Authors: Kavi Bhalla, Jerry P Abraham and Michael Lipnick
Date: July 7, 2010
Objective: To do a crude test of the completeness and quality of the Kampala Mortuary dataset
Method: The number of deaths in the mortuary records was compared with an estimate of the number of deaths expected in the Kampala metropolitan area
- The mortuary dataset captures a substantial fraction of injury deaths in Kampala
- The quality of cause of death attribution of the dataset is low with a substantial number of deaths assigned to unspecified causes. Only four external causes (RTA, Fall, Burn, and Assault) can be distinguished.
- Data Source Analyzed: Kampala Mortuary records (Kampala city mortuary and Mulago Hospital mortuary), for six months (July - Dec 2007).
- Analysis in this report should be repeated with Census 2007 data:
o The analysis in this report uses crude estimates of population and mortality in Kampala. Typically these have been extrapolated from estimates available for the country in international databases. Accurate data for population and mortality in Kampala should be available from the 2002 Population Census. This analysis should be updated when these estimates are available. (Note that the 2002 Census includes a question on household deaths but unlike some other censuses does not ask if the death was due to injury/violence)
- Injury cases comprise 100% of the deaths in the mortuary dataset analyzed here.
Assessment of Quality of Injury Coding
o Only four specified forms of injuries (Road Traffic, Fall, Burn, Assault) can be distinguished from the dataset. Key external causes that are not included at all include drowning, suicide, poisoning and mechanisms of RTA and assault.
o Unknown external cause comprised 22% of all injuries
TABLE 1: Distribution of cases in the Kampala mortuary dataset
Assessment of Completeness
Coverage: It is assumed that the Mortuary receives cases only from Kampala.
- The assessment focuses on deaths among young adults aged between 15-59 years in Kampala. This was done to reduce uncertainty in this analysis. (Injuries occur primarily among young adults and the high mortality among children and older adults can add substantial uncertainty to analysis)
TABLE 2: Assessment of completeness of the Kampala Mortuary dataset
Acknowledgements: The Kampala mortuary dataset analyzed here was developed by a research team headed by Professor Jacqueline Mabweijano, Department of Surgery, Mulago Hospital, Kampala.