ArticlePloS one2021
Institutional mortality rate and cause of death at health facilities in Ghana between 2014 and 2018.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 28 citations in OpenAlex.
- Change in glycaemic control with structured diabetes self-management education in urban low-resource settings: multicentre randomised trial of effectiveness.BMC health services research · 2023Trial
- Anthropometric Indices Associated With Elevated Estimated 10-year Risk of Cardiovascular Disease Among Adults in the Kumasi Metropolis of Ghana: A Cross-Sectional Study.Health science reports · 2026Article
- Knowledge and Practice Gaps in Anaemia Prevention and Management Among Patients and Health Providers in Northern Ghana: A Comparative Cross-Sectional Study.Health science reports · 2026Article
- Completeness of death registration in Ghana: An evaluation of multiple data sources and methods.PloS one · 2026Article
- Hypertension self-care practices and associated factors among people with hypertension on follow-up in selected public healthcare facilities in the Ashanti Region, Ghana. A multicentre cross-sectional survey.SAGE open medicine · 2026Article
- Morbidity burden and predictors of hospitalization among unaccompanied migrants and persons prone to statelessness in Ghana.PLOS global public health · 2026Article
- Exploring the Various Sources of Mortality Estimation in Ghana: A Scoping Review of Data Sources, Challenges, and Opportunities.Healthcare (Basel, Switzerland) · 2025Review
- Assessment of errors in death certification and mortality patterns and trends among medical patients at Korle Bu Teaching Hospital, 2019-2023.Ghana medical journal · 2025Article
- Economic burden of hypertension to outpatients attending the Ho Teaching Hospital in the Volta Region of Ghana: a cross-sectional study.BMC health services research · 2025Article
- Clinical education in undergraduate nursing in Ghana: a gap analysis.BMC nursing · 2025Article
- Respiratory therapy education in Ghana: A perspective.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2025Article
- Nutrient Content, Functional Properties and Acceptability of Rock Buns Formulated From Freeze-Dried Detroit Dark Red Beetroot Pomace Flour.International journal of food science · 2025Article
- Implementation of national policies and interventions (WHO Best Buys) for non-communicable disease prevention and control in Ghana: a mixed methods analysis.Health research policy and systems · 2024Article
- Evaluation of hospital quality of care outcomes in a teaching hospital in Ethiopia: a retrospective database study.BMJ open · 2024Article
- Primary health care response to noncommunicable diseases: an assessment of Wellness Clinics in Ghana.BMC health services research · 2024Article
- Assessing and Improving the Care of Patients With Heart Failure in Ghana: Protocol for a Prospective Observational Study and the Ghana Heart Initiative-Heart Failure Registry.JMIR research protocols · 2024Article
- Food consumption by NOVA food classification, metabolic outcomes, and barriers to healthy food consumption among university students.Food science & nutrition · 2024Article
- Diabetes self-management education interventions and self-management in low-resource settings; a mixed methods study.PloS one · 2023Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe epidemiological transition, touted as occurring in Ghana, requires research that tracks the changing patterns of diseases in order to capture the trend and improve healthcare delivery. This study examines national trends in mortality rate and cause of death at health facilities in Ghana between 2014 and 2018.
methodsInstitutional mortality data and cause of death from 2014-2018 were sourced from the Ghana Health Service's District Health Information Management System. The latter collates healthcare service data routinely from government and non-governmental health institutions in Ghana yearly. The institutional mortality rate was estimated using guidelines from the Ghana Health Service. Percent change in mortality was examined for 2014 and 2018. In addition, cause of death data were available for 2017 and 2018. The World Health Organisation's 11th International Classification for Diseases (ICD-11) was used to group the cause of death.
resultsInstitutional mortality decreased by 7% nationally over the study period. However, four out of ten regions (Greater Accra, Volta, Upper East, and Upper West) recorded increases in institutional mortality. The Upper East (17%) and Volta regions (13%) recorded the highest increase. Chronic non-communicable diseases (NCDs) were the leading cause of death in 2017 (25%) and 2018 (20%). This was followed by certain infectious and parasitic diseases (15% for both years) and respiratory infections (10% in 2017 and 13% in 2018). Among the NCDs, hypertension was the leading cause of death with 2,243 and 2,472 cases in 2017 and 2018. Other (non-ischemic) heart diseases and diabetes were the second and third leading NCDs. Septicaemia, tuberculosis and pneumonia were the predominant infectious diseases. Regional variations existed in the cause of death. NCDs showed more urban-region bias while infectious diseases presented more rural-region bias.
conclusionsThis study examined national trends in mortality rate and cause of death at health facilities in Ghana. Ghana recorded a decrease in institutional mortality throughout the study. NCDs and infections were the leading causes of death, giving a double-burden of diseases. There is a need to enhance efforts towards healthcare and health promotion programmes for NCDs and infectious diseases at facility and community levels as outlined in the 2020 National Health Policy of Ghana.
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