Mozambique Mortality Survey Results
As many deaths in Mozambique go unreported, officials there could not determine accurate mortality levels, mortality’s causes, or the country’s regions and demographics that exhibited the highest mortality. In order to gather baseline information on mortality in the country, MEASURE Evaluation and the Mozambican National Institute of Statistics, the Mozambican Ministry of Health, the U.S. Census Bureau, the U.S. Centers for Disease Control and Prevention, United Nations Children’s Fund, and the Manhica Demographic Surveillance Site collaborated on a post-census mortality survey. The survey, known as the Inquiry on Causes about Mortality (INCAM), was carried out in conjunction with the 2007 population census. Details of the survey’s results are now available in Mortality in Mozambique: Results from a 2007-2008 Post-Census Mortality Survey.
INCAM identified approximately 10,000 deaths and looked at their leading causes by demographic characteristics, including area of residence, age, sex and use of health services prior to death. Key findings from INCAM detailed in the report are that malaria and HIV and AIDS were the primary causes of death, followed by perinatal conditions, diarrheal diseases, and pneumonia, and other causes.
INCAM also was the first post-census mortality survey in Africa. It provided provincial-level estimates of the proportions of mortality resulting from HIV and AIDS, malaria and other leading causes of death based on age and sex. INCAM used verbal autopsy (VA) in order to gather information about the cause of death from the decedents’ families. The VA tools used were those recommended for mortality surveillance through the Sample Vital Registration with Verbal Autopsy (SAVVY), a MEASURE Evaluation tool that includes VA questionnaires supported by the World Health Organization.
Mozambique can use INCAM findings as baseline data for mortality rates and causes, helping policy makers and program managers to allocate limited health services more efficiently. The country’s Ministry of Health can use this information to set goals, implement targeted interventions and monitor and evaluate Mozambique’s health care state. All data gathered from INCAM were designed to be representative at the national, provincial, and rural and urban levels.
The INCAM report can be accessed at https://www.cpc.unc.edu/measure/publications/tr-11-83.