Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/106513
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Type: Journal article
Title: Malaria mortality in Africa and Asia: evidence from INDEPTH health and demographic surveillance system sites
Author: Streatfield, P.
Khan, W.
Bhuiya, A.
Hanifi, S.
Alam, N.
Diboulo, E.
Sié, A.
Yé, M.
Compaoré, Y.
Soura, A.
Bonfoh, B.
Jaeger, F.
Ngoran, E.
Utzinger, J.
Melaku, Y.
Mulugeta, A.
Weldearegawi, B.
Gomez, P.
Jasseh, M.
Hodgson, A.
et al.
Citation: Global health action, 2014; 7(1):25369-1-25369-12
Publisher: CO-ACTION Publishing
Issue Date: 2014
ISSN: 1654-9716
1654-9880
Statement of
Responsibility: 
P. Kim Streatfield ... Yohannes A. Melaku ... et. al.
Abstract: Malaria continues to be a major cause of infectious disease mortality in tropical regions. However, deaths from malaria are most often not individually documented, and as a result overall understanding of malaria epidemiology is inadequate. INDEPTH Network members maintain population surveillance in Health and Demographic Surveillance System sites across Africa and Asia, in which individual deaths are followed up with verbal autopsies.To present patterns of malaria mortality determined by verbal autopsy from INDEPTH sites across Africa and Asia, comparing these findings with other relevant information on malaria in the same regions.From a database covering 111,910 deaths over 12,204,043 person-years in 22 sites, in which verbal autopsy data were handled according to the WHO 2012 standard and processed using the InterVA-4 model, over 6,000 deaths were attributed to malaria. The overall period covered was 1992-2012, but two-thirds of the observations related to 2006-2012. These deaths were analysed by site, time period, age group and sex to investigate epidemiological differences in malaria mortality.Rates of malaria mortality varied by 1:10,000 across the sites, with generally low rates in Asia (one site recording no malaria deaths over 0.5 million person-years) and some of the highest rates in West Africa (Nouna, Burkina Faso: 2.47 per 1,000 person-years). Childhood malaria mortality rates were strongly correlated with Malaria Atlas Project estimates of Plasmodium falciparum parasite rates for the same locations. Adult malaria mortality rates, while lower than corresponding childhood rates, were strongly correlated with childhood rates at the site level.The wide variations observed in malaria mortality, which were nevertheless consistent with various other estimates, suggest that population-based registration of deaths using verbal autopsy is a useful approach to understanding the details of malaria epidemiology.
Keywords: Malaria; Africa; Asia; mortality; INDEPTH Network; verbal autopsy; InterVA
Description: This paper is part of the Special Issue: INDEPTH Network Cause-Specific Mortality. A Corrigendum has been published for this paper. Please see http://www.globalhealthaction.net/index.php/ gha/article/view/27833
Rights: © 2014 INDEPTH Network. This is an Open Access article distributed under the terms of the Creative Commons CC-BY 4.0 License (http://creativecommons.org/licenses/by/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.
RMID: 0030033211
DOI: 10.3402/gha.v7.25369
Appears in Collections:Medicine publications

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