期刊
GLOBAL HEALTH ACTION
卷 2, 期 -, 页码 -出版社
TAYLOR & FRANCIS LTD
DOI: 10.3402/gha.v2i0.1904
关键词
epidemiological transition; mortality; verbal autopsy; cause of death; Matlab; Bangladesh
资金
- ICDDR
- Australian Agency for International Development (AusAID)
- Government of the People's Republic of Bangladesh
- Canadian International Development Agency (CIDA)
- Embassy of the Kingdom of the Netherlands (EKN)
- Swedish International Development Cooperation Agency (Sida)
- Swiss Agency for Development and Cooperation (SDC)
- Department for International Development, UK (DFID)
Background: For understanding epidemiological transition, Health and Demographic Surveillance System plays an important role in developing and resource-constraint setup where accurate information on vital events (e. g. births, deaths) and cause of death is not available. Methods: This study aimed to assess existing level and trend of causes of 18,917 deaths in Matlab, a rural area of Bangladesh, during 1986-2006 and to project future scenarios for selected major causes of death. Results: The results demonstrated that Matlab experienced a massive change in the mortality profile from acute, infectious, and parasitic diseases to non-communicable, degenerative, and chronic diseases during the last 20 years. It also showed that over the period 1986-2006, age-standardized mortality rate (for both sexes) due to diarrhea and dysentery reduced by 86%, respiratory infections by 79%, except for tuberculosis which increased by 173%. On the other hand, during the same period, mortality due to cardiovascular and cerebrovascular diseases increased by a massive 3,527% and malignant neoplasms by 495%, whereas mortality due to chronic obstructive pulmonary disease and injury remained in the similar level (12-13% increase). Conclusion: The trend of selected causes of death demonstrates that in next two decades, deaths due to communicable diseases will decline substantially and the mortality due to non-communicable diseases (NCDs) will increase at massive proportions. Despite Matlab's significant advances in socio-demographic indicators, emergence of NCDs and mortality associated with it would be the major cause for concern in the coming years.
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