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Bull World Health Organ. 1997; 75(5): 389–395.
PMCID: PMC2487019

The absence of adult mortality data for sub-Saharan Africa: a practical solution.

Abstract

Information on cause of death among adults in sub-Saharan Africa is essentially nonexistent. Published sources provide statistics on both cause-specific and overall rates of mortality, but closer examination reveals that these data consist mostly of extrapolations and outright guesses. In the absence of accurate and comprehensive registries of vital events for the majority of the region's inhabitants, longitudinal studies of defined population-based cohorts represent the only realistic strategy to fill this void in basic public health information. The advantage of longitudinal studies is particularly clear for chronic diseases, the category for which the least is known. Noncommunicable diseases account for a significant portion of adult deaths in sub-Saharan Africa, yet the empirical bases for public health policies and interventions are essentially absent. Verbal autopsy has great potential to contribute to understanding about the cause of death among African adults. This method is discussed in the present article, and practical considerations for longitudinal studies using this methodology are reviewed.

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  • Phillips M, Feachem RG, Murray CJ, Over M, Kjellstrom T. Adult health: a legitimate concern for developing countries. Am J Public Health. 1993 Nov;83(11):1527–1530. [PMC free article] [PubMed]
  • Ruzicka LT, Lopez AD. The use of cause-of-death statistics for health situation assessment: national and international experiences. World Health Stat Q. 1990;43(4):249–258. [PubMed]
  • Lopez AD. Causes of death: an assessment of global patterns of mortality around 1985. World Health Stat Q. 1990;43(2):91–104. [PubMed]
  • Murray CJ. A critical review of international mortality data. Soc Sci Med. 1987;25(7):773–781. [PubMed]
  • Ogoh Alubo S. Power and privileges in medical care: an analysis of medical services in post-colonial Nigeria. Soc Sci Med. 1987;24(5):453–462. [PubMed]
  • Alubo SO. Death for sale: a study of drug poisoning and deaths in Nigeria. Soc Sci Med. 1994 Jan;38(1):97–103. [PubMed]
  • Bradley AK, Macfarlane SB, Moody JB, Gilles HM, Blacker JG, Musa BD. Malumfashi Endemic Diseases Research Project, XX. Demographic findings: mortality. Ann Trop Med Parasitol. 1982 Aug;76(4):393–404. [PubMed]
  • Omondi-Odhiambo, van Ginneken JK, Voorhoeve AM. Mortality by cause of death in a rural area of Machakos District, Kenya in 1975-78. J Biosoc Sci. 1990 Jan;22(1):63–75. [PubMed]
  • Peto R. Statistics of chronic disease control. Nature. 1992 Apr 16;356(6370):557–558. [PubMed]
  • Manton KG. The global impact of noncommunicable diseases: estimates and projections. World Health Stat Q. 1988;41(3-4):255–266. [PubMed]
  • Muna WF. Cardiovascular disorders in Africa. World Health Stat Q. 1993;46(2):125–133. [PubMed]
  • Beevers DG, Prince JS. Some recent advances in non-communicable diseases in the Tropics. 1. Hypertension: an emerging problem in tropical countries. Trans R Soc Trop Med Hyg. 1991 May-Jun;85(3):324–326. [PubMed]
  • Barnett AH. Some recent advances in non-communicable diseases in the tropics. 2. Diabetes mellitus in the tropics. Trans R Soc Trop Med Hyg. 1991 May-Jun;85(3):327–331. [PubMed]
  • Laga M, Icenogle JP, Marsella R, Manoka AT, Nzila N, Ryder RW, Vermund SH, Heyward WL, Nelson A, Reeves WC. Genital papillomavirus infection and cervical dysplasia--opportunistic complications of HIV infection. Int J Cancer. 1992 Jan 2;50(1):45–48. [PubMed]
  • Balogun JA, Abereoje OK. Pattern of road traffic accident cases in a Nigerian university teaching hospital between 1987 and 1990. J Trop Med Hyg. 1992 Feb;95(1):23–29. [PubMed]
  • Snow RW, Armstrong JR, Forster D, Winstanley MT, Marsh VM, Newton CR, Waruiru C, Mwangi I, Winstanley PA, Marsh K. Childhood deaths in Africa: uses and limitations of verbal autopsies. Lancet. 1992 Aug 8;340(8815):351–355. [PubMed]
  • Fauveau V, Wojtyniak B, Koenig MA, Chakraborty J, Chowdhury AI. Epidemiology and cause of deaths among women in rural Bangladesh. Int J Epidemiol. 1989 Mar;18(1):139–145. [PubMed]
  • Mirza NM, Macharia WM, Wafula EM, Agwanda RO, Onyango FE. Verbal autopsy: a tool for determining cause of death in a community. East Afr Med J. 1990 Oct;67(10):693–698. [PubMed]
  • Pacqué-Margolis S, Pacqué M, Dukuly Z, Boateng J, Taylor HR. Application of the verbal autopsy during a clinical trial. Soc Sci Med. 1990;31(5):585–591. [PubMed]
  • Asuzu MC, Johnson OO, Owoaje EE, Rotimi CN, Kaufman JS, Cooper RS. Questions on adult mortality. World Health Forum. 1996;17(4):373–376. [PubMed]
  • Chandramohan D, Maude GH, Rodrigues LC, Hayes RJ. Verbal autopsies for adult deaths: issues in their development and validation. Int J Epidemiol. 1994 Apr;23(2):213–222. [PubMed]

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