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.
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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.