Using health facility deaths to estimate population causes of neonatal and child mortality in four African countries

BMC Medicine
Henry D KalterRobert E Black

Abstract

Verbal autopsy is the main method used in countries with weak civil registration systems for estimating community causes of neonatal and 1-59-month-old deaths. However, validation studies of verbal autopsy methods are limited and assessment has been dependent on hospital-based studies, with uncertain implications for its validity in community settings. If the distribution of community deaths by cause was similar to that of facility deaths, or could be adjusted according to related demographic factors, then the causes of facility deaths could be used to estimate population causes. Causes of neonatal and 1-59-month-old deaths from verbal/social autopsy (VASA) surveys in four African countries were estimated using expert algorithms (EAVA) and physician coding (PCVA). Differences between facility and community deaths in individual causes and cause distributions were examined using chi-square and cause-specific mortality fractions (CSMF) accuracy, respectively. Multinomial logistic regression and random forest models including factors from the VASA studies that are commonly available in Demographic and Health Surveys were built to predict population causes from facility deaths. Levels of facility and community deaths in the four cou...Continue Reading

References

Feb 28, 2002·Journal of Tropical Pediatrics·M KumarA K Deoraria
Jul 30, 2004·Malaria Journal·Don de SavignyGraham Reid
Mar 26, 2005·Journal of Perinatology : Official Journal of the California Perinatal Association·Abhay T BangSanjay B Baitule
Mar 25, 2006·International Journal of Epidemiology·Joy E LawnSimon N Cousens
Jun 12, 2008·Bulletin of the World Health Organization·Karin KällanderGeorge Pariyo
Sep 5, 2012·Global Health Action·Peter ByassStephen M Tollman
Dec 19, 2016·Journal of the American Statistical Association·Tyler H McCormickSamuel J Clark

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Citations

Jul 25, 2021·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Hannah RaySherri Bucher

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Methods Mentioned

BETA
PCR

Software Mentioned

InSilicoVA
VASA
CSMF
InterVA
EAVA

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