Tuberculosis mortality differentials in Indonesia during 2007-2008: Evidence for health policy and monitoring

Rao, C., Kosen, S., Bisara, D., Usman, Y., Adair, T., Djaja, S., Suhardi, S., Soemantri, S and Lopez, A. D. (2011) Tuberculosis mortality differentials in Indonesia during 2007-2008: Evidence for health policy and monitoring. International Journal of Tuberculosis and Lung Disease, 15 12: 1608-1614. doi:10.5588/ijtld.11.0018

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Author Rao, C.
Kosen, S.
Bisara, D.
Usman, Y.
Adair, T.
Djaja, S.
Suhardi, S.
Soemantri, S
Lopez, A. D.
Title Tuberculosis mortality differentials in Indonesia during 2007-2008: Evidence for health policy and monitoring
Journal name International Journal of Tuberculosis and Lung Disease   Check publisher's open access policy
ISSN 1027-3719
Publication date 2011-12
Sub-type Article (original research)
DOI 10.5588/ijtld.11.0018
Volume 15
Issue 12
Start page 1608
End page 1614
Total pages 7
Place of publication Paris, France
Publisher International Union against Tuberculosis and Lung Disease (I U A T L D)
Collection year 2012
Language eng
Formatted abstract
BACKGROUND: Indonesia bears the third highest tuberculosis (TB) burden in the world. Current mortality estimates are based on notification and case fatality rates derived from the National TB Control Programme.

OBJECTIVE: To report TB mortality measures for 2007-2008 based on death registration systems in selected populations in five provinces of Indonesia.

METHODS: Data were compiled from sites in Central Java, Lampung, Gorontalo, West Kalimantan and Papua in 2007-2008, covering 2.5 million people. Overall mortality levels and TB mortality indicators were computed. Data quality was assessed in terms of completeness of death registration and strength of evidence in verbal autopsy questionnaires.

RESULTS: A total of 1547 TB deaths were diagnosed in the five provinces. There was direct or indirect evidence of incomplete death registration at all sites. More than 90% of TB diagnoses from verbal autopsies were based on strong evidence. The results demonstrate high TB death rates in Papua, and significant mortality differentials across provinces.

CONCLUSIONS: The measurement of cause-specificmortality is feasible by strengthening death registration in Indonesia. Observed TB mortality rates from five sites are baseline evidence for monitoring TB control programmes. Sustained efforts are required to develop death registration as a routine annual source of mortality data for Indonesia.
Keyword Tuberculosis
Death registration
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Public Health Publications
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