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

Bawah, A.Houle, B.Alam, N.Razzaque, A.Streatfield, P.K.Debpuur, C.Welaga, P.Oduro, A.Hodgson, A.Tollman, S.Collinson, M.Kahn, K.Toan, T.K.Phuc, H.D.Chuc, N.T.K.Sankoh, O.Clark, S.J.2017-10-262017-10-26201610.1371/journal.pone.0157281http://ugspace.ug.edu.gh/handle/123456789/22203This 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.enThe 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 systemsArticle