Causes of Death in Harar urban HDSS Nega Assefa Haramaya University
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1 Causes of Death in Harar urban HDSS Nega Assefa Haramaya University
2 ulation Pyramid-Harar HDSS2016 eristics on uses per HH ,798 9, , 377 8, ,448 8, ,677 9, ,138 15, Harar urban HDSS 2
3 Rater per 1000 live birth Harar- Na6on Harar hdss-basics NMR IMR U5MR
4 4 emographic changes HARAR HDSS-CBR/ CDR Per 1000 Mid Year Popula6on KERSA HDSS-CBR/C
5 Pre fer<lity decline; child dependency ra<o rises During fer<lity decline, child dependency ra<o declines Popula<on aging: old age dep ra<o rises
6 Objective: To describe Objective underlying & Methods causes of death using verbal autopsy (VA) method during Methods The data is from the 6-12 Kebles of Harar town Deaths registra;on VA interview using standardized VA tool (2007/2012 WHO tool) Decoded by physician (2/3 physicians independently) to ICD-10/VA summary Data was entered into a database and analyzed using STATA
7 Deaths < Deaths Specified Causes s Number of deaths Deaths Specified
8 2013 (N= (N= (N= CSMR CSMR CSMR CSMR es of Death PMR (106) (N=30,377) PMR(109) (N=31,448) PMR(115) (N=35,677) PMR(128) (N=58,138) PMR (458) (N nd parasi6c disease the circulatory system uses of death and endocrine disorders s6nal disorders ders auses of death disorders nervous system disorders child-birth and puerperium Diseases of the circulatory system Infec6ous and parasi6c disease Gastrointes6nal disorders External causes of death Broad CAUSES OF DEATH-harar hdss 2016 (N=5
9 ses of Death PMR (106) CSMR (N30,377) PMR(109) CSMR (N=31,448) PMR(115) CSMR (N=35,677) PMR(128) CSMR (58,138) PMR (458) C (N=1 cular disease is ellitus r disease e fec6ousdiseases (inclu heart failure ve diseases self-harm eart disease port accident r respiratory infec6ons ( eoplasm of breast fall eoplasm of liver and hepa eoplasm of oesophagus TOP Specific causes of Death-Harar HDSS
10 eonatal causes of DEATH Prematurity (Inc. RD) Bacterial sepsis of newborn Birth asphyxia and perinatal RDS Acute lower respiratory infec<ons Congenital malforma<on Intes<nal infec<ousdise ases nt Days
11 CVD Tuberculosis Diabetes mellitus Chronic liver disease Renal failure HIV/AIDS CHF IID (Inc. Diarrhea) Asthma Hypertensive diseases Inten6onal self-harm IHD Transport accident Malaria N ( age15+ top 15 Causes of Death CVD HIV/AIDS Tuberculosis DM RF Asthma CLD CHF Hypertension IID Malignant Neo. (breast) ULATION B-WOMEN Other transport accident IHD Accidental fall
12 % (n=224) YEARS 24/25-65 YEARS USES OF DEATH
13 YEARS CAUSES OF deaths CVD IID RF DM Asthm CLD Hype
14 Conclusion Neonatal and under-five mortality is extremely lower than the national average Intentional self-harm and tuberculosis is the leading cause of mortality among the young people Tuberculosis and HIV/AIDS are the leading causes of mortality among adults The seven top and 12/15 of leading causes of death among the 65+ are chronic conditions Double burden of disease(tb/hiv vs Chronic conditions) is noted
15 Demographic/ Epidemiologic Transition Framework urce: Ian R.H. Rocked. Popula6on and Health: An Introduc6on to Epidemiology. Second edi6on. pula6on Reference Bureau 54(4); 1999: 9
16 16 commendations killed delivery should be mphasized as the leading auses of neonatal death are rematurity, bacterial sepsis and irth asphyxia. hronic conditions are surging s we are in epidemiological nd demographic transition, ence the health system should e prepared to respond to the ncreasing need.
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