Abstract
BackgroundGeneral and cause-specific mortality data for causes of death are not available for the states of Andhra Pradesh (AP) and Orissa in India. ObjectivesTo estimate general mortality rate (GMR) and the tuberculosis mortality rate (TMR) among the general population in the two states. MethodsAll permanent residents in households of selected districts of AP and Orissa states were registered in the survey in 2005–2006. A sample size of 380,000 persons was selected from each state. Health workers carried out house-to-house enumeration. Demographic and occurrence of death data were collected. The cause of death was determined using the instrument of verbal autopsy. ResultsThe GMR for AP and Orissa was 636 (95% CI: 610–662) and 616 (95% CI: 588–643) per 100,000 person years (p-ys) respectively. The TMR for AP and Orissa was 76 (95% CI: 67–85) and 41 (95% CI: 34–48) per 100,000 p-ys respectively. The difference in TMR between the states was statistically significant (P<0.0001). ConclusionThe GMRs are similar in AP and Orissa states. Tuberculosis accounted for 12% and 7% of deaths in AP and Orissa respectively. Focused strategies are needed to reduce mortality due to tuberculosis.
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