文章基本信息

标题：Applying the InterVA-4 model to determine causes of death in rural Ethiopia
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作者：Berhe Weldearegawi ; Yohannes Adama Melaku ; Mark Spigt 等
期刊名称：Global Health Action
印刷版ISSN：1654-9716
电子版ISSN：1654-9880
出版年度：2014
卷号：7
期号：0
DOI：10.3402/gha.v7.25550
语种：English
出版社：Taylor & Francis
摘要：Background: In Ethiopia, most deaths take place at home and routine certification of cause of death by physicians is lacking. As a result, reliable cause of death (CoD) data are often not available. Recently, a computerized method for interpretation of verbal autopsy (VA) data, called InterVA, has been developed and used. It calculates the probability of a set of CoD given the presence of circumstances, signs, and symptoms reported during VA interviews. We applied the InterVA model to describe CoD in a rural population of Ethiopia.Objective: VA data for 436/599 (72.7%) deaths that occurred during 2010–2011 were included. InterVA-4 was used to interpret the VA data into probable cause of death. Cause-specific mortality fraction was used to describe frequency of occurrence of death from specific causes.Results: InterVA-4 was able to give likely cause(s) of death for 401/436 of the cases (92.0%). Overall, 35.0% of the total deaths were attributed to communicable diseases, and 30.7% to chronic non-communicable diseases. Tuberculosis (12.5%) and acute respiratory tract infections (10.4%) were the most frequent causes followed by neoplasms (9.6%) and diseases of circulatory system (7.2%).Conclusion: InterVA-4 can produce plausible estimates of the major public health problems that can guide public health interventions. We encourage further validation studies, in local settings, so that InterVA can be integrated into national health surveys.Keywords: InterVA; cause of death; Health and Demographic Surveillance System; chronic non-communicable; Ethiopia(Published: 29 October 2014)Citation: Glob Health Action 2014, 7: 25550 - http://dx.doi.org/10.3402/gha.v7.25550SPECIAL ISSUE: This paper is part of the Special Issue: INDEPTH Network Cause-Specific Mortality. More papers from this issue can be found at http://www.globalhealthaction.net
关键词：Public Health, Community Health;InterVA; cause of death; Health and Demographic Surveillance System; chronic non-communicable; Ethiopia;Subclass RA