Monitoring cause-specific adult mortality in developing countries: a comparison of data sources for Addis Ababa and its implications for policy and research.


Reniers, G; Araya, T; Schaap, A; Kumie, A; Kebede, D; Nagelkerke, N; Coutinho, R; Sanders, EJ; (2005) Monitoring cause-specific adult mortality in developing countries: a comparison of data sources for Addis Ababa and its implications for policy and research. Social science & medicine (1982), 61 (9). pp. 1952-7. ISSN 0277-9536 DOI: https://doi.org/10.1016/j.socscimed.2005.04.023

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Abstract

Hospital statistics of causes of death for developing countries may be biased when the utilization of hospital services is low or selective. Using Addis Ababa, Ethiopia as an example, we argue that hospital data can be useful for demonstrating general cause-specific mortality patterns. In addition, a comparison of hospital statistics with data from a surveillance of burials allows for the identification of weaknesses in health services provision. We find a low level of hospital services utilization during terminal illness. Despite similarities in the cause of death structure in the different data sources, hospital statistics under-estimate the prevalence of infectious diseases. In addition, we identify an important gender bias in the utilization of health services in the direction of males being significantly more likely to die in medical facilities than females.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Population Studies (1974-2012)
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
Research Centre: Tropical Epidemiology Group
Population Studies Group
PubMed ID: 15927332
Web of Science ID: 232063900008
URI: http://researchonline.lshtm.ac.uk/id/eprint/10765

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