Using burial surveillance data for monitoring AIDS mortality in Addis Ababa, Ethiopia
Georges Reniers, Princeton University
Gail Davey, Addis Ababa University
Tekebash Araya, Addis Ababa University
Nico J.D. Nagelkerke, United Arab Emirates University
Yemane Berhane, Addis Ababa University
Eduard J Sanders, Kenya Medical Research Institute (KEMRI)
As in most other countries in SSA, there is no vital registration system in Ethiopia and it is therefore difficult to monitor population-level adult mortality trends. As an alternative, we developed a surveillance of burials at all cemeteries of Addis Ababa. The surveillance captures over 20,000 deaths annually. Using these data, we investigate population level trends in overall and AIDS specific adult mortality over a 5-year period during which antiretroviral therapy (ART) has been introduced. Our AIDS mortality estimates are much lower than those obtained via extrapolations from ANC sentinel surveillance data. Further, we identify a reversal in all-cause adult mortality as well as AIDS specific adult mortality following the introduction of ART in 2003.