The National Burden of Selected Diseases and Injuries in Sudan in the Year 2002
The National Burden of Selected Diseases and Injuries in Sudan in the Year 2002
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Date
2015-04-06
Authors
Ibrahim, Safa
Journal Title
Journal ISSN
Volume Title
Publisher
UOFK
Abstract
This case study was conducted to pretest the burden of disease methodology in
Sudan settings. It aimed at measuring the burden of selected diseases and injuries in
Sudan in 2002, using Disability Adjusted Life Years (DALYs). The diseases were Malaria,
Measles, Protein energy malnutrition, Low birth weight, Maternal hemorrhage, Diabetes
Mellitus and Road traffic accidents. It also aimed to analyze the sensitivity of the burden
to changes in the weights given to different disabilities.
A search for local studies and reports providing epidemiological data on these
diseases was conducted. Preliminary epidemiological estimates were developed from the
data. The estimates included mortality rates, incidence rates, prevalence proportions, case
fatality hazards, remission hazards, average duration and relative risk of mortality. The
preliminary estimates were entered into disease modeling computer software; DISMOD.
This produced internally consistent mortality and incidence rates that were used to
calculate DALYs for each disease.
For both males and females, low birth weight accounted for the highest burden
followed by protein energy malnutrition, malaria, measles, Diabetes Mellitus and road
traffic accidents, with maternal hemorrhage preceding the latter in females. The rank
order of the diseases varied in the different age groups. The change in disease burden
when using a different set of disability weights was the greatest in diseases with a high
disability burden and in those were the difference between the disability weights given to
a condition is large. The validity of disease burden estimates was reduced by uncertainties
arising from different sources. The study revealed deficiencies in epidemiological data of
the diseases under study. Further revisions and improvement of the methods used, with
refinement of the final estimates of incidence and mortality of the diseases under study,
were recommended. It is also important to conduct a full analysis of all disease and injury
burden in Sudan. More reliable epidemiological data should be provided by improving
Abstract
V
the vital registration system, and conduction of population based longitudinal studies and
national surveys.
Description
154page
Keywords
National Burden,disease,(GBD),(DALY)