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.
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.
Regional Institute for Population Studies (RIPS), University of Ghana, Legon, Ghana.|INDEPTH Network, Accra, Ghana.|Mailman School of Public Health, Columbia University, New York, New York, United States of America.
Ayaga
A
Bawah
School of Demography, The Australian National University, Canberra, Australia.|MRC/Wits Rural Public Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.|CU Population Center, Institute of Behavioral Science, University of Colorado at Boulder, Boulder, Colorado, United States of America.
Brian
B
Houle
International Centre for Diarrhoeal Diseases Research, Dhaka, Bangladesh.
Nurul
N
Alam
International Centre for Diarrhoeal Diseases Research, Dhaka, Bangladesh.
Abdur
A
Razzaque
International Centre for Diarrhoeal Diseases Research, Dhaka, Bangladesh.
Peter Kim
PK
Streatfield
Navrongo Health Research Centre, Navrongo, Ghana.
Cornelius
C
Debpuur
Navrongo Health Research Centre, Navrongo, Ghana.
Paul
P
Welaga
Navrongo Health Research Centre, Navrongo, Ghana.
Abraham
A
Oduro
Navrongo Health Research Centre, Navrongo, Ghana.
Abraham
A
Hodgson
MRC/Wits Rural Public Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.|Umeå Centre for Global Health Research, Division of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.|INDEPTH Network, Accra, Ghana.
Stephen
S
Tollman
MRC/Wits Rural Public Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.|Umeå Centre for Global Health Research, Division of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.|INDEPTH Network, Accra, Ghana.
Mark
M
Collinson
MRC/Wits Rural Public Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.|Umeå Centre for Global Health Research, Division of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.|INDEPTH Network, Accra, Ghana.
Kathleen
K
Kahn
Filabavi Health and Demographic Surveillance Site, Hanoi, Vietnam.
Tran Khan
TK
Toan
Filabavi Health and Demographic Surveillance Site, Hanoi, Vietnam.
Ho Dang
HD
Phuc
Filabavi Health and Demographic Surveillance Site, Hanoi, Vietnam.
Nguyen Thi Kim
NT
Chuc
INDEPTH Network, Accra, Ghana.
Osman
O
Sankoh
MRC/Wits Rural Public Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.|CU Population Center, Institute of Behavioral Science, University of Colorado at Boulder, Boulder, Colorado, United States of America.|INDEPTH Network, Accra, Ghana.|Department of Sociology, University of Washington, Seattle, Washington, United States of America.|ALPHA Network, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Samuel J
SJ
Clark
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001459:Bangladesh / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D003141:Communicable Diseases / Q000453:epidemiology* / Q000628:therapy; D005260:Female; D005869:Ghana / Q000453:epidemiology; D015658:HIV Infections / Q000453:epidemiology / Q000628:therapy; D019456:Health Transition; D006801:Humans; D015994:Incidence; D007182:Income; D007223:Infant; D007231:Infant, Newborn; D008134:Long-Term Care / Q000379:methods; D008297:Male; D008875:Middle Aged; D009026:Mortality / Q000639:trends*; D011159:Population Surveillance / Q000379:methods*; D013019:South Africa / Q000453:epidemiology; D014744:Vietnam / Q000453:epidemiology; D055815:Young Adult