Burden of disease in Butajira , Southern Ethiopia
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Date
1998-12
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Addis Ababa University
Abstract
There are only few studies done on burden of disease in Ethiopia. This study was conducted in Butajira, Southern Ethiopia, with the aim of describing the burden of disease in the community using the Disability Adjusted Life Years (DALYs) lost method. A cross - sectional household survey was carried out in 835 randomly selected households among which a structured questionnaire was administered to assess the cause and magnitude of morbidity. For determining the cause and magnitude ofmortality,verbalautopsyquestionnaire were administered to the bereaved relatives of the deceased within the previous two years within the study population.
Establishing the causes of morbidity and mortality from the questionnaires was done by what is known as "the expert algorithm" method where a group of physicians would review the collected data from the questionnaire and assign diagnosis.
The information collected at field level along withrespective diagnosis made by the expert algorithm were again analyzed using the software called "Disease Burden Modeling System" to calculate the number of DALYs lost for each condition per 100,000 population.
The results showed that the prevalence of morbidity within the preceding two weeks in the community was 13% .In addition, there were 875 deaths in the last two years making an annual mor tality rate of 14 per 1,000 population and a maternal mortality ratio of about 625 per 100 , 000 live births . The total burden of disease in terms of DALYs lost calculated from these data was 59 , 125 per 100,000 population . Communicable, maternal and perinatal diseases contributed to 72% of the total DALYs lost, non-communicable diseases contributed to 24% of the DALYs lost while the proportion of DALYs lost due to injuries was 4%. As most of the DALYs lost (72%) were due to communicable, maternal and perinatal conditions, strategies aimed at reducing the incidence of morbidity and mortality due to diseases in this category can improve the health status of the study population. done to assess types Furthermore, studies must be and cost-effectiveness of
interventions aimed at this category of diseases. Risk face or for this disease category should also be studied and analyzed for preventive intervention.
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Public Health