Adult mortality in sub-saharan Africa, Zambia: Where do adults die?
Place of death remains an issue of growing interest and debate among scholars as an indicator of quality of end-of-life care in developed countries. In sub-Saharan Africa, however, variations in place of death may suggest inequalities in access to and the utilization of health care services that sho...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2017-12-01
|
| Series: | SSM: Population Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352827317300289 |
| _version_ | 1818318065631232000 |
|---|---|
| author | Vesper H. Chisumpa Clifford O. Odimegwu Nicole De Wet |
| author_facet | Vesper H. Chisumpa Clifford O. Odimegwu Nicole De Wet |
| author_sort | Vesper H. Chisumpa |
| collection | DOAJ |
| description | Place of death remains an issue of growing interest and debate among scholars as an indicator of quality of end-of-life care in developed countries. In sub-Saharan Africa, however, variations in place of death may suggest inequalities in access to and the utilization of health care services that should be addressed by public health interventions. Limited research exists on factors associated with place of death in sub-Saharan Africa. The study examines factors associated with the place of death among Zambian adults aged 15–59 years using the 2010–2012 sample vital registration with verbal autopsy survey (SAVVY) data, descriptive statistics and multivariate logistic regression analysis. Results show that more than half of the adult deaths occurred in a health facility and two-fifths died at home. Higher educational attainment, urban versus rural residence, and being of female gender were significant predictors of the place of death. Improvement in educational attainment and investment in rural health facilities and the health care system as a whole may improve access and utilization of health services among adults. |
| first_indexed | 2024-12-13T09:47:18Z |
| format | Article |
| id | doaj.art-46ecee139f9349b9b45c0afb3803a25b |
| institution | Directory Open Access Journal |
| issn | 2352-8273 |
| language | English |
| last_indexed | 2024-12-13T09:47:18Z |
| publishDate | 2017-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM: Population Health |
| spelling | doaj.art-46ecee139f9349b9b45c0afb3803a25b2022-12-21T23:52:00ZengElsevierSSM: Population Health2352-82732017-12-013C22723510.1016/j.ssmph.2017.02.001Adult mortality in sub-saharan Africa, Zambia: Where do adults die?Vesper H. Chisumpa0Clifford O. Odimegwu1Nicole De Wet2Department of Population Studies, School of Humanities and Social Sciences, University of Zambia, Lusaka, ZambiaDemography and Population Studies Programme, Schools of Public Health and Social Sciences, University of the Witwatersrand, Johannesburg, South AfricaDemography and Population Studies Programme, School of Social Sciences, University of the Witwatersrand, Johannesburg, South AfricaPlace of death remains an issue of growing interest and debate among scholars as an indicator of quality of end-of-life care in developed countries. In sub-Saharan Africa, however, variations in place of death may suggest inequalities in access to and the utilization of health care services that should be addressed by public health interventions. Limited research exists on factors associated with place of death in sub-Saharan Africa. The study examines factors associated with the place of death among Zambian adults aged 15–59 years using the 2010–2012 sample vital registration with verbal autopsy survey (SAVVY) data, descriptive statistics and multivariate logistic regression analysis. Results show that more than half of the adult deaths occurred in a health facility and two-fifths died at home. Higher educational attainment, urban versus rural residence, and being of female gender were significant predictors of the place of death. Improvement in educational attainment and investment in rural health facilities and the health care system as a whole may improve access and utilization of health services among adults.http://www.sciencedirect.com/science/article/pii/S2352827317300289Sub-Saharan AfricaZambiaPlace of deathAdult mortalityVerbal autopsy survey |
| spellingShingle | Vesper H. Chisumpa Clifford O. Odimegwu Nicole De Wet Adult mortality in sub-saharan Africa, Zambia: Where do adults die? SSM: Population Health Sub-Saharan Africa Zambia Place of death Adult mortality Verbal autopsy survey |
| title | Adult mortality in sub-saharan Africa, Zambia: Where do adults die? |
| title_full | Adult mortality in sub-saharan Africa, Zambia: Where do adults die? |
| title_fullStr | Adult mortality in sub-saharan Africa, Zambia: Where do adults die? |
| title_full_unstemmed | Adult mortality in sub-saharan Africa, Zambia: Where do adults die? |
| title_short | Adult mortality in sub-saharan Africa, Zambia: Where do adults die? |
| title_sort | adult mortality in sub saharan africa zambia where do adults die |
| topic | Sub-Saharan Africa Zambia Place of death Adult mortality Verbal autopsy survey |
| url | http://www.sciencedirect.com/science/article/pii/S2352827317300289 |
| work_keys_str_mv | AT vesperhchisumpa adultmortalityinsubsaharanafricazambiawheredoadultsdie AT cliffordoodimegwu adultmortalityinsubsaharanafricazambiawheredoadultsdie AT nicoledewet adultmortalityinsubsaharanafricazambiawheredoadultsdie |