A comparison of death recording by health centres and civil registration in South Africans receiving antiretroviral treatment

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dc.contributor.authorJohnson, Leigh F.en_ZA
dc.contributor.authorDorrington, Rob E.en_ZA
dc.contributor.authorLaubscher, Riaen_ZA
dc.contributor.authorHoffmann, Christopher J.en_ZA
dc.contributor.authorWood, Robinen_ZA
dc.contributor.authorFox, Matthew P.en_ZA
dc.contributor.authorCornell, Mornaen_ZA
dc.contributor.authorSchomaker, Michaelen_ZA
dc.contributor.authorProzesky, Hansen_ZA
dc.contributor.authorTanser, Franken_ZA
dc.contributor.authorDavies, Mary-Annen_ZA
dc.contributor.authorBoulle, Andrewen_ZA
dc.date.accessioned2016-10-18T05:37:52Z
dc.date.available2016-10-18T05:37:52Z
dc.date.issued2015-12-16
dc.descriptionCITATION: Johnson, L. F. et al. 2015. A comparison of death recording by health centres and civil registration in South Africans receiving antiretroviral treatment. Journal of the International AIDS Society, 18:20628, doi:10.7448/IAS.18.1.20628.
dc.descriptionThe original publication is available at http://www.jiasociety.org
dc.description.abstractIntroduction: There is uncertainty regarding the completeness of death recording by civil registration and by health centres in South Africa. This paper aims to compare death recording by the two systems, in cohorts of South African patients receiving antiretroviral treatment (ART). Methods: Completeness of death recording was estimated using a capture recapture approach. Six ART programmes linked their patient record systems to the vital registration system using civil identity document (ID) numbers and provided data comparing the outcomes recorded in patient files and in the vital registration. Patients were excluded if they had missing/invalid IDs or had transferred to other ART programmes. Results: After exclusions, 91,548 patient records were included. Of deaths recorded in patients files after 2003, 94.0% (95% CI: 93.3 94.6%) were recorded by civil registration, with completeness being significantly higher in urban areas, older adults and females. Of deaths recorded by civil registration after 2003, only 35.0% (95% CI: 34.2 35.8%) were recorded in patient files, with this proportion dropping from 60% in 2004 2005 to 30% in 2010 and subsequent years. Recording of deaths in patient files was significantly higher in children and in locations within 50 km of the health centre. When the information from the two systems was combined, an estimated 96.2% of all deaths were recorded (93.5% in children and 96.2% in adults). Conclusions: South Africa’s civil registration system has achieved a high level of completeness in the recording of mortality. However, the fraction of deaths recorded by health centres is low and information from patient records is insufficient by itself to evaluate levels and predictors of ART patient mortality. Previously documented improvements in ART mortality over time may be biased if based only on data from patient records.en_ZA
dc.description.abstractAFRIKAANSE OPSOMMING: Geen opsomming beskikbaaraf_ZA
dc.description.urihttp://www.jiasociety.org/index.php/jias/article/view/20628?search=prozesky
dc.description.versionPublisher's version
dc.format.extent7 pagesen_ZA
dc.identifier.citationJohnson, L. F. et al. 2015. A comparison of death recording by health centres and civil registration in South Africans receiving antiretroviral treatment. Journal of the International AIDS Society, 18:20628, doi:10.7448/IAS.18.1.20628.
dc.identifier.issn1758-2652 (online)
dc.identifier.otherdoi:10.7448/IAS.18.1.20628
dc.identifier.urihttp://hdl.handle.net/10019.1/99724
dc.language.isoen_ZAen_ZA
dc.publisherInternational AIDS Societyen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectAntiretroviral drugsen_ZA
dc.subjectHIV infections -- Patientsen_ZA
dc.subjectVital statistics -- Recording and registrationen_ZA
dc.subjectDeath registrationen_ZA
dc.titleA comparison of death recording by health centres and civil registration in South Africans receiving antiretroviral treatmenten_ZA
dc.typeArticleen_ZA
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