valérie

AU - Diallo, Aldiouma

AU - Douillot, Laetitia

AU - Sokhna, Cheikh

AU - Xavier Gómez-Olivé, F.

AU - Kahn, Kathleen

AU - Tollman, Stephen M.

AU - Herbst, Kobus

AU - Mossong, Joël

AU - Chuc, Nguyen T.K.

AU - Bangha, Martin

AU - Sankoh, Osman A.

AU - Byass, Peter

N1 - This is an Open Access article distributed under the terms of the Creative Commons CC-BY 4.0 License (http://creativecommons.org/licenses/by/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.

PY - 2014/1/1

Y1 - 2014/1/1

N2 - BACKGROUND: Mortality from non-communicable diseases (NCDs) is a major global issue, as other categories of mortality have diminished and life expectancy has increased. The World Health Organization's Member States have called for a 25% reduction in premature NCD mortality by 2025, which can only be achieved by substantial reductions in risk factors and improvements in the management of chronic conditions. A high burden of NCD mortality among much older people, who have survived other hazards, is inevitable. The INDEPTH Network collects detailed individual data within defined Health and Demographic Surveillance sites. By registering deaths and carrying out verbal autopsies to determine cause of death across many such sites, using standardised methods, the Network seeks to generate population-based mortality statistics that are not otherwise available.OBJECTIVE: To describe patterns of adult NCD mortality from INDEPTH Network sites across Africa and Asia, according to the WHO 2012 verbal autopsy (VA) cause categories, with separate consideration of premature (15-64 years) and older (65+ years) NCD mortality.RESULTS: A total of 80,726 adult (over 15 years) deaths were documented over 7,423,497 person-years of observation. NCDs were attributed as the cause for 35.6% of these deaths. Slightly less than half of adult NCD deaths occurred in the 15-64 age group. Detailed results are presented by age and sex for leading causes of NCD mortality. Per-site rates of NCD mortality were significantly correlated with rates of HIV/AIDS-related mortality.DESIGN: All adult deaths at INDEPTH sites are routinely registered and followed up with VA interviews. For this study, VA archives were transformed into the WHO 2012 VA standard format and processed using the InterVA-4 model to assign cause of death. Routine surveillance data also provide person-time denominators for mortality rates.CONCLUSIONS: These findings present important evidence on the distribution of NCD mortality across a wide range of African and Asian settings. This comes against a background of global concern about the burden of NCD mortality, especially among adults aged under 70, and provides an important baseline for future work.

AB - BACKGROUND: Mortality from non-communicable diseases (NCDs) is a major global issue, as other categories of mortality have diminished and life expectancy has increased. The World Health Organization's Member States have called for a 25% reduction in premature NCD mortality by 2025, which can only be achieved by substantial reductions in risk factors and improvements in the management of chronic conditions. A high burden of NCD mortality among much older people, who have survived other hazards, is inevitable. The INDEPTH Network collects detailed individual data within defined Health and Demographic Surveillance sites. By registering deaths and carrying out verbal autopsies to determine cause of death across many such sites, using standardised methods, the Network seeks to generate population-based mortality statistics that are not otherwise available.OBJECTIVE: To describe patterns of adult NCD mortality from INDEPTH Network sites across Africa and Asia, according to the WHO 2012 verbal autopsy (VA) cause categories, with separate consideration of premature (15-64 years) and older (65+ years) NCD mortality.RESULTS: A total of 80,726 adult (over 15 years) deaths were documented over 7,423,497 person-years of observation. NCDs were attributed as the cause for 35.6% of these deaths. Slightly less than half of adult NCD deaths occurred in the 15-64 age group. Detailed results are presented by age and sex for leading causes of NCD mortality. Per-site rates of NCD mortality were significantly correlated with rates of HIV/AIDS-related mortality.DESIGN: All adult deaths at INDEPTH sites are routinely registered and followed up with VA interviews. For this study, VA archives were transformed into the WHO 2012 VA standard format and processed using the InterVA-4 model to assign cause of death. Routine surveillance data also provide person-time denominators for mortality rates.CONCLUSIONS: These findings present important evidence on the distribution of NCD mortality across a wide range of African and Asian settings. This comes against a background of global concern about the burden of NCD mortality, especially among adults aged under 70, and provides an important baseline for future work.

KW - Adults

KW - Africa

KW - Asia

KW - Indepth network

KW - InterVA

KW - Mortality

KW - Non-communicable disease

KW - Verbal autopsy

KW - adults

KW - non-communicable disease

KW - INDEPTH Network

KW - verbal autopsy

KW - mortality

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U2 - 10.3402/gha.v7.25365

DO - 10.3402/gha.v7.25365

M3 - Article

C2 - 25377326

AN - SCOPUS:84940395895

SN - 1654-9880

VL - 7

SP - 25365

JO - Global Health Action

JF - Global Health Action

IS - 1

M1 - 25365

ER -

Adult non-communicable disease mortality in Africa and Asia: Evidence from INDEPTH Health and Demographic Surveillance System sites

Abstract

Bibliographical note

Keywords

UN SDGs

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