Estimating Adult Mortality in Papua New Guinea, 2011
Abstract Background Mortality in Papua New Guinea (PNG) is poorly measured because routine reporting of deaths is incomplete and inaccurate. This study provides the first estimates in the academic literature of adult mortality (45q15) in PNG by province and sex. These results are compared to a Compo...
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doaj-9c7cb3fa9e984e3690e9231f78fc33592020-11-25T03:16:36ZengBMCPopulation Health Metrics1478-79542019-04-0117111410.1186/s12963-019-0184-xEstimating Adult Mortality in Papua New Guinea, 2011Urarang Kitur0Tim Adair1Alan D. Lopez2Melbourne School of Population and Global Health, University of MelbourneMelbourne School of Population and Global Health, University of MelbourneMelbourne School of Population and Global Health, University of MelbourneAbstract Background Mortality in Papua New Guinea (PNG) is poorly measured because routine reporting of deaths is incomplete and inaccurate. This study provides the first estimates in the academic literature of adult mortality (45q15) in PNG by province and sex. These results are compared to a Composite Index of provincial socio-economic factors and health access. Methods Adult mortality estimates (45q15) by province and sex were derived using the orphanhood method from data reported in the 2000 and 2011 national censuses. Male adult mortality was adjusted based on the estimated incompleteness of mortality reporting. The Composite Index was developed using the mean of education, economic and health access indicators from various data sources. Results Adult mortality for PNG in 2011 was estimated as 269 per 1000 for males and 237 for females. It ranged from 197 in Simbu to 356 in Sandaun province among men, and from 164 in Western Highlands to 326 in Gulf province among women. Provinces with a low Composite Index (Sandaun, Gulf, Enga and Southern Highlands) had comparatively high levels of adult mortality for both sexes, while provinces with a higher Composite Index (National Capital District and Manus) reported lower adult mortality. Conclusions Adult mortality in PNG remains high compared with other developing countries. Provincial variations in mortality correlate with the Composite Index. Health and development policy in PNG needs to urgently address the main causes of persistent high premature adult mortality, particularly in less developed provinces.http://link.springer.com/article/10.1186/s12963-019-0184-xPapua New GuineaAdult mortalityOrphanhood methodSocio-economic inequalitiesSub-national mortality |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Urarang Kitur Tim Adair Alan D. Lopez |
spellingShingle |
Urarang Kitur Tim Adair Alan D. Lopez Estimating Adult Mortality in Papua New Guinea, 2011 Population Health Metrics Papua New Guinea Adult mortality Orphanhood method Socio-economic inequalities Sub-national mortality |
author_facet |
Urarang Kitur Tim Adair Alan D. Lopez |
author_sort |
Urarang Kitur |
title |
Estimating Adult Mortality in Papua New Guinea, 2011 |
title_short |
Estimating Adult Mortality in Papua New Guinea, 2011 |
title_full |
Estimating Adult Mortality in Papua New Guinea, 2011 |
title_fullStr |
Estimating Adult Mortality in Papua New Guinea, 2011 |
title_full_unstemmed |
Estimating Adult Mortality in Papua New Guinea, 2011 |
title_sort |
estimating adult mortality in papua new guinea, 2011 |
publisher |
BMC |
series |
Population Health Metrics |
issn |
1478-7954 |
publishDate |
2019-04-01 |
description |
Abstract Background Mortality in Papua New Guinea (PNG) is poorly measured because routine reporting of deaths is incomplete and inaccurate. This study provides the first estimates in the academic literature of adult mortality (45q15) in PNG by province and sex. These results are compared to a Composite Index of provincial socio-economic factors and health access. Methods Adult mortality estimates (45q15) by province and sex were derived using the orphanhood method from data reported in the 2000 and 2011 national censuses. Male adult mortality was adjusted based on the estimated incompleteness of mortality reporting. The Composite Index was developed using the mean of education, economic and health access indicators from various data sources. Results Adult mortality for PNG in 2011 was estimated as 269 per 1000 for males and 237 for females. It ranged from 197 in Simbu to 356 in Sandaun province among men, and from 164 in Western Highlands to 326 in Gulf province among women. Provinces with a low Composite Index (Sandaun, Gulf, Enga and Southern Highlands) had comparatively high levels of adult mortality for both sexes, while provinces with a higher Composite Index (National Capital District and Manus) reported lower adult mortality. Conclusions Adult mortality in PNG remains high compared with other developing countries. Provincial variations in mortality correlate with the Composite Index. Health and development policy in PNG needs to urgently address the main causes of persistent high premature adult mortality, particularly in less developed provinces. |
topic |
Papua New Guinea Adult mortality Orphanhood method Socio-economic inequalities Sub-national mortality |
url |
http://link.springer.com/article/10.1186/s12963-019-0184-x |
work_keys_str_mv |
AT urarangkitur estimatingadultmortalityinpapuanewguinea2011 AT timadair estimatingadultmortalityinpapuanewguinea2011 AT alandlopez estimatingadultmortalityinpapuanewguinea2011 |
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