Evaluating the impact of poverty on NCD and injury mortality in low-income settings: Data from the INDEPTH Network, Accra

In 2016, a new Lancet Commission was launched focusing on the burden of noncommunicable diseases and injuries (NCDIs) among the world’s poorest billion people (NCDI Poverty Commission).1 One potential data source that was identified regarding mortality patterns in these populations is Health and Demographic Surveillance Systems (HDSS) in geographic regions that are known to have a significant prevalence of severe poverty. 

There have been some analyses published from HDSS sites regarding the relationship between socioeconomic status (SES) and mortality.2 However, these relationships have not been reported systematically across multiple sites, and it is unclear to the NCDI Poverty Commission the depth of the SES variables collected and consistency across sites.

This workshop will primarily use Health and Demographic Surveillance Systems (HDSS) data collected by The INDEPTH Network. NCD mortality rates at these sites have previously been described. The study population will include adults aged 15 years or older in a selected time period whose deaths are documented in the INDEPTH database.



1.      To assess sub-national NCD and injury mortality patterns across levels of household poverty both broadly and by NCD disease category and by age group and sex.


2.      To make cross-country comparisons of associations between poverty and mortality from NCDs and injuries by age and sex. 


3.      To describe time trends, if any, of associations between poverty and mortality from NCDs and injuries in low-income settings.


4.      To compare cross-country comparisons of associations to the Global Burden of Disease cross-country burden by poverty


HDSS participants: Chakaria, Cross River, Karonga, Kombewa, Kersa, Ballabgarh