title: Tuberculosis mortality differentials in Indonesia during 2007-2008: evidence for health policy and monitoring.
abstract: BACKGROUND
  Indonesia bears the third highest tuberculosis (TB) burden in the world. Current mortality estimates are based on notification and case fatality rates derived from the National TB Control Programme.
  
  
  OBJECTIVE
  To report TB mortality measures for 2007-2008 based  on death registration systems in selected populations in five provinces of Indonesia.
  
  
  METHODS
  Data were compiled from sites in Central Java, Lampung, Gorontalo, West Kalimantan and Papua in 2007-2008, covering 2.5 million people. Overall mortality levels and TB mortality indicators  were computed. Data quality was assessed in terms of completeness of death registration and strength of evidence in verbal autopsy questionnaires.
  
  
  RESULTS
  A total of 1547 TB deaths were diagnosed in the five provinces. There was direct or indirect evidence of incomplete death registration  at all sites. More than 90% of TB diagnoses from verbal autopsies were based on strong evidence. The results demonstrate high TB death rates in Papua, and significant mortality differentials across provinces.
  
  
  CONCLUSIONS
  The measurement of cause-specific mortality is feasible by strengthening  death registration in Indonesia. Observed TB mortality rates from five sites are baseline evidence for monitoring TB control programmes. Sustained efforts are required to develop death registration as a routine annual source of mortality data for Indonesia.
authors: School of Population Health, University of Queensland, Herston, Queensland, Australia. c.rao@sph.uq.edu.au
authors: C
authors: C
authors: Rao
authors: S
authors: S
authors: Kosen
authors: D
authors: D
authors: Bisara
authors: Y
authors: Y
authors: Usman
authors: T
authors: T
authors: Adair
authors: S
authors: S
authors: Djaja
authors: S
authors: S
authors: Suhardi
authors: S
authors: S
authors: Soemantri
authors: A D
authors: AD
authors: Lopez
mesh_terms: D001344:Autopsy; D003644:Death Certificates; D005240:Feasibility Studies; D006291:Health Policy; D006801:Humans; D007214:Indonesia / Q000453:epidemiology; D009313:National Health Programs / Q000458:organization & administration*; D014376:Tuberculosis / Q000453:epidemiology / Q000401:mortality*