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Million Death Study (MDS)

Background  
  Over 75% of the annual estimated 9.5 million deaths in India occur at home, and the large majority of these do not have a certified cause. Over the time period of 1998-2014, we will monitor nearly 14 million people in 2.4 million nationally representative Indian households (6.3 million people in 1.1 million households in the 1998-2003 sample frame and 7.6 million people in 1.3 million households in the 2004-2014 sample frame) for vital status and, if dead, the causes of death through a well-validated verbal autopsy (VA) instrument.

About 300,000 deaths from 1998-2003 and some 700,000 deaths from 2004-2014 are expected; of these about 850,000 will be coded by two physicians to provide causes of death by gender, age, socioeconomic status, and geographical region.

This study will reliably document not only the underlying cause of child and adult deaths but also key risk factors. It offers a globally replicable model for reliably estimating cause-specific mortality using VA and strengthens India’s flagship mortality monitoring system. Despite the misclassification that is still expected, the new cause-of-death data will be substantially better than that available previously.

 

 

     
 
Phase I (2001-2003) Phase II (2004-2006)  
Phase I of the study has already been concluded on 150,000 deaths Phase II of the study currently in progress  
   
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  Some publications on Million death study  
 

 
     
     
     
     
Million Death Study
International Studies of HIV/AIDS (ISHA)
Disease Control Priorities Project
VA Application
VA Application SSD
   

Social inequalities in male mortality, and in male mortality from smoking: indirect estimation from national death rates in England and Wales, Poland, and North America - The Lancet - July 2006
Trends in HIV-1 in young adults in south India from 2000 to 2004: a prevalence study - The Lancet - April 2006
Prospective Study of One Million Deaths in India - PLOS Medicine - February 2006
Low Female-to-male sex ratio of children born in India - The Lancet - January 2006
Lancet Jan 06- Supplemental material