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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

Ayaga Agula Bawah · Brian C. Houle · Nurul Alam · Abdur Razzaque · Peter Kim Streatfield · Cornelius Y. Debpuur +11 more

43 citations0/0 files storedPLoS ONE

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Insurance, Mortality, Demography, Risk Management Global Maternal and Child Health Global Health and Epidemiology

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.

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References

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2019A comparison of all-cause and cause-specific mortality by household socioeconomic status across seven INDEPTH network health and demographic surveillance systems in sub-Saharan Africa 2021Mortality transition over a quarter century in rural South Africa: findings from population surveillance in Agincourt 1993-2018 2024Understanding demographic events and migration patterns in two urban slums of Nairobi City in Kenya

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