ArticleThe American journal of tropical medicine and hygiene2023
Countrywide Mortality Surveillance for Action in Mozambique: Results from a National Sample-Based Vital Statistics System for Mortality and Cause of Death.
Article in The American journal of tropical medicine and hygiene, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Do Mobile Phone Surveys Supplement Other Mortality Surveillance Methods? Results From a National Study in Bangladesh.Tropical medicine & international health : TM & IH · 2026Article
- A verbal and social autopsy study to improve estimates of mortality determinants in Pakistan: study design and methods.Journal of global health · 2026Article
- Estimates of global causes of death for children and adolescents aged 5-19 in 2000-24: secondary data analysis using bayesian multinomial logistic regression.BMJ (Clinical research ed.) · 2026Article
- Introducing Minimally Invasive Tissue Sampling to Ascertain Cause of Death in Children and Stillbirths in Central Mozambique.The American journal of tropical medicine and hygiene · 2026Article
- Country-specific estimates of misclassification rates of computer-coded verbal autopsy algorithms.BMJ global health · 2026Article
- Cost of an Audit and Feedback intervention to increase uptake of maternal and child health services in Mozambique's Primary health care.Implementation science communications · 2026Article
- Can mobile phone surveys accurately measure the coverage of maternal healthcare services? Results from the Rapid Mortality Mobile Phone Survey (RaMMPS) study in Mozambique.Oxford open digital health · 2026Article
- Development of an effective illness severity measure and assessment of the impact of perceived illness severity on formal careseeking for fatal illnesses of neonates and infants in six sub-Saharan Africa countries and Pakistan.PLOS global public health · 2026Article
- Measuring childhood mortality through mobile phone interviews in Mozambique.Tropical medicine & international health : TM & IH · 2025Article
- Women's participation in mobile phone surveys in Mozambique: Findings from a qualitative study.Tropical medicine & international health : TM & IH · 2025Article
- Multiplex bead assays enable integrated serological surveillance and reveal cross-pathogen vulnerabilities in Zambezia Province, Mozambique.Nature communications · 2025Article
- A systems-change approach to addressing the mortality surveillance gap in Pakistan.Journal of global health · 2025Article
- Infectious disease forecasting to support public health: use of readily available methods to predict malaria and diarrhoeal diseases in Mozambique.Journal of global health · 2025Article
- Inappropriate use of antibiotics in the management of diarrhoea in children under five years admitted with acute diarrhoea in four provinces of Mozambique 2014-2019.BMC infectious diseases · 2025Article
- Surveillance of Excess Mortality Based on Community Perceptions of Funeral Frequency in Northern Malawi during the COVID-19 Pandemic.The American journal of tropical medicine and hygiene · 2025Article
- Factors associated with COVID-19 vaccine uptake and hesitancy among women of reproductive age in Mozambique.Frontiers in public health · 2025Article
- Trends and inequalities in neonatal mortality rate in Bangladesh: Evidence from cross-sectional surveys.Health science reports · 2024Article
- Implementation outcomes of the integrated district evidence to action (IDEAs) program to reduce neonatal mortality in central Mozambique: an application of the RE-AIM evaluation framework.BMC health services research · 2024Article
- Completeness and Factors Affecting Community Workers' Reporting of Births and Deaths in the Countrywide Mortality Surveillance for Action in Mozambique.The American journal of tropical medicine and hygiene · 2023Article
- From External to Local: Opportunities and Lessons Learned from Transitioning COMSA-Mozambique.The American journal of tropical medicine and hygiene · 2023Article
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18 authors.
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Abstract
Sub-Saharan Africa lacks timely, reliable, and accurate national data on mortality and causes of death (CODs). In 2018 Mozambique launched a sample registration system (Countrywide Mortality Surveillance for Action [COMSA]-Mozambique), which collects continuous birth, death, and COD data from 700 randomly selected clusters, a nationally representative population of 828,663 persons. Verbal and social autopsy interviews are conducted for COD determination. We analyzed data collected in 2019-2020 to report mortality rates and cause-specific fractions. Cause-specific results were generated using computer-coded verbal autopsy (CCVA) algorithms for deaths among those age 5 years and older. For under-five deaths, the accuracy of CCVA results was increased through calibration with data from minimally invasive tissue sampling. Neonatal and under-five mortality rates were, respectively, 23 (95% CI: 18-28) and 80 (95% CI: 69-91) deaths per 1,000 live births. Mortality rates per 1,000 were 18 (95% CI: 14-21) among age 5-14 years, 26 (95% CI: 20-31) among age 15-24 years, 258 (95% CI: 230-287) among age 25-59 years, and 531 (95% CI: 490-572) among age 60+ years. Urban areas had lower mortality rates than rural areas among children under 15 but not among adults. Deaths due to infections were substantial across all ages. Other predominant causes by age group were prematurity and intrapartum-related events among neonates; diarrhea, malaria, and lower respiratory infections among children 1-59 months; injury, malaria, and diarrhea among children 5-14 years; HIV, injury, and cancer among those age 15-59 years; and cancer and cardiovascular disease at age 60+ years. The COMSA-Mozambique platform offers a rich and unique system for mortality and COD determination and monitoring and an opportunity to build a comprehensive surveillance system.
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