ArticleGlobal health action2014
HIV/AIDS-related mortality in Africa and Asia: evidence from INDEPTH health and demographic surveillance system sites.
Article in Global health action, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 60 citations in OpenAlex.
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- Towards an appropriate ethics framework for Health and Demographic Surveillance Systems (HDSS): learning from issues faced in diverse HDSS in sub-Saharan Africa.BMJ global health · 2021Article
- Age-Period-Cohort Analysis of HIV Mortality in China: Data from the Global Burden of Disease Study 2016.Scientific reports · 2020Article
- Predictors of Safer Conception Practices Among HIV-Infected Women in Northern Nigeria.International journal of health policy and management · 2019Article
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- A Spatiotemporal Analysis of HIV-Associated Mortality in Rural Western Kenya 2011-2015.Journal of acquired immune deficiency syndromes (1999) · 2018Article
- Role of Noncommunicable Diseases (NCDs) in Resource-Limited Settings (RLS).Current HIV/AIDS reports · 2018Review
- Cause-specific mortality in the Kombewa health and demographic surveillance systems site, rural Western Kenya from 2011-2015.Global health action · 2018Article
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- The development of a localised HIV epidemic and the associated excess mortality burden in a rural area of South Africa.Global health, epidemiology and genomics · 2016Article
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- Innovations in health and demographic surveillance systems to establish the causal impacts of HIV policies.Current opinion in HIV and AIDS · 2015Review
- Early detection of maternal deaths in Senegal through household-based death notification integrating verbal and social autopsy: a community-level case study.BMC health services research · 2015Article
- Lectins with anti-HIV activity: a review.Molecules (Basel, Switzerland) · 2015Review
- Causes of death in the Taabo health and demographic surveillance system, Côte d'Ivoire, from 2009 to 2011.Global health action · 2015Article
- Cause-specific childhood mortality in Africa and Asia: evidence from INDEPTH health and demographic surveillance system sites.Global health action · 2014Article
- Cause-specific mortality at INDEPTH Health and Demographic Surveillance System Sites in Africa and Asia: concluding synthesis.Global health action · 2014Article
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Authors and funding
60 authors at 19 institutions in 17 countries.
Funding
Abstract
backgroundAs the HIV/AIDS pandemic has evolved over recent decades, Africa has been the most affected region, even though a large proportion of HIV/AIDS deaths have not been documented at the individual level. Systematic application of verbal autopsy (VA) methods in defined populations provides an opportunity to assess the mortality burden of the pandemic from individual data.
objectiveTo present standardised comparisons of HIV/AIDS-related mortality at sites across Africa and Asia, including closely related causes of death such as pulmonary tuberculosis (PTB) and pneumonia.
designDeaths related to HIV/AIDS were extracted from individual demographic and VA data from 22 INDEPTH sites across Africa and Asia. VA data were standardised to WHO 2012 standard causes of death assigned using the InterVA-4 model. Between-site comparisons of mortality rates were standardised using the INDEPTH 2013 standard population.
resultsThe dataset covered a total of 10,773 deaths attributed to HIV/AIDS, observed over 12,204,043 person-years. HIV/AIDS-related mortality fractions and mortality rates varied widely across Africa and Asia, with highest burdens in eastern and southern Africa, and lowest burdens in Asia. There was evidence of rapidly declining rates at the sites with the heaviest burdens. HIV/AIDS mortality was also strongly related to PTB mortality. On a country basis, there were strong similarities between HIV/AIDS mortality rates at INDEPTH sites and those derived from modelled estimates.
conclusionsMeasuring HIV/AIDS-related mortality continues to be a challenging issue, all the more so as anti-retroviral treatment programmes alleviate mortality risks. The congruence between these results and other estimates adds plausibility to both approaches. These data, covering some of the highest mortality observed during the pandemic, will be an important baseline for understanding the future decline of HIV/AIDS.
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