Social Autopsy is a Dire Need for Investigating Child Mortality in Pakistan

Siddiqui, Muhammad Bilal; Ng, Chiu Wan; Low, Wah Yun

doi:10.29052/ijehsr.v4.i2.2016.01-04

Cited by 5 publications

(9 citation statements)

References 1 publication

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“…Although the CHERG VASA tool has been designed by experts, still its validation for developing country like Pakistan (where the huge estimates of under-ve mortality lies) is technically required, ensuring the availability of a VASA tool that may give the valid and reliable data pertaining to child mortality determinants speci cally operating in Pakistan. Such tool is highly required to overcome the data shortage related issues in the country, where the birth and death registration are highly compromised (3,31,32). The existing data is also very limited and with questionable validity and accuracy (3,31,32).…”

Section: Validation Of Sa and Vasa Toolsmentioning

confidence: 99%

“…Such tool is highly required to overcome the data shortage related issues in the country, where the birth and death registration are highly compromised (3,31,32). The existing data is also very limited and with questionable validity and accuracy (3,31,32). Utilization of this validated tool in identifying mortality related determinants and in assigning medical and social causes of child deaths, especially of those deaths which have been missed from the National Civil Registration and Vital Statistics will surely help us in overcoming data related issues pertaining to child mortalities.…”

Section: Validation Of Sa and Vasa Toolsmentioning

confidence: 99%

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In-depth Validation of CHERG’S Verbal Autopsy-Social Autopsy (VASA) Tool for Ascertaining Determinants and Causes of Under-Five Child Mortalities in Karachi, Pakistan.

Siddiqui¹,

Ng²,

Low³

et al. 2020

Preprint

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Background: Globally, child mortality estimates are more clustered among the developing countries where quality data on estimates and determinants of child mortality are compromised. To achieve sustainability in reducing child mortality estimates, the integrated Verbal Autopsy and Social Autopsy (VASA) tool help in estimating prevalence and assigning medical and social causes and determinants of child survival, especially in the developing countries. A validation study of the Child Health Epidemiology Reference Group’s (CHERG) Verbal autopsy/Social Autopsy (VASA) tool has been undertaken for employing in a Karachi VASA Integrated Child Mortality Investigation-ICMI study in its urban slums. Methods: Validity and reliability of the CHERG VASA-tool were tested using face, content, discriminant validation and reliability tests on one hundred randomly selected mothers, with a recent child death event. Data were computed on SPSS (version-21) and R. Results: Testing yielded high I-CVI (>81.43%); high Cronbach's Alpha (0.843); accuracy of between 75% and 100% of the discriminants classifying births to live and stillbirths. The tool showed ICVI (>82.07% and 88.98% respectively) with high accuracy (92% and 97% respectively) for assigning biological and social causes of child deaths respectively. Conclusion: The CHERG VASA questionnaire is valid, reliable, and relevant to the conceptual framework. This valid tool is one of the assets for child health policy as it can assign accurate medical and non-medical causes (pertaining to health-seeking practices) of child mortality cases occurring in Pakistan.

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Section: Validation Of Sa and Vasa Toolsmentioning

confidence: 99%

Section: Validation Of Sa and Vasa Toolsmentioning

confidence: 99%

In-depth Validation of CHERG’S Verbal Autopsy-Social Autopsy (VASA) Tool for Ascertaining Determinants and Causes of Under-Five Child Mortalities in Karachi, Pakistan.

Siddiqui¹,

Ng²,

Low³

et al. 2020

Preprint

Self Cite

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“…These slums have high child mortality rate across the city (PDHS, 2012(PDHS, -2013. Although several segregated attempts show dispersed estimates of the child mortality burden from such slums, no updated and reliable data exist that clearly depicts the overall child mortality burden among such urban slums (Ayaz & Saleem, 2010;M B Siddiqui, 2016). The death of the child is one of the leading setback and trauma for the family, especially for the parents (Morris, Gabert-Quillen, Friebert, Carst, & Delahanty, 2016).…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Characteristics of Stress among Bereaved Parents after the Death of their Under-Five Children in the Urban Slums of Karachi, Pakistan

Siddiqui¹,

Noushad²,

Ng³

et al. 2016

Int. j. endorsing health sci. res.

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Introduction To understand the prevalence of stress and identifying the prevalence of different differentials of stress among bereaved parents of died under-five children is of utmost importance. This paper is based on the data from Karachi VASA under-five mortality study. The cases of this study are bereaved parents of deceased under-five children belonging to randomly selected 12 slums of Karachi city. Methodology A total of 321 parents excluded out form enrolment in VASA study were undergone stress assessment using Sadaf Stress Scale (SSS). It was found that 100% of them were truly stressed in one form or the other and the distribution is equally affecting all the slums (with slight variations). Females were found highly stressed (72%) than males (28%). The most prevalent types of stress identified were emotional (67%), traumatic (17.2%) and mental stress (7%). Out of all the stressed parents, a high proportion belongs to highest severity. The highest prevalence of the severity of traumatic stress shows that the large proportion of stressed parents have gone to Post-Traumatic Stress Disorder (PTSD), especially among mothers. Conclusion The results are quiet disturbing. The data shows that there is a high prevalence of traumatic, physical and emotional stress among bereaved parents (especially mothers) of deceased children. The prevalence of traumatic stress and its severity shows that a high proportion of stressed parents have gone to PTSD, which again have a huge impact on the overall mental health of the affected and the close family members.

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“…The most distinguished clusters have been found in countries belonging to Sub-Saharan African and South Asian regions 3,4 , especially in India, Nigeria, Pakistan, Democratic Republic of the Congo and China 2,3 . Most of the developing countries, in comparison to developed ones, lack comprehensive vital registration system (VRS) 5,6 .…”

mentioning

confidence: 99%

Need to Validate Verbal Autopsy/Social Autopsy (VASA) Integrated Tool for Developing Countries to Assign Biological and Social Reasoning of Child Mortalities

2017

Int. j. endorsing health sci. res.

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Social Autopsy is a Dire Need for Investigating Child Mortality in Pakistan

Cited by 5 publications

References 1 publication

In-depth Validation of CHERG’S Verbal Autopsy-Social Autopsy (VASA) Tool for Ascertaining Determinants and Causes of Under-Five Child Mortalities in Karachi, Pakistan.

In-depth Validation of CHERG’S Verbal Autopsy-Social Autopsy (VASA) Tool for Ascertaining Determinants and Causes of Under-Five Child Mortalities in Karachi, Pakistan.

Prevalence and Characteristics of Stress among Bereaved Parents after the Death of their Under-Five Children in the Urban Slums of Karachi, Pakistan

Need to Validate Verbal Autopsy/Social Autopsy (VASA) Integrated Tool for Developing Countries to Assign Biological and Social Reasoning of Child Mortalities

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