Iraq Family Health Survey - Results

Results

The number of violent deaths derived from the household survey, plus the adjustments for missing clusters and reporting bias, was estimated to be 151,000 (95% uncertainty range, 104,000 to 223,000) from March 2003 through June 2006. This estimate suggests that violence was a leading cause of death for Iraqi adults and was the main cause of death in men between the ages of 15 and 59 during the reporting period.

The results were also compared to the 2006 survey by Burnham et al. reported in the Lancet, and to the Iraq Body Count project (IBC). Naeema Al Gaseer, the WHO Representative to Iraq noted, "Our survey estimate is three times higher than the death toll detected through careful screening of media reports by the Iraq Body Count project and about four times lower than a smaller-scale household survey conducted earlier in 2006," referring to the survey by Burnham et al. reported in the Lancet journal in October 2006.

The NEJM article on the survey states that both the IFHS and the IBC "indicate that the 2006 study by Burnham et al. considerably overestimated the number of violent deaths. For example, to reach the 925 violent deaths per day reported by Burnham et al. for June 2005 through June 2006, as many as 87% of violent deaths would have been missed in the IFHS and more than 90% in the Iraq Body Count. This level of underreporting is highly improbable, given the internal and external consistency of the data and the much larger sample size and quality-control measures taken in the implementation of the IFHS." The article also notes that the IFHS and IBC are consistent with each other on both the distribution of violent deaths by province and on the trend in levels of violent deaths over time, while both sources are inconsistent with the results of the Burnham et al. survey on these issues.

The IFHS also collected data on health issues beyond mortality. One such notable finding of the survey was that a worryingly low 57% of the women surveyed said they had heard of AIDS, as compared with 84% of women in Turkey and Egypt, 91% in Morocco and 97% in Jordan.

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