Please use this identifier to cite or link to this item: https://hdl.handle.net/10316/108503
Title: Main causes of death in Dande, Angola: results from Verbal Autopsies of deaths occurring during 2009-2012
Authors: Rosário, Edite Vila Nova
Costa, Diogo
Timóteo, Luís
Rodrigues, Ana Ambrósio
Varanda, Jorge 
Nery, Susana Vaz
Brito, Miguel
Keywords: Verbal Autopsy; Angola; Health and demographic surveillance system; Causes of death
Issue Date: 4-Aug-2016
Publisher: Springer Nature
Project: CISA: Camões—Institute for Cooperation and Language 
Calouste Gulbenkian Foundation 
Bengo Provincial Government 
Ministry of Health of Angola 
Serial title, monograph or event: BMC Public Health
Volume: 16
Issue: 1
Abstract: Background: The Dande Health and Demographic Surveillance System (HDSS) located in Bengo Province, Angola, covers nearly 65,500 residents living in approximately 19,800 households. This study aims to describe the main causes of deaths (CoD) occurred within the HDSS, from 2009 to 2012, and to explore associations between demographic or socioeconomic factors and broad mortality groups (Group I—Communicable diseases, maternal, perinatal and nutritional conditions; Group II—Non-communicable diseases; Group III—Injuries; IND—Indeterminate). Methods: Verbal Autopsies (VA) were performed after death identification during routine HDSS visits. Associations between broad groups of CoD and sex, age, education, socioeconomic position, place of residence and place of death, were explored using chi-square tests and fitting logistic regression models. Results: From a total of 1488 deaths registered, 1009 verbal autopsies were performed and 798 of these were assigned a CoD based on the 10th revision of the International Classification of Diseases (ICD-10). Mortality was led by CD (61.0 %), followed by IND (18.3 %), NCD (11.6 %) and INJ (9.1 %). Intestinal infectious diseases, malnutrition and acute respiratory infections were the main contributors to under-five mortality (44.2 %). Malaria was the most common CoD among children under 15 years old (38.6 %). Tuberculosis, traffic accidents and malaria led the CoD among adults aged 15–49 (13.5 %, 10.5 % and 8.0 % respectively). Among adults aged 50 or more, diseases of the circulatory system (23.2 %) were the major CoD, followed by tuberculosis (8.2 %) and malaria (7.7 %). CD were more frequent CoD among less educated people (adjusted odds ratio, 95 % confidence interval for none vs. 5 or more years of school: 1.68, 1.04–2.72). Conclusion: Infectious diseases were the leading CoD in this region. Verbal autopsies proved useful to identify the main CoD, being an important tool in settings where vital statistics are scarce and death registration systems have limitations.
URI: https://hdl.handle.net/10316/108503
ISSN: 1471-2458
DOI: 10.1186/s12889-016-3365-6
Rights: openAccess
Appears in Collections:FCTUC Ciências da Vida - Artigos em Revistas Internacionais

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