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Free Content Tuberculosis mortality differentials in Indonesia during 2007–2008: evidence for health policy and monitoring

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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-specific

mortality 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.
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Keywords: DEATH REGISTRATION; INDONESIA; MORTALITY; TUBERCULOSIS

Document Type: Research Article

Affiliations: 1: School of Population Health, University of Queensland, Herston, Queensland, Australia 2: National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia

Publication date: 01 December 2011

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  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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