Fantahun Mesganaw, Degu Getu
Department of Community Health, Faculty of Medicine, Addis Ababa University, P.O. Box 9086, Addis Ababa, Ethiopia.
Ethiop Med J. 2004 Jul;42(3):165-72.
This community based cross sectional study was conducted to estimate the Burden of Diseases in Amhara region of Ethiopia in 1997 - 1998 A total of 7 urban and 14 rural kebeles (social administrative units) were included in four administrative zones where questionnaire on morbidity, disability and mortality were administered. A total of 17780 people were included in the study. The total DALY was 51775 per 100000 population. The highest number of DALY lost were obtained for acute respiratory tract infections (especially children), malaria, diarrhoea, tuberculosis, and maternal and perinatal causes. Communicable and maternal and perinatal problems contributed to about 68% of the DALY lost. Whereas the contribution of noncommunicable diseases was about 17%. Accidents and injuries accounted for 6.4% of the DALY lost. The rest 4.9% and 3.7% were attributed to long-term disabilities where the cause could not be determined and undetermined causes of death respectively. It appears that while the traditional public health problems still persist in high prevalence, the so called "diseases of civilization" are also emerging thus further stretching the available resources for health. The findings of this study can be used to design appropriate strategies and use health resources efficiently.
这项基于社区的横断面研究旨在估算1997 - 1998年埃塞俄比亚阿姆哈拉地区的疾病负担。研究纳入了四个行政区的7个城市和14个农村社区（社会行政单位），并对发病率、残疾率和死亡率进行了问卷调查。共有17780人参与了这项研究。每10万人口的伤残调整生命年（DALY）总数为51775。DALY损失最多的是急性呼吸道感染（尤其是儿童）、疟疾、腹泻、结核病以及孕产妇和围产期病因。传染病、孕产妇和围产期问题约占DALY损失的68%。而非传染性疾病的贡献约为17%。事故和伤害占DALY损失的6.4%。其余4.9%和3.7%分别归因于无法确定病因的长期残疾和死因不明的情况。看来，传统的公共卫生问题仍然普遍存在，而所谓的“文明病”也在出现，从而进一步加剧了卫生资源的紧张。这项研究的结果可用于制定适当的策略并有效利用卫生资源。
