Social autopsy for maternal and perinatal deaths in Bangladesh: a tool for community dialog and decision making

Biswas, Animesh; Ferdoush, Junnatul; Abdullah, Abu Sayeed Md.; Halim, Abdul

doi:10.1186/s40985-018-0098-3

Cited by 17 publications

(14 citation statements)

References 12 publications

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“…A utilização de todos os documentos recomendados para análise dos óbitos, como evidenciado na maioria dos municípios da SRS-BH, permite uma análise ampliada do óbito, perpassando não somente as questões do sistema de saúde e da prática clínica, mas também incorporando os fatores sociais, culturais, econômicos e os relacionados às políticas de saúde, o que tem sido uma recomendação de vários estudos. 11,23,24 Para os óbitos ocorridos fora do município de residência, o estabelecimento de um fluxo intermunicipal de documentos pode facilitar a obtenção dessas informações para posterior análise pelos comitês. Outra possibilidade sugerida por um estudo da Índia 22 é a utilização de tecnologias inovadoras, como o linkage de bancos de dados, para lidar com a saúde pública em grande escala e com poucos recursos.…”

Section: Resultsunclassified

Avaliação dos comitês de prevenção de óbitos maternos, fetais e infantis de uma região do estado de minas gerais, Brasil

Rodrigues¹,

Martins²,

Aguiar³

et al. 2020

REME Rev Min Enferm.

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Introdução: a redução da mortalidade materna e infantil é prioridade internacional e nacional devido ao alto potencial de evitabilidade desses óbitos. Os Comitês de Prevenção de Óbitos Maternos, Fetais e Infantis se configuram como um importante mecanismo de vigilância da mortalidade materna e infantil. Objetivo: avaliar a estrutura, processos e resultados dos comitês de prevenção de óbitos nos municípios da Unidade Regional de Saúde de Belo Horizonte-MG segundo porte populacional. Método: tratase de estudo avaliativo desenvolvido na Regional de Saúde de Belo Horizonte no ano de 2015. Utilizou-se questionário aplicado às referências técnicas municipais responsáveis pela vigilância dos óbitos maternos, fetais e infantis. Os municípios foram analisados quanto à adequação às normas nacionais e estaduais, nos domínios estrutura, processo e resultado, segundo categorias de porte populacional. Para a avaliação de cada domínio foram somados os itens adequados, estabelecendo-se um escore de adequação. Resultados: foram avaliados 38 municípios e constatados diversos níveis de adequação dos comitês, sendo os piores percentuais para a estrutura (5,3% como adequados) e os municípios de menor porte. Nos domínios processo e resultado, o percentual de adequação foi 30,6%. Conclusão: as inadequações evidenciadas revelaram a necessidade de se estruturar os comitês municipais com provisão de investimentos financeiros, técnicos e profissionais, de forma a otimizar sua capacidade operacional e de resposta ao óbito ocorrido. Outra melhoria necessária é a expansão das ações técnicas e políticas dos comitês em conjunto com o controle social.

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Section: Resultsunclassified

Avaliação dos comitês de prevenção de óbitos maternos, fetais e infantis de uma região do estado de minas gerais, Brasil

Rodrigues¹,

Martins²,

Aguiar³

et al. 2020

REME Rev Min Enferm.

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“…Thus, the number of unreported deaths which were identified using verbal and social autopsies indicate a strong need to better understand health seeking behaviour of the general population, especially amongst the vulnerable population of under-fives. Data from verbal and social autopsies could augment health facility data, especially with respect to identification and improving the death reporting system in South Africa [ 15 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…The definition of CHWs varies and can include trained lay workers, health volunteers, community health agents, traditional births attendants and community midwives [17]. Studies in sSA including Ethiopia, Malawi and Mali have shown that CHWs in some resource-limited settings have successfully increased the accuracy of population-based maternal and neonatal death estimates through initiatives that link facilities and communities, boosting vital registries and facility records data [15,16]. Using verbal autopsies, CHWs in Uganda reported that more than half of identified deaths in one community were not recorded in facility-based surveillance, with most of these being among under-fives [18].…”

Section: Introductionmentioning

confidence: 99%

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Engaging community health workers in maternal and infant death identification in Khayelitsha, South Africa: a pilot study

Igumbor

Adetokunboh

Muller³

et al. 2020

BMC Pregnancy Childbirth

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Background Engaging community health workers in a formalised death review process through verbal and social autopsy has been utilised in different settings to estimate the burden and causes of mortality, where civil registration and vital statistics systems are weak. This method has not been widely adopted. We piloted the use of trained community health workers (CHW) to investigate the extent of unreported maternal and infant deaths in Khayelitsha and explored requirements of such a programme and the role of CHWs in bridging gaps. Methods This was a mixed methods study, incorporating both qualitative and quantitative methods. Case identification and data collection were done by ten trained CHWs. Quantitative data were collected using a structured questionnaire. Qualitative data were collected using semi-structured interview guides for key informant interviews, focus group discussions and informal conversations. Qualitative data were analysed thematically using a content analysis approach. Results Although more than half of the infant deaths occurred in hospitals (n = 11/17), about a quarter that occurred at home (n = 4/17) were unreported. Main causes of deaths as perceived by family members of the deceased were related to uncertainty about the quality of care in the facilities, socio-cultural and economic contexts where people lived and individual factors. Most unreported deaths were further attributed to weak facility-community links and socio-cultural practices. Fragmented death reporting systems were perceived to influence the quality of the data and this impacted on the number of unreported deaths. Only two maternal deaths were identified in this pilot study. Conclusions CHWs can conduct verbal and social autopsy for maternal and infant deaths to complement formal vital registration systems. Capacity development, stakeholder’s engagement, supervision, and support are essential for a community-linked death review system. Policymakers and implementers should establish a functional relationship between community-linked reporting systems and the existing system as a starting point. There is a need for more studies to confirm or build on our pilot findings.

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“…[35][36][37] Outside of humanitarian settings, there are efforts to develop practical methods for improving measurements of perinatal mortality (fresh stillbirth and early neonatal mortality) in health facilities, 38 and strengthen maternal and perinatal death surveillance and response systems which may provide models for replication in refugee camps. [39][40][41]…”

Section: Discussionmentioning

confidence: 99%

Neonatal Mortality Burden and Trends in UNHCR Refugee Camps, 2006-2017: A Retrospective Analysis

Tappis

Ramadan

Vargas

et al. 2020

Preprint

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Abstract Objective: To examine neonatal mortality burden and trends in refugee camps between 2006 and 2017.Methods: Refugee population and mortality data were exported from the United Nations High Commissioner (UNHCR) Health Information System (HIS) database. Tableau was used to export the data. Stata was used for data cleaning and statistical analysis. Neonatal mortality burdens and trends in refugee camps were analyzed and compared to national and subnational neonatal mortality rates captured by household surveys.Findings: 150 refugee camps in 21 countries were included in this study, with an average population of 1,725,433 between 2006 and 2017. A total of 663,892 live births and 3,382 neonatal deaths were captured during this period. Annual country-level refugee camp neonatal mortality rates (NMR) ranged from 12 to 56 neonatal deaths per 1,000 live births. In most countries and years where national population-based surveys are available, refugee camp NMR as reported in the UNHCR HIS was lower than that of the immediate host community.Conclusion: The UNHCR HIS provides insights into the neonatal mortality burden among refugees in camp settings and issues to consider in design and use of routine health information systems to monitor neonatal health in sub-national populations. Increased visibility of neonatal deaths and stillbirths among displaced populations can drive advocacy and inform decisions needed to strengthen health systems. Efforts to count every stillbirth and neonatal death are critical, as well as improvements to reporting systems and mechanisms for data review within broader efforts to improve the quality of neonatal care practices within and outside of health facilities.

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Social autopsy for maternal and perinatal deaths in Bangladesh: a tool for community dialog and decision making

Cited by 17 publications

References 12 publications

Avaliação dos comitês de prevenção de óbitos maternos, fetais e infantis de uma região do estado de minas gerais, Brasil

Avaliação dos comitês de prevenção de óbitos maternos, fetais e infantis de uma região do estado de minas gerais, Brasil

Engaging community health workers in maternal and infant death identification in Khayelitsha, South Africa: a pilot study

Neonatal Mortality Burden and Trends in UNHCR Refugee Camps, 2006-2017: A Retrospective Analysis

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