National mortality burden due to communicable, non-communicable, and other diseases in Ethiopia, 1990–2015: findings from the Global Burden of Disease Study 2015
Abstract Background Ethiopia lacks a complete vital registration system that would assist in measuring disease burden and risk factors. We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 2015) estimates to describe the mortality burden from communicable, non-communicab...
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| Format: | Article |
| Language: | English |
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BMC
2017-07-01
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| Series: | Population Health Metrics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12963-017-0145-1 |
| _version_ | 1818844889716097024 |
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| author | Awoke Misganaw Tilahun N. Haregu Kebede Deribe Gizachew Assefa Tessema Amare Deribew Yohannes Adama Melaku Azmeraw T. Amare Semaw Ferede Abera Molla Gedefaw Muluken Dessalegn Yihunie Lakew Tolesa Bekele Mesoud Mohammed Biruck Desalegn Yirsaw Solomon Abrha Damtew Kristopher J. Krohn Tom Achoki Jed Blore Yibeltal Assefa Mohsen Naghavi |
| author_facet | Awoke Misganaw Tilahun N. Haregu Kebede Deribe Gizachew Assefa Tessema Amare Deribew Yohannes Adama Melaku Azmeraw T. Amare Semaw Ferede Abera Molla Gedefaw Muluken Dessalegn Yihunie Lakew Tolesa Bekele Mesoud Mohammed Biruck Desalegn Yirsaw Solomon Abrha Damtew Kristopher J. Krohn Tom Achoki Jed Blore Yibeltal Assefa Mohsen Naghavi |
| author_sort | Awoke Misganaw |
| collection | DOAJ |
| description | Abstract Background Ethiopia lacks a complete vital registration system that would assist in measuring disease burden and risk factors. We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 2015) estimates to describe the mortality burden from communicable, non-communicable, and other diseases in Ethiopia over the last 25 years. Methods GBD 2015 mainly used cause of death ensemble modeling to measure causes of death by age, sex, and year for 195 countries. We report numbers of deaths and rates of years of life lost (YLL) for communicable, maternal, neonatal, and nutritional (CMNN) disorders, non-communicable diseases (NCDs), and injuries with 95% uncertainty intervals (UI) for Ethiopia from 1990 to 2015. Results CMNN causes of death have declined by 65% in the last two-and-a-half decades. Injury-related causes of death have also decreased by 70%. Deaths due to NCDs declined by 37% during the same period. Ethiopia showed a faster decline in the burden of four out of the five leading causes of age-standardized premature mortality rates when compared to the overall sub-Saharan African region and the Eastern sub-Saharan African region: lower respiratory infections, tuberculosis, HIV/AIDS, and diarrheal diseases; however, the same could not be said for ischemic heart disease and other NCDs. Non-communicable diseases, together, were the leading causes of age-standardized mortality rates, whereas CMNN diseases were leading causes of premature mortality in 2015. Although lower respiratory infections, tuberculosis, and diarrheal disease were the leading causes of age-standardized death rates, they showed major declines from 1990 to 2015. Neonatal encephalopathy, iron-deficiency anemia, protein-energy malnutrition, and preterm birth complications also showed more than a 50% reduction in burden. HIV/AIDS-related deaths have also decreased by 70% since 2005. Ischemic heart disease, hemorrhagic stroke, and ischemic stroke were among the top causes of premature mortality and age-standardized death rates in Ethiopia in 2015. Conclusions Ethiopia has been successful in reducing deaths related to communicable, maternal, neonatal, and nutritional deficiency diseases and injuries by 65%, despite unacceptably high maternal and neonatal mortality rates. However, the country’s performance regarding non-communicable diseases, including cardiovascular disease, diabetes, cancer, and chronic respiratory disease, was minimal, causing these diseases to join the leading causes of premature mortality and death rates in 2015. While the country is progressing toward universal health coverage, prevention and control strategies in Ethiopia should consider the double burden of common infectious diseases and non-communicable diseases: lower respiratory infections, diarrhea, tuberculosis, HIV/AIDS, cardiovascular disease, cancer, and diabetes. Prevention and control strategies should also pay special attention to the leading causes of premature mortality and death rates caused by non-communicable diseases: cardiovascular disease, cancer, and diabetes. Measuring further progress requires a data revolution in generating, managing, analyzing, and using data for decision-making and the creation of a full vital registration system in the country. |
| first_indexed | 2024-12-19T05:20:56Z |
| format | Article |
| id | doaj.art-66b0446f7b0b438ab4015f4d1eb93c03 |
| institution | Directory Open Access Journal |
| issn | 1478-7954 |
| language | English |
| last_indexed | 2024-12-19T05:20:56Z |
| publishDate | 2017-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Population Health Metrics |
| spelling | doaj.art-66b0446f7b0b438ab4015f4d1eb93c032022-12-21T20:34:30ZengBMCPopulation Health Metrics1478-79542017-07-0115111710.1186/s12963-017-0145-1National mortality burden due to communicable, non-communicable, and other diseases in Ethiopia, 1990–2015: findings from the Global Burden of Disease Study 2015Awoke Misganaw0Tilahun N. Haregu1Kebede Deribe2Gizachew Assefa Tessema3Amare Deribew4Yohannes Adama Melaku5Azmeraw T. Amare6Semaw Ferede Abera7Molla Gedefaw8Muluken Dessalegn9Yihunie Lakew10Tolesa Bekele11Mesoud Mohammed12Biruck Desalegn Yirsaw13Solomon Abrha Damtew14Kristopher J. Krohn15Tom Achoki16Jed Blore17Yibeltal Assefa18Mohsen Naghavi19Institute for Health Metrics and Evaluation, University of WashingtonAfrica Population and Health Research CenterBrighton and Sussex Medical SchoolSchool of Public Health, University of AdelaideKEMRI-Wellcome Trust Research ProgrammeSchool of Public Health, University of AdelaideSchool of Public Health, University of AdelaideSchool of Public Health, College of Health Sciences, Mekelle UniversityFederal Ministry of HealthAmref Health Africa in EthiopiaEthiopian Public Health AssociationDepartment of Public Health, College of Medicine and Health Sciences, Madda Walabu UniversityFederal Ministry of HealthUniversity of South AustraliaCollege of Health Sciences and Medicine, Wolayta Sodo UniversityInstitute for Health Metrics and Evaluation, University of WashingtonInstitute for Health Metrics and Evaluation, University of WashingtonInstitute for Health Metrics and Evaluation, University of WashingtonUniversity of QueenslandInstitute for Health Metrics and Evaluation, University of WashingtonAbstract Background Ethiopia lacks a complete vital registration system that would assist in measuring disease burden and risk factors. We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 2015) estimates to describe the mortality burden from communicable, non-communicable, and other diseases in Ethiopia over the last 25 years. Methods GBD 2015 mainly used cause of death ensemble modeling to measure causes of death by age, sex, and year for 195 countries. We report numbers of deaths and rates of years of life lost (YLL) for communicable, maternal, neonatal, and nutritional (CMNN) disorders, non-communicable diseases (NCDs), and injuries with 95% uncertainty intervals (UI) for Ethiopia from 1990 to 2015. Results CMNN causes of death have declined by 65% in the last two-and-a-half decades. Injury-related causes of death have also decreased by 70%. Deaths due to NCDs declined by 37% during the same period. Ethiopia showed a faster decline in the burden of four out of the five leading causes of age-standardized premature mortality rates when compared to the overall sub-Saharan African region and the Eastern sub-Saharan African region: lower respiratory infections, tuberculosis, HIV/AIDS, and diarrheal diseases; however, the same could not be said for ischemic heart disease and other NCDs. Non-communicable diseases, together, were the leading causes of age-standardized mortality rates, whereas CMNN diseases were leading causes of premature mortality in 2015. Although lower respiratory infections, tuberculosis, and diarrheal disease were the leading causes of age-standardized death rates, they showed major declines from 1990 to 2015. Neonatal encephalopathy, iron-deficiency anemia, protein-energy malnutrition, and preterm birth complications also showed more than a 50% reduction in burden. HIV/AIDS-related deaths have also decreased by 70% since 2005. Ischemic heart disease, hemorrhagic stroke, and ischemic stroke were among the top causes of premature mortality and age-standardized death rates in Ethiopia in 2015. Conclusions Ethiopia has been successful in reducing deaths related to communicable, maternal, neonatal, and nutritional deficiency diseases and injuries by 65%, despite unacceptably high maternal and neonatal mortality rates. However, the country’s performance regarding non-communicable diseases, including cardiovascular disease, diabetes, cancer, and chronic respiratory disease, was minimal, causing these diseases to join the leading causes of premature mortality and death rates in 2015. While the country is progressing toward universal health coverage, prevention and control strategies in Ethiopia should consider the double burden of common infectious diseases and non-communicable diseases: lower respiratory infections, diarrhea, tuberculosis, HIV/AIDS, cardiovascular disease, cancer, and diabetes. Prevention and control strategies should also pay special attention to the leading causes of premature mortality and death rates caused by non-communicable diseases: cardiovascular disease, cancer, and diabetes. Measuring further progress requires a data revolution in generating, managing, analyzing, and using data for decision-making and the creation of a full vital registration system in the country.http://link.springer.com/article/10.1186/s12963-017-0145-1Causes of deathMortalityCommunicable diseaseNon-communicable diseasesEthiopiaGlobal burden of disease |
| spellingShingle | Awoke Misganaw Tilahun N. Haregu Kebede Deribe Gizachew Assefa Tessema Amare Deribew Yohannes Adama Melaku Azmeraw T. Amare Semaw Ferede Abera Molla Gedefaw Muluken Dessalegn Yihunie Lakew Tolesa Bekele Mesoud Mohammed Biruck Desalegn Yirsaw Solomon Abrha Damtew Kristopher J. Krohn Tom Achoki Jed Blore Yibeltal Assefa Mohsen Naghavi 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 Causes of death Mortality Communicable disease Non-communicable diseases Ethiopia Global burden of disease |
| title | National mortality burden due to communicable, non-communicable, and other diseases in Ethiopia, 1990–2015: findings from the Global Burden of Disease Study 2015 |
| title_full | National mortality burden due to communicable, non-communicable, and other diseases in Ethiopia, 1990–2015: findings from the Global Burden of Disease Study 2015 |
| title_fullStr | National mortality burden due to communicable, non-communicable, and other diseases in Ethiopia, 1990–2015: findings from the Global Burden of Disease Study 2015 |
| title_full_unstemmed | National mortality burden due to communicable, non-communicable, and other diseases in Ethiopia, 1990–2015: findings from the Global Burden of Disease Study 2015 |
| title_short | National mortality burden due to communicable, non-communicable, and other diseases in Ethiopia, 1990–2015: findings from the Global Burden of Disease Study 2015 |
| title_sort | national mortality burden due to communicable non communicable and other diseases in ethiopia 1990 2015 findings from the global burden of disease study 2015 |
| topic | Causes of death Mortality Communicable disease Non-communicable diseases Ethiopia Global burden of disease |
| url | http://link.springer.com/article/10.1186/s12963-017-0145-1 |
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