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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.


ABSTRACT: 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.

SUBMITTER: Bawah A 

PROVIDER: S-EPMC4909223 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature

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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 A   Houle Brian B   Alam Nurul N   Razzaque Abdur A   Streatfield Peter Kim PK   Debpuur Cornelius C   Welaga Paul P   Oduro Abraham A   Hodgson Abraham A   Tollman Stephen S   Collinson Mark M   Kahn Kathleen K   Toan Tran Khan TK   Phuc Ho Dang HD   Chuc Nguyen Thi Kim NT   Sankoh Osman O   Clark Samuel J SJ  

PloS one 20160615 6


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. T  ...[more]

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