The Evolving Demographic and Health Transition in Four Low- and Middle-Income Countries: Evidence from Four Sites in the INDEPTH Network of Longitudinal Health and Demographic Surveillance Systems.
Bawah, Ayaga;
Houle, Brian;
Alam, Nurul;
Razzaque, Abdur;
Streatfield, Peter Kim;
Debpuur, Cornelius;
Welaga, Paul;
Oduro, Abraham;
Hodgson, Abraham;
Tollman, Stephen;
+7 more...Collinson, Mark;
Kahn, Kathleen;
Toan, Tran Khan;
Phuc, Ho Dang;
Chuc, Nguyen Thi Kim;
Sankoh, Osman;
Clark, Samuel J;
(2016)
The Evolving Demographic and Health Transition in Four Low- and Middle-Income Countries: Evidence from Four Sites in the INDEPTH Network of Longitudinal Health and Demographic Surveillance Systems.
PloS one, 11 (6).
e0157281-.
ISSN 1932-6203
DOI: https://doi.org/10.1371/journal.pone.0157281
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This paper contributes evidence documenting the continued decline in all-cause mortality and changes in the cause of death distribution over time in four developing country populations in Africa and Asia. We present levels and trends in age-specific mortality (all-cause and cause-specific) from four demographic surveillance sites: Agincourt (South Africa), Navrongo (Ghana) in Africa; Filabavi (Vietnam), Matlab (Bangladesh) in Asia. We model mortality using discrete time event history analysis. This study illustrates how data from INDEPTH Network centers can provide a comparative, longitudinal examination of mortality patterns and the epidemiological transition. Health care systems need to be reconfigured to deal simultaneously with continuing challenges of communicable disease and increasing incidence of non-communicable diseases that require long-term care. In populations with endemic HIV, long-term care of HIV patients on ART will add to the chronic care needs of the community.
