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Adult Mortality in Africa

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International Handbook of Adult Mortality

Part of the book series: International Handbooks of Population ((IHOP,volume 2))

Abstract

Following an overview of the data and approaches for mortality estimation in African countries, we compare trends in estimates of 45q15 produced by the UN agencies with those derived from reports of sibling survival in the Demographic and Health Surveys. A short discussion of the distribution of causes of death is based on verbal autopsy data coming from a handful of Demographic Surveillance Sites. Despite the sometimes intriguing differences between estimates from different sources, a few general patterns of adult mortality trends are common to most sources. With the exception of northern Africa, declines in adult mortality during the last few decades have been modest, and in some populations drastic mortality reversals have been recorded. These are primarily driven by the HIV/AIDS epidemic, but the extremely high adult mortality rates in some southeastern African countries are due to the triple burden of infectious and chronic diseases and the relatively high level of deaths due to external injuries. In some countries severely affected by the HIV/AIDS epidemic, adult mortality started to decline again, and that occurred well before the large scale availability of antiretroviral therapy.

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Acknowledgments and Disclaimer

The authors are grateful to Rob Dorrington, Francois Pelletier, and the volume’s editors for helpful discussions and insightful comments, and all other staff members of the Population Division who worked on the 2008 Revision of the World Population Prospects: Gerhard K. Heilig, Kirill Andreev, Taeke Gjaltema, Vladimira Kantorova, Pablo Lattes, and Nan Li. The authors also thank Mie Inoue for clarifications about the WHO estimation methodology. The views and opinions expressed in this paper are those of the authors and do not necessarily represent those of the United Nations. This chapter has not been formally edited or cleared by the United Nations.

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Authors and Affiliations

  1. Department of Sociology and Office of Population Research, Princeton University, Princeton, NJ, 08544, USA

    Georges Reniers

  2. Centre de Recherches en Démographie et Sociétés, Université Catholique de Louvain, Louvain, Belgium

    Bruno Masquelier (Researcher)

  3. Population Policy Section, Population Division, United Nations, New York, NY, 10017, USA

    Patrick Gerland (Population Affairs Officer)

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Editors and Affiliations

  1. Dept. Sociology, University of Colorado, Boulder, Boulder, 80309-0327, Colorado, USA

    Richard G. Rogers

  2. Davis School of Gerontology, Andrus Gerontology Center, University of Southern California, McClintock Ave. 3715, Los Angeles, 90089-0191, California, USA

    Eileen M. Crimmins

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Reniers, G., Masquelier, B., Gerland, P. (2011). Adult Mortality in Africa. In: Rogers, R., Crimmins, E. (eds) International Handbook of Adult Mortality. International Handbooks of Population, vol 2. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-9996-9_7

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