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Type: Journal article
Title: Mortality from external causes in Africa and Asia: evidence from INDEPTH health and demographic surveillance system sites
Author: Streatfield, P.
Khan, W.
Bhuiya, A.
Hanifi, S.
Alam, N.
Diboulo, E.
Niamba, L.
Sié, A.
Lankoandé, B.
Millogo, R.
Soura, A.
Bonfoh, B.
Kone, S.
Ngoran, E.
Utzinger, J.
Ashebir, Y.
Melaku, Y.
Weldearegawi, B.
Gomez, P.
Jasseh, M.
et al.
Citation: Global Health Action, 2014; 7(1):25366-1-25366-10
Publisher: CO-ACTION Publishing
Issue Date: 2014
ISSN: 1654-9716
Statement of
P. Kim Streatfield ... Yohannes A. Melaku ... et. al.
Abstract: Mortality from external causes, of all kinds, is an important component of overall mortality on a global basis. However, these deaths, like others in Africa and Asia, are often not counted or documented on an individual basis. Overviews of the state of external cause mortality in Africa and Asia are therefore based on uncertain information. The INDEPTH Network maintains longitudinal surveillance, including cause of death, at population sites across Africa and Asia, which offers important opportunities to document external cause mortality at the population level across a range of settings.To describe patterns of mortality from external causes at INDEPTH Network sites across Africa and Asia, according to the WHO 2012 verbal autopsy (VA) cause categories.All 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.A total of 5,884 deaths due to external causes were documented over 11,828,253 person-years. Approximately one-quarter of those deaths were to children younger than 15 years. Causes of death were dominated by childhood drowning in Bangladesh, and by transport-related deaths and intentional injuries elsewhere. Detailed mortality rates are presented by cause of death, age group, and sex.The patterns of external cause mortality found here generally corresponded with expectations and other sources of information, but they fill some important gaps in population-based mortality data. They provide an important source of information to inform potentially preventive intervention designs.
Keywords: External causes; accidents; suicide; assault; transport; drowning; Africa; Asia; mortality; INDEPTH Network; verbal autopsy; InterVA
Description: This paper is part of the Special Issue: INDEPTH Network Cause-Specific Mortality
Rights: © 2014 INDEPTH Network. This is an Open Access article distributed under the terms of the Creative Commons CC-BY 4.0 License (, 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
DOI: 10.3402/gha.v7.25366
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