@article{21683, keywords = {Adult, Female, Humans, Aged, Male, Middle Aged, Adolescent, Child, Preschool, Aged, 80 and over, Child, Young Adult, Interviews as Topic, Socioeconomic Factors, Infant, Infant, Newborn, Sex Distribution, Population Surveillance, Age Distribution, Autopsy/ methods, Cardiovascular Diseases/mortality, Cause of Death/ trends, Communicable Diseases/mortality, Death Certificates, India/epidemiology, Rural Health/ trends, Rural Population/ statistics & numerical data}, author = {Jagnoor J. and Kumar R. and Lakshmi P. and Kumar D. and Aggarwal A.}, title = {Epidemiological transition in a rural community of northern India: 18-year mortality surveillance using verbal autopsy}, abstract = {

BACKGROUND: Information on causes of death is vital for planning of health services. However, vital events registration systems are weak in developing countries. Therefore, verbal autopsy (VA) tools were incorporated in a community-based surveillance system to track causes of death. METHOD AND FINDINGS: Trained fieldworker identified all deaths and interviewed a living relative of those who had died during 1992-2009, using VA, in eight villages of Haryana (11,864 populations). These field reports detailing events preceding death were reviewed by two trained physicians, who independently assigned an International Classification of Disease-10 code to each death. Discrepancies were resolved through reconciliation and, if necessary, adjudication. Non-communicable conditions were the leading causes of death (47.6%) followed by communicable diseases including maternal, perinatal and nutritional conditions (34.0%), and injuries (11.4%). Cause of death could not be determined in 6.9% cases. Deaths due to cardiovascular diseases showed a significant rise, whereas deaths due to diarrhoeal diseases have declined (p<0.01). Majority (90.0%) of the deceased had contacted a healthcare provider during illness but only 11.5% were admitted in hospital before death. CONCLUSION: Rising trend of cardiovascular diseases observed in a rural community of Haryana in India calls for reorientation of rural healthcare delivery system for prevention and control of chronic diseases.

}, year = {2012}, journal = {Journal of Epidemiology and Community Health}, volume = {66}, edition = {2011/11/05}, number = {10}, pages = {890-3}, isbn = {1470-2738 (Electronic)
0143-005X (Linking)}, note = {Kumar, Rajesh
Kumar, Dinesh
Jagnoor, J
Aggarwal, Arun K
Lakshmi, P V M
Research Support, Non-U.S. Gov't
England
J Epidemiol Community Health. 2012 Oct;66(10):890-3. doi: 10.1136/jech-2011-200336. Epub 2011 Nov 2.}, language = {eng}, }