Mortality Evidence for Famine Classifications and Key Considerations
Learn about the importance of mortality evidence in determining famine classifications, with key indicators and thresholds such as Crude Death Rate and Under 5 Death Rate. Understand what constitutes reliable and somewhat reliable evidence, including survey methods and historical data, for accurate classification in famine-prone areas.
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Presentation Transcript
IPC Famine Advanced Analysts Network Training Oct-Nov/2019 Session 11: Mortality Evidence for Famine and Famine Likely Classifications Rome, 30 Oct to 1 Nov 2019
Content of the session Mortality evidence required for Famine classifications Mortality evidence required for Famine Likely classifications
Mortality Evidence Key Considerations Two mortality indicators: Crude Death Rate (CDR) Under 5 Death Rate (U5MR) Mortality thresholds: Crude Death Rate (CDR): 2/10,000 people/day Under 5 Death Rate (U5MR): 4/10,000 under 5 children/day CDR is the primary indicator If CDR < 2 but U5DR 4? use U5DR to classify if 95%CI of the CDR includes 2
Mortality Evidence Key Considerations There is NO indirect evidence for mortality only Reliable and Somewhat Reliable evidence exits Only non-trauma deaths are included What if there s no information on trauma/non-trauma deaths? Consider ratio between U5DR/CDR The IPC Technical Manual version 3.0 does not provide reliability criteria for mortality
What evidence is Reliable evidence for mortality? No reliability criteria for mortality in IPC Technical Manual version 3.0 It has been suggested that the reliability criteria specified for nutrition be applied Cluster surveys with 25 clusters (sample size to be specified) Simple or systematic surveys with 150 observations
What evidence is Somewhat Reliable evidence for mortality ONLY to be used in Famine Likely 1. Surveys of similar areas Evidence must be collected from surveys rated adequate for Famine classification from the same season of analysis. 2. Historical evidence Evidence must have been collected during the same season of analysis from at least 2 similar years in the last 5 years. 3. Recent surveys Estimates of evidence collected within the last 6 months but not from the same season of analysis (12 months for areas with no seasonality) 4. Monitoring Systems Hospital records, community-based surveillance systems and vital registration records from functioning systems Calculate CDR and U5DR from these monitoring systems to see if Famine thresholds have passed
U5DR in Famine classifications Pop quiz 1: U5DR can be used as an evidence on mortality if it goes over the Famine threshold, even if CDR does not go above the Famine threshold.
Recall period for mortality surveys in Famine classifications Pop quiz 2: The recall period for mortality surveys must be 90 days
Types of deaths used in Famine classifications Pop quiz 3: Trauma related deaths can be considered in the Famine classification if it is determined that the main driver of Famine is conflict
Types of deaths used in Famine classifications Why are trauma related deaths excluded in the CDR used in Famine classifications?
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