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Causes of death in the Taabo health and demographic surveillance system, Côte d'Ivoire, from 2009 to 2011.
Glob Health Action. 2015; 8:27271.GH

Abstract

BACKGROUND

Current vital statistics from governmental institutions in Côte d'Ivoire are incomplete. This problem is particularly notable for remote rural areas that have limited access to the health system.

OBJECTIVE

To record all deaths from 2009 to 2011 and to identify the leading causes of death in the Taabo health and demographic surveillance system (HDSS) in south-central Côte d'Ivoire.

DESIGN

Deaths recorded in the first 3 years of operation of the Taabo HDSS were investigated by verbal autopsy (VA), using the InterVA-4 model. InterVA-4 is based on the World Health Organization 2012 VA tool in terms of input indicators and categories of causes of death.

RESULTS

Overall, 948 deaths were recorded, of which 236 (24.9%) had incomplete VA data. Among the 712 deaths analyzed, communicable diseases represented the leading causes (58.9%), with most deaths attributed to malaria (n=129), acute respiratory tract infections (n=110), HIV/AIDS (n=80), and pulmonary tuberculosis (n=46). Non-communicable diseases accounted for 18.9% of the deaths and included mainly acute abdomen (n=38), unspecified cardiac diseases (n=15), and digestive neoplasms (n=13). Maternal and neonatal conditions accounted for 8.3% of deaths, primarily pneumonia (n=19) and birth asphyxia (n=16) in newborns. Among the 3.8% of deaths linked to trauma and injury, the main causes were assault (n=6), accidental drowning (n=4), contact with venomous plants/animals (n=4), and traffic-related accidents (n=4). No clear causes were determined in 10.0% of the analyzed deaths.

CONCLUSIONS

Communicable diseases remain the predominant cause of death in rural Côte d'Ivoire. Based on these findings, measures are now being implemented in the Taabo HDSS. It will be interesting to monitor patterns of mortality and causes of death in the face of rapid demographic and epidemiological transitions in this part of West Africa.

Authors+Show Affiliations

Centre Suisse de Recherches Scientifiques en Côte d'Ivoire, Abidjan, Côte d'Ivoire; kone_siaka0@yahoo.fr.Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland. University of Basel, Basel, Switzerland. Centre for Health Policy, Imperial College London, London, United Kingdom. Department of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom.Centre Suisse de Recherches Scientifiques en Côte d'Ivoire, Abidjan, Côte d'Ivoire. Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland. University of Basel, Basel, Switzerland.Centre Suisse de Recherches Scientifiques en Côte d'Ivoire, Abidjan, Côte d'Ivoire.Centre Suisse de Recherches Scientifiques en Côte d'Ivoire, Abidjan, Côte d'Ivoire.Centre Suisse de Recherches Scientifiques en Côte d'Ivoire, Abidjan, Côte d'Ivoire.Hôpital Générale de Taabo, Taabo Cité, Côte d'Ivoire.Centre Suisse de Recherches Scientifiques en Côte d'Ivoire, Abidjan, Côte d'Ivoire. Fairmed, Bern, Switzerland.Centre Suisse de Recherches Scientifiques en Côte d'Ivoire, Abidjan, Côte d'Ivoire.Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland. University of Basel, Basel, Switzerland.Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland. University of Basel, Basel, Switzerland.Centre Suisse de Recherches Scientifiques en Côte d'Ivoire, Abidjan, Côte d'Ivoire.Centre Suisse de Recherches Scientifiques en Côte d'Ivoire, Abidjan, Côte d'Ivoire.Centre Suisse de Recherches Scientifiques en Côte d'Ivoire, Abidjan, Côte d'Ivoire. Unité de Formation et de Recherche Biosciences, Université Félix Houphouët-Boigny, Abidjan, Côte d'Ivoire.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25959772

Citation

Koné, Siaka, et al. "Causes of Death in the Taabo Health and Demographic Surveillance System, Côte d'Ivoire, From 2009 to 2011." Global Health Action, vol. 8, 2015, p. 27271.
Koné S, Fürst T, Jaeger FN, et al. Causes of death in the Taabo health and demographic surveillance system, Côte d'Ivoire, from 2009 to 2011. Glob Health Action. 2015;8:27271.
Koné, S., Fürst, T., Jaeger, F. N., Esso, E. L., Baïkoro, N., Kouadio, K. A., Adiossan, L. G., Zouzou, F., Boti, L. I., Tanner, M., Utzinger, J., Bonfoh, B., Dao, D., & N'Goran, E. K. (2015). Causes of death in the Taabo health and demographic surveillance system, Côte d'Ivoire, from 2009 to 2011. Global Health Action, 8, 27271. https://doi.org/10.3402/gha.v8.27271
Koné S, et al. Causes of Death in the Taabo Health and Demographic Surveillance System, Côte d'Ivoire, From 2009 to 2011. Glob Health Action. 2015;8:27271. PubMed PMID: 25959772.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Causes of death in the Taabo health and demographic surveillance system, Côte d'Ivoire, from 2009 to 2011. AU - Koné,Siaka, AU - Fürst,Thomas, AU - Jaeger,Fabienne N, AU - Esso,Emmanuel L J C, AU - Baïkoro,Nahoua, AU - Kouadio,Kouamé A, AU - Adiossan,Lukas G, AU - Zouzou,Fabien, AU - Boti,Louis I, AU - Tanner,Marcel, AU - Utzinger,Jürg, AU - Bonfoh,Bassirou, AU - Dao,Daouda, AU - N'Goran,Eliézer K, Y1 - 2015/05/08/ PY - 2015/03/13/received PY - 2015/03/31/revised PY - 2015/04/03/accepted PY - 2015/5/12/entrez PY - 2015/5/12/pubmed PY - 2016/1/27/medline KW - Côte d'Ivoire KW - InterVA-4 KW - cause of death KW - health and demographic surveillance system KW - mortality KW - verbal autopsy SP - 27271 EP - 27271 JF - Global health action JO - Glob Health Action VL - 8 N2 - BACKGROUND: Current vital statistics from governmental institutions in Côte d'Ivoire are incomplete. This problem is particularly notable for remote rural areas that have limited access to the health system. OBJECTIVE: To record all deaths from 2009 to 2011 and to identify the leading causes of death in the Taabo health and demographic surveillance system (HDSS) in south-central Côte d'Ivoire. DESIGN: Deaths recorded in the first 3 years of operation of the Taabo HDSS were investigated by verbal autopsy (VA), using the InterVA-4 model. InterVA-4 is based on the World Health Organization 2012 VA tool in terms of input indicators and categories of causes of death. RESULTS: Overall, 948 deaths were recorded, of which 236 (24.9%) had incomplete VA data. Among the 712 deaths analyzed, communicable diseases represented the leading causes (58.9%), with most deaths attributed to malaria (n=129), acute respiratory tract infections (n=110), HIV/AIDS (n=80), and pulmonary tuberculosis (n=46). Non-communicable diseases accounted for 18.9% of the deaths and included mainly acute abdomen (n=38), unspecified cardiac diseases (n=15), and digestive neoplasms (n=13). Maternal and neonatal conditions accounted for 8.3% of deaths, primarily pneumonia (n=19) and birth asphyxia (n=16) in newborns. Among the 3.8% of deaths linked to trauma and injury, the main causes were assault (n=6), accidental drowning (n=4), contact with venomous plants/animals (n=4), and traffic-related accidents (n=4). No clear causes were determined in 10.0% of the analyzed deaths. CONCLUSIONS: Communicable diseases remain the predominant cause of death in rural Côte d'Ivoire. Based on these findings, measures are now being implemented in the Taabo HDSS. It will be interesting to monitor patterns of mortality and causes of death in the face of rapid demographic and epidemiological transitions in this part of West Africa. SN - 1654-9880 UR - https://www.unboundmedicine.com/medline/citation/25959772/Causes_of_death_in_the_Taabo_health_and_demographic_surveillance_system_Côte_d'Ivoire_from_2009_to_2011_ L2 - https://www.tandfonline.com/doi/full/10.3402/gha.v8.27271 DB - PRIME DP - Unbound Medicine ER -