Burden of disease pol brief A4 Web.pmd

نویسندگان

  • Debbie Bradshaw
  • Pam Groenewald
  • Ria Laubscher
  • Nadine Nannan
چکیده

Background There have been no previous attempts to undertake a national burden of disease (BoD) study in South Africa. Only about 35 countries worldwide have initiated or completed BoD studies. Analyses of SA’s existing mortality data highlighted deficiencies in the death statistics, with under-registration and misclassification. In 1996, the latest year for which full cause of death data are available for SA, 14.8% of the deaths were described as ‘ill-defined’ since exact cause was unknown, and 17.1% as due to ‘undetermined injuries’, making it impossible to utilise the cause of death data on face value. Analyses of more recent data, including the sample data for 1997-2001 reported by Statistics South Africa, highlight an improvement in death registration and also show how SA has moved from a triple BoD to a quadruple burden, comprising: • poverty-related conditions • emerging chronic diseases • injuries and • AIDS. BoD information is an important component of health information for monitoring the health of the nation. In the health sector scarcity of resources makes priority-setting imperative. Detailed BoD information linked with cost-effectiveness analyses inform prioritysetting for health sector reform.

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تاریخ انتشار 2003