ORIGINAL PAPER
The burden of disease and cause of mortality in Ethiopia, 2000–2016:
findings from the Global Burden of Disease Study and Global Health
Estimates
More details
Hide details
1
Department of Public Health, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia
2
Department of Statistics, College of Natural and Computational Sciences, Wolkite University, Wolkite, Ethiopia
3
Department of Pharmacy, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia
Submission date: 2020-05-22
Final revision date: 2020-11-03
Acceptance date: 2020-12-10
Publication date: 2020-12-31
Medical Studies 2020;36(4):246-256
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Measuring the burden of disease and identifying the cause of mortality are very important to improve the health care system and to understand the key challenges of population health and monitoring progress achieved by the intervention programs.
Aim of the research: To systematically analyze the existing evidence to bring a solution.
Material and methods:
The research used data from the Global Burden of Disease study (GBD 2016) and Global Health Estimates (GHE) 2016, which originally collected the information through vital registration, verbal autopsy, surveys, reports, published scientific articles, and modelling.
Results:
In 2016, an estimated 700108.8 (95% CI: 588955.7–831398.4) deaths were recorded in Ethiopia, with an overall crude death rate (CDR) of 683.7/100,000 and an age-standardized death rate (ASDR) of 1048.3/100,000 population. Both declined, by 53.7% and 42.3% respectively, from the 2000 estimate. Group I causes (communicable, maternal, neonatal, and nutritional – CMNN), group II causes (non-communicable diseases – NCD), and group III causes (injuries) contributed to 37%, 53%, and 11.7% of ASDR, respectively. The ASDR due to group I, group II, and group III causes declined by 61.8%, 12.5%, and 36%, respectively. Ischemic heart disease, lower respiratory infections, diarrheal diseases, stroke, and tuberculosis were the top five causes of ASDR. Disability-adjusted life years lost (DALYs) due to all causes among all ages declined by 34.8% between 2000 and 2016. Of the 46,507,400 DALYs in 2016, group I, group II, and group III causes accounted for 54%, 34%, and 11.7% of national DALYs, respectively. DALYs due to group I causes declined by more than 52%, while DALYs due to group 2 causes increased by 31.5%.
Conclusions:
Even though morbidity and mortality ascribed to communicable diseases declined remarkably, the burden of NCD is still higher and some of the existing communicable diseases caused higher mortality and DALYs.
REFERENCES (18)
1.
WHO methods and data sources for country-level causes of death 2000-2016 (Global Health Estimates Technical Paper WHO/HIS/IER/GHE/2018.3).
2.
CHERG-WHO methods and data sources for child causes of death 2000-2015 (Global Health Estimates Technical Paper WHO/HIS/HSI/GHE/2016.1).
3.
WHO methods and data sources for life tables 1990-2016 (Global Health Estimates Technical Paper WHO/HIS/IER/GHE/2018.2).
4.
WHO methods and data sources for global burden of disease estimates 2000-2016 (Global Health Estimates Technical Paper WHO/HIS/IER/GHE/2018.4).
5.
Global Health Estimates: Deaths by cause, age and sex, by country and by region, 2000-2012. Geneva: World Health Organization 2014 (
http://www.who.int/healthinfo/...).
6.
Christopher JLM, Lopez AD. Measuring the global burden of disease. N Engl J Med 2013; 369: 448-457.
7.
Christopher JLM. Measuring progress and projecting attainment on the basis of past trends of the health-related Sustainable Development Goals in 188 countries: an analysis from the Global Burden of Disease Study 2016. Lancet 2017; 390: 1423-1459.
8.
Global Health Estimates 2015: Deaths by cause, age and sex, by country and by region, 2000-2015. Geneva: World Health Organization 2016. (
http://www.who.int/healthinfo/...).
9.
The GATHER Working Group. Guidelines for accurate and transparent health estimates reporting: the GATHER statement. Lancet 2016; 388: e19-e23.
10.
FMOH. Annual performance report 2017, FMOH Addis Ababa Ethiopia.
11.
Central Statistical Agency (CSA) [Ethiopia] and ICF. 2016. Ethiopia Demographic and Health Survey 2016. Addis Ababa, Ethiopia, and Rockville, Maryland, USA: CSA and ICF.
12.
WHO. Ethiopian Factsheets of Health Statistics 2016.
14.
United Nations. The Millennium Development Goals Report 2015. United nations: New York 2015.
15.
United Nations: the sustainable development goals report 2016. UNSD: New York 2016.
16.
Global Health Estimates 2016: Global, regional, and national disability-adjusted life-years (DALYs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016.
17.
Misganaw A, Haregu TN, Deribe K, Tessema GA, Deribew A, Melaku YA, Amare AT, Abera SF, Gedefaw M, Dessalegn M, Lakew Y, Bekele T, Mohammed M, Yirsaw BD, Damtew SA, Krohn KJ, Achoki T, Blore J, Assefa Y, Naghavi M. National mortality burden due to communicable, non-communicable, and other diseases in Ethiopia, 1990–2015: findings from the Global Burden of Disease Study 2015. Population Health Metrics 2017; 15: 29.
18.
Hawaksworth G, Hales J, Martinez F, Hynes A, Hamilton A, Fernandez V. Pancreatic cancer trends in Europe: epidemiology and risk factors. Medical Studies 2019; 35: 164-171.