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Integrating community-based verbal autopsy into civil registration and vital statistics: lessons learnt from five countries

This paper describes the lessons from scaling up a verbal autopsy (VA) intervention to improve data about causes of death according to a nine-domain framework: governance, design, operations, human resources, financing, infrastructure, logistics, information technologies and data quality assurance....

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Autores principales: Firth, Sonja Margot, Hart, John D, Reeve, Matthew, Li, Hang, Mikkelsen, Lene, Sarmiento, Deborah Carmina, Bo, Khin Sandar, Kwa, Viola, Qi, Jin-Lei, Yin, Peng, Segarra, Agnes, Riley, Ian, Joshi, Rohina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8565529/
https://www.ncbi.nlm.nih.gov/pubmed/34728477
http://dx.doi.org/10.1136/bmjgh-2021-006760
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author Firth, Sonja Margot
Hart, John D
Reeve, Matthew
Li, Hang
Mikkelsen, Lene
Sarmiento, Deborah Carmina
Bo, Khin Sandar
Kwa, Viola
Qi, Jin-Lei
Yin, Peng
Segarra, Agnes
Riley, Ian
Joshi, Rohina
author_facet Firth, Sonja Margot
Hart, John D
Reeve, Matthew
Li, Hang
Mikkelsen, Lene
Sarmiento, Deborah Carmina
Bo, Khin Sandar
Kwa, Viola
Qi, Jin-Lei
Yin, Peng
Segarra, Agnes
Riley, Ian
Joshi, Rohina
author_sort Firth, Sonja Margot
collection PubMed
description This paper describes the lessons from scaling up a verbal autopsy (VA) intervention to improve data about causes of death according to a nine-domain framework: governance, design, operations, human resources, financing, infrastructure, logistics, information technologies and data quality assurance. We use experiences from China, Myanmar, Papua New Guinea, Philippines and Solomon Islands to explore how VA has been successfully implemented in different contexts, to guide other countries in their VA implementation. The governance structure for VA implementation comprised a multidisciplinary team of technical experts, implementers and staff at different levels within ministries. A staged approach to VA implementation involved scoping and mapping of death registration processes, followed by pretest and pilot phases which allowed for redesign before a phased scale-up. Existing health workforce in countries were trained to conduct the VA interviews as part of their routine role. Costs included training and compensation for the VA interviewers, information technology (IT) infrastructure costs, advocacy and dissemination, which were borne by the funding agency in early stages of implementation. The complexity of the necessary infrastructure, logistics and IT support required for VA increased with scale-up. Quality assurance was built into the different phases of the implementation. VA as a source of cause of death data for community deaths will be needed for some time. With the right technical and political support, countries can scale up this intervention to ensure ongoing collection of quality and timely information on community deaths for use in health planning and better monitoring of national and global health goals.
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spelling pubmed-85655292021-11-16 Integrating community-based verbal autopsy into civil registration and vital statistics: lessons learnt from five countries Firth, Sonja Margot Hart, John D Reeve, Matthew Li, Hang Mikkelsen, Lene Sarmiento, Deborah Carmina Bo, Khin Sandar Kwa, Viola Qi, Jin-Lei Yin, Peng Segarra, Agnes Riley, Ian Joshi, Rohina BMJ Glob Health Practice This paper describes the lessons from scaling up a verbal autopsy (VA) intervention to improve data about causes of death according to a nine-domain framework: governance, design, operations, human resources, financing, infrastructure, logistics, information technologies and data quality assurance. We use experiences from China, Myanmar, Papua New Guinea, Philippines and Solomon Islands to explore how VA has been successfully implemented in different contexts, to guide other countries in their VA implementation. The governance structure for VA implementation comprised a multidisciplinary team of technical experts, implementers and staff at different levels within ministries. A staged approach to VA implementation involved scoping and mapping of death registration processes, followed by pretest and pilot phases which allowed for redesign before a phased scale-up. Existing health workforce in countries were trained to conduct the VA interviews as part of their routine role. Costs included training and compensation for the VA interviewers, information technology (IT) infrastructure costs, advocacy and dissemination, which were borne by the funding agency in early stages of implementation. The complexity of the necessary infrastructure, logistics and IT support required for VA increased with scale-up. Quality assurance was built into the different phases of the implementation. VA as a source of cause of death data for community deaths will be needed for some time. With the right technical and political support, countries can scale up this intervention to ensure ongoing collection of quality and timely information on community deaths for use in health planning and better monitoring of national and global health goals. BMJ Publishing Group 2021-11-02 /pmc/articles/PMC8565529/ /pubmed/34728477 http://dx.doi.org/10.1136/bmjgh-2021-006760 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Practice
Firth, Sonja Margot
Hart, John D
Reeve, Matthew
Li, Hang
Mikkelsen, Lene
Sarmiento, Deborah Carmina
Bo, Khin Sandar
Kwa, Viola
Qi, Jin-Lei
Yin, Peng
Segarra, Agnes
Riley, Ian
Joshi, Rohina
Integrating community-based verbal autopsy into civil registration and vital statistics: lessons learnt from five countries
title Integrating community-based verbal autopsy into civil registration and vital statistics: lessons learnt from five countries
title_full Integrating community-based verbal autopsy into civil registration and vital statistics: lessons learnt from five countries
title_fullStr Integrating community-based verbal autopsy into civil registration and vital statistics: lessons learnt from five countries
title_full_unstemmed Integrating community-based verbal autopsy into civil registration and vital statistics: lessons learnt from five countries
title_short Integrating community-based verbal autopsy into civil registration and vital statistics: lessons learnt from five countries
title_sort integrating community-based verbal autopsy into civil registration and vital statistics: lessons learnt from five countries
topic Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8565529/
https://www.ncbi.nlm.nih.gov/pubmed/34728477
http://dx.doi.org/10.1136/bmjgh-2021-006760
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