Mortality in Cambodia: an 18-month prospective community-based surveillance of all-age deaths using verbal autopsies

Asia Pac J Public Health. 2015 Mar;27(2):NP2458-70. doi: 10.1177/1010539513514433. Epub 2013 Dec 19.

Abstract

To estimate the 2009-2010 death rates, causes, and patterns of mortality in rural Cambodia, we conducted active, population-based death surveillance in 25 rural villages of Cambodia from March 2009 to August 2010. Among the population of 28,053 under surveillance, 280 deaths were reported and explored by physician-certified verbal autopsies, using the International Classification of Diseases 10, yielding an overall mortality rate (MR) of 6.7/1000 persons-year (95% CI 5.74-7.68). The MR was 39.1/1000 live births for those younger than 5 years old. Infants accounted for 5.4% of all deaths. In children younger than 5 years, infectious and parasitic diseases were the leading causes of death. In children 5 to 14 years, 3 out of 4 deaths were due to injuries. Adult deaths were mainly attributed to noncommunicable diseases (52%). We conclude that this rural population is facing a substantial burden of noncommunicable diseases while still struggling with infectious diseases, respiratory diseases in particular.

Keywords: Cambodia; mortality; rural health; verbal autopsy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Autopsy / methods*
  • Cambodia / epidemiology
  • Cause of Death*
  • Child
  • Child, Preschool
  • Communicable Diseases
  • Humans
  • Infant
  • Middle Aged
  • Population Surveillance
  • Prospective Studies
  • Rural Population*
  • Young Adult