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Abstract

A STUDY ON VERBAL AUTOPSY OF CAUSE OF DEATHS AMONG INSURED MEMBERS IN RURAL AREAS OF WEST GODAVARI DISTRICT, INDIA

Dr. K. Chandra Sekhar*, Dr. Ch. Rama Mohan, Dr. Chandra Sekhar Reddy Bolla, Dr. P. G. Deotale and Dr. Saleh Abd El Fattah Al Gabbany

ABSTRACT

Background: For the last two decades disease mortality trends in developing countries was noticed, cardiovascular mortality was tremendously increasing even in rural areas also. Cardiovascular disease (CVD) is the reason for a large proportion of all deaths and disability worldwide. As per the report of Global Burden of Disease Study, in the year 1990, there were 5.2 million deaths from CVD in economically developed countries and 9.1 million deaths from the same cause in developing countries. Objectives: 1. To determine the environmental conditions and pre existing disease conditions of insured persons in relation to deaths in selected villages of West Godavari. 2. To study the various diseases patterns as cause of deaths analysis in interior rural areas in selected villages of West Godavari district. Materials & Methods: A community based cross sectional study was conducted at some selected villages of west Godavari district during the period from July 2013 to August 2013. A sample size of about 289 study sample was taken from maximum death rate noticed villages. Relevant death related information was collected from family members, relatives and sometimes information also collected from neighbours using simple random method. Results: About 47.4% of the study population died in the age group of 45-50 years. Even 11 people died between the age group of 25-30 years also that reflects pre mature deaths in the society. In the study population, about 138 individuals were living in semi pucca houses, 77 people were living in katcha houses and lastly 74 people were having pucca houses. Those are living in katcha houses, about 19.4% were died from infections and parasitic diseases and where as 8.1% in pucca housing conditions. Out of 23 deaths in Polavaram mandal, about 21.7% people died from Tuberculosis and 17.4% were from cardiac problem, 13%. Conclusions: Before death of the persons, many insured persons of low economic status were having one or more health problems like Diabetes mellitus and Heart disease etc. Insurance coverage measures taken up by the government of Andhra Pradesh to improve the quality of life and social security of rural people of west Godavari. Majority of Rural mandals, maximum people died from the cardiovascular disease as major cause of death was noticed through our verbal autopsy study.

Keywords: Age, cause of death, housing conditions, pre existing disease, Verbal autopsy.


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