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Cover of Guidelines for HIV Mortality Measurement

Guidelines for HIV Mortality Measurement

Geneva: World Health Organization; .
ISBN-13: 978-92-4-150557-4


Mortality statistics, including causes of death, are the foundation of public health planning, monitoring and evaluation of interventions. Yet, the overwhelming majority of low- and middle-income countries do not have reliable mortality statistics. Out of 119 countries reporting causes of death to the World Health Organization (WHO), only 34 countries – representing 15% of the world population – produce high-quality cause-of-death data, and almost all of these countries are in Europe and the Americas. A further 85 countries – representing 65% of the world population – produce lower-quality cause-of-death data, while 74 countries, mostly in sub-Saharan Africa, lack such data altogether. This information paradox – where information is lacking where it is needed most – has critically hindered the ability of governments and country programmes to track progress in addressing the HIV epidemic.

A well-functioning civil registration system is the best way to monitor mortality and causes of death. Civil registration systems aim to register all the births, deaths with cause of death, and marriages. Many countries do not have civil registration systems that produce reliable vital statistics, as coverage tends to be low, especially for deaths, and information on causes unreliable. Even though there is increasing awareness and commitment to strengthening civil registration and vital statistics (CRVS) systems, it will take considerable time before these systems can produce reliable mortality statistics. Therefore, alternative methods to collect information on causes of death, including HIV, need to be considered. Such methods include sample registration systems, household surveys, hospital data, burial systems, clinical autopsy, analytical methods and others.

The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement.

The mention of specific companies or of certain manufacturers' products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters.

All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use.

Copyright © World Health Organization 2014.

All rights reserved. Publications of the World Health Organization can be obtained from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: tni.ohw@sredrokoob). Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press, at the above address (fax: +41 22 791 4806; e-mail: tni.ohw@snoissimrep).

Bookshelf ID: NBK236997PMID: 25165802
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