School of Population Health, University of Queensland, Herston, Queensland, Australia.
Int J Tuberc Lung Dis. 2011 Dec;15(12):1608-14. doi: 10.5588/ijtld.11.0018.
Indonesia bears the third highest tuberculosis (TB) burden in the world. Current mortality estimates are based on notification and case fatality rates derived from the National TB Control Programme.
To report TB mortality measures for 2007-2008 based on death registration systems in selected populations in five provinces of Indonesia.
Data were compiled from sites in Central Java, Lampung, Gorontalo, West Kalimantan and Papua in 2007-2008, covering 2.5 million people. Overall mortality levels and TB mortality indicators were computed. Data quality was assessed in terms of completeness of death registration and strength of evidence in verbal autopsy questionnaires.
A total of 1547 TB deaths were diagnosed in the five provinces. There was direct or indirect evidence of incomplete death registration at all sites. More than 90% of TB diagnoses from verbal autopsies were based on strong evidence. The results demonstrate high TB death rates in Papua, and significant mortality differentials across provinces.
The measurement of cause-specific mortality is feasible by strengthening death registration in Indonesia. Observed TB mortality rates from five sites are baseline evidence for monitoring TB control programmes. Sustained efforts are required to develop death registration as a routine annual source of mortality data for Indonesia.
印度尼西亚是全球结核病（TB）负担第三大的国家。目前的死亡率估计是基于国家结核病控制规划的通报和病死率得出的。
报告 2007-2008 年基于五个省份选定人群的死亡登记系统的结核病死亡率指标。
数据来自 2007-2008 年中爪哇、楠榜、哥伦打洛、西加里曼丹和巴布亚的五个地点，覆盖了 250 万人。计算了总体死亡率水平和结核病死亡率指标。从死亡登记的完整性和死因推断调查问卷的证据强度两个方面评估了数据质量。
五个省份共诊断出 1547 例结核病死亡。所有地点都存在直接或间接的死亡登记不完整的情况。超过 90%的死因推断来自于强有力的证据。结果表明，巴布亚的结核病死亡率很高，而且各省之间存在显著的死亡率差异。
通过加强印度尼西亚的死亡登记，可以对特定病因的死亡率进行测量。五个地点观察到的结核病死亡率是监测结核病控制规划的基线证据。需要持续努力将死亡登记发展成为印度尼西亚年度常规死亡率数据的来源。
