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Master's Culminating Experience

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Background: In low and middle-income countries (LMICs), non-communicable diseases (NCDs) are rapidly emerging alongside a well-documented persistence of communicable diseases (CDs) in fragile health care systems. In sub-Saharan Africa, chronic NCDs are expected to overtake CDs as the leading cause of death. The aim of this study was to compare mortality rates due to CDs and NCDs between developed countries, developing countries, Burundi, Rwanda, and Uganda from 1990 to 2013.

Methods: A descriptive study with longitudinal and cross-sectional analyses of mortality rates was conducted using the global burden of disease (GBD) study data. Tableau Public 9.3 software was utilized to obtain graphical presentations of analyses. Mortality rate ratios and annualized rate of decline in NCD mean mortality rate of CD and NCD were computed and compared.

Results: From 1990 to 2013, mortality rates for both NCDs and CDs decreased in developed and developing countries overall, and across the three EAC countries. Rwanda had the highest annualized rate of decline in mean mortality rate for both CD and NCDs. Since 2010, NCDs overtook CDs as the leading cause of death in Burundi, Rwanda, and Uganda. Conclusion: From 1990 to 2013, the three EAC countries experienced a decline in mortality rates with higher magnitudes of decline in CDs-related deaths than developing countries in general. Even though NCDs are the major contributor to the mortality burden of disease, CDs are still responsible for a relatively large portion of the mortality disease burden.

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Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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