Non-communicable diseases are the leading cause of mortality in rural Birbhum, West Bengal, India: a sex-stratified analysis of verbal autopsies from a prospective cohort, 2012–2017
Objectives There is a dearth of data on causes of death in rural India, which impedes identification of public health priorities to guide health interventions. This study aims to offer insights from verbal autopsies, to understand the pattern and distribution of causes of death in a rural area of Bi...
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BMJ Publishing Group
2020-10-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/10/e036578.full |
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| author | Wafaie W Fawzi Rajesh Kumar Rai Anamitra Barik Saibal Mazumdar Kajal Chatterjee Yogeshwar V Kalkonde Prashant Mathur Abhijit Chowdhury |
| author_facet | Wafaie W Fawzi Rajesh Kumar Rai Anamitra Barik Saibal Mazumdar Kajal Chatterjee Yogeshwar V Kalkonde Prashant Mathur Abhijit Chowdhury |
| author_sort | Wafaie W Fawzi |
| collection | DOAJ |
| description | Objectives There is a dearth of data on causes of death in rural India, which impedes identification of public health priorities to guide health interventions. This study aims to offer insights from verbal autopsies, to understand the pattern and distribution of causes of death in a rural area of Birbhum District, West Bengal, India.Design Causes of death data were retrieved from a prospective vital event surveillance system.Setting The Birbhum Population Project, a Health and Demographic Surveillance System, West Bengal, India.Participants Between January 2012 and December 2017, all deaths were recorded.Main outcome measures Trained Surveyors tracked all deaths prospectively and used a previously validated verbal autopsy (VA) tool to record causes of death. Experienced physicians reviewed completed VA forms, and assigned cause of death using the 10th version of International Classification of Diseases. In addition to cause-specific mortality fraction, cause-specific crude death rate (CDR) among males and females were estimated.Results A total of 2320 deaths (1348 males and 972 females) were recorded. An estimated CDR was 708/100 000. Over half of all deaths (1176 deaths, 50.7%) were attributed to non-communicable diseases (NCDs), with nearly 30% of all deaths attributed to circulatory system disorders; whereas 24.2% and 3.9% deaths were due to cerebrovascular diseases and ischaemic heart disease, respectively. Equal percent (13%) of males died from external causes and from infectious and parasitic diseases, and 11% died from respiratory system-related diseases. Among females, 12% died from infectious and parasitic diseases. Among children aged 0–4 years, 50% of all male deaths and 45% of all female deaths were attributed to conditions in the perinatal period.Conclusions NCDs are the leading cause of death among adults in a select population of rural Birbhum, India. Health programmes for rural India should prioritise plans to mitigate deaths due to NCDs. |
| format | Article |
| id | doaj-art-fe79a0cfba5c43f8a29608cd10c84702 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-fe79a0cfba5c43f8a29608cd10c847022024-11-16T22:55:08ZengBMJ Publishing GroupBMJ Open2044-60552020-10-01101010.1136/bmjopen-2019-036578Non-communicable diseases are the leading cause of mortality in rural Birbhum, West Bengal, India: a sex-stratified analysis of verbal autopsies from a prospective cohort, 2012–2017Wafaie W Fawzi0Rajesh Kumar Rai1Anamitra Barik2Saibal Mazumdar3Kajal Chatterjee4Yogeshwar V Kalkonde5Prashant Mathur6Abhijit Chowdhury7Department of Global Health and Population, Harvard T H Chan School of Public Health, Boston, Massachusetts, United States3 Department of Global Health and Population, Harvard T H Chan School of Public Health, Boston, Massachusetts, USASociety for Health and Demographic Surveillance, Suri, West Bengal, IndiaSociety for Health and Demographic Surveillance, Suri, West Bengal, IndiaSociety for Health and Demographic Surveillance, Suri, West Bengal, IndiaRural NCDs and Tribal Health Programme, Society for Education Action and Research in Community Health, Gadchiroli, Maharashtra, IndiaNational Centre for Disease Informatics and Research, Bangalore, Karnataka, IndiaSociety for Health and Demographic Surveillance, Suri, West Bengal, IndiaObjectives There is a dearth of data on causes of death in rural India, which impedes identification of public health priorities to guide health interventions. This study aims to offer insights from verbal autopsies, to understand the pattern and distribution of causes of death in a rural area of Birbhum District, West Bengal, India.Design Causes of death data were retrieved from a prospective vital event surveillance system.Setting The Birbhum Population Project, a Health and Demographic Surveillance System, West Bengal, India.Participants Between January 2012 and December 2017, all deaths were recorded.Main outcome measures Trained Surveyors tracked all deaths prospectively and used a previously validated verbal autopsy (VA) tool to record causes of death. Experienced physicians reviewed completed VA forms, and assigned cause of death using the 10th version of International Classification of Diseases. In addition to cause-specific mortality fraction, cause-specific crude death rate (CDR) among males and females were estimated.Results A total of 2320 deaths (1348 males and 972 females) were recorded. An estimated CDR was 708/100 000. Over half of all deaths (1176 deaths, 50.7%) were attributed to non-communicable diseases (NCDs), with nearly 30% of all deaths attributed to circulatory system disorders; whereas 24.2% and 3.9% deaths were due to cerebrovascular diseases and ischaemic heart disease, respectively. Equal percent (13%) of males died from external causes and from infectious and parasitic diseases, and 11% died from respiratory system-related diseases. Among females, 12% died from infectious and parasitic diseases. Among children aged 0–4 years, 50% of all male deaths and 45% of all female deaths were attributed to conditions in the perinatal period.Conclusions NCDs are the leading cause of death among adults in a select population of rural Birbhum, India. Health programmes for rural India should prioritise plans to mitigate deaths due to NCDs.https://bmjopen.bmj.com/content/10/10/e036578.full |
| spellingShingle | Wafaie W Fawzi Rajesh Kumar Rai Anamitra Barik Saibal Mazumdar Kajal Chatterjee Yogeshwar V Kalkonde Prashant Mathur Abhijit Chowdhury Non-communicable diseases are the leading cause of mortality in rural Birbhum, West Bengal, India: a sex-stratified analysis of verbal autopsies from a prospective cohort, 2012–2017 BMJ Open |
| title | Non-communicable diseases are the leading cause of mortality in rural Birbhum, West Bengal, India: a sex-stratified analysis of verbal autopsies from a prospective cohort, 2012–2017 |
| title_full | Non-communicable diseases are the leading cause of mortality in rural Birbhum, West Bengal, India: a sex-stratified analysis of verbal autopsies from a prospective cohort, 2012–2017 |
| title_fullStr | Non-communicable diseases are the leading cause of mortality in rural Birbhum, West Bengal, India: a sex-stratified analysis of verbal autopsies from a prospective cohort, 2012–2017 |
| title_full_unstemmed | Non-communicable diseases are the leading cause of mortality in rural Birbhum, West Bengal, India: a sex-stratified analysis of verbal autopsies from a prospective cohort, 2012–2017 |
| title_short | Non-communicable diseases are the leading cause of mortality in rural Birbhum, West Bengal, India: a sex-stratified analysis of verbal autopsies from a prospective cohort, 2012–2017 |
| title_sort | non communicable diseases are the leading cause of mortality in rural birbhum west bengal india a sex stratified analysis of verbal autopsies from a prospective cohort 2012 2017 |
| url | https://bmjopen.bmj.com/content/10/10/e036578.full |
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