Cause of death distribution with InterVA and physician coding in a rural area of Burkina Faso

Tropical Medicine & International Health : TM & IH
Heribert RamrothHeiko Becher

Abstract

To compare the cause of death distribution using the Physician Coded Verbal Autopsy approach versus the Interpreting Verbal Autopsy model, based on information from a French verbal autopsy questionnaire, in rural north-western Burkina Faso. Data from 5649 verbal autopsy questionnaires reviewed by local physicians at the Nouna Health and Demographic Surveillance Site between 1998 and 2007 were considered for analyses. Information from VA interviews was extracted to create a set of standard indicators needed to run the Interpreting Verbal Autopsy model. Cause-specific mortality fractions were used to compare Physician Coded Verbal Autopsy and Interpreting Verbal Autopsy results. At the population level, 62.5% of causes of death using the Interpreting Verbal Autopsy model corresponded with those determined by two or three physicians. Although seven of the 10 main causes of death were present in both approaches, the comparison of percentages of single causes of death shows discrepancies, dominated by higher malaria rates found in the Physician Coded Verbal Autopsy approach. Our results confirm that national mortality statistics, which are partly based on verbal autopsies, must be carefully interpreted. Difficulties in determining m...Continue Reading

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Sep 5, 2012·Global Health Action·Peter ByassStephen M Tollman
Nov 8, 2014·Global Health Action·Nyaguara O AmekKayla F Laserson
Nov 8, 2014·Global Health Action·Momodou JassehUmberto D'Alessandro
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May 4, 2017·Tropical Medicine & International Health : TM & IH·Bibi Uhre NielsenAne Baerent Fisker

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