Revising the WHO verbal autopsy instrument to facilitate routine cause-of-death monitoring

被引：95

作者：

Leitao, Jordana ^{[1
]}

Chandramohan, Daniel ^{[1
]}

Byass, Peter ^{[2
]}

Jakob, Robert ^{[3
]}

Bundhamcharoen, Kanitta ^{[4
]}

Choprapawon, Chanpen ^{[5
]}

De Savigny, Don ^{[6
]}

Fottrell, Edward ^{[7
]}

Franc, Elizabeth ^{[8
]}

Froe, Frederik ^{[9
]}

Gewaifel, Gihan ^{[10
]}

Hodgson, Abraham ^{[11
]}

Hounton, Sennen ^{[12
]}

Kahn, Kathleen ^{[13
]}

Krishnan, Anand ^{[14
]}

Kumar, Vishwajeet

Masanja, Honorati ^{[15
]}

Nichols, Erin ^{[16
]}

Notzon, Francis ^{[16
]}

Rasooly, Mohammad Hafiz ^{[17
]}

Sankoh, Osman ^{[18
]}

Spiegel, Paul ^{[19
]}

AbouZahr, Carla

Amexo, Marc ^{[20
]}

Kebede, Derege ^{[21
]}

Alley, William Soumbey ^{[21
]}

Marinho, Fatima ^{[21
]}

Ali, Mohamed ^{[22
]}

Loyola, Enrique ^{[23
]}

Chikersal, Jyotsna ^{[24
]}

Gao, Jun ^{[25
]}

Annunziata, Giuseppe ^{[26
]}

Bahl, Rajiv ^{[27
]}

Bartolomeus, Kidist ^{[28
]}

Boerma, Ties ^{[29
]}

Ustun, Bedirhan ^{[30
]}

Chou, Doris ^{[31
]}

Muhe, Lulu ^{[31
]}

Mathai, Matthews ^{[31
]}

机构：

[1] London Sch Hyg & Trop Med, London WC1, England

[2] Umea Univ, Dept Publ Hlth & Clin Med, Div Epidemiol & Global Hlth, WHO Collaborating Ctr Verbal Autopsy, Umea, Sweden

[3] WHO, CH-1211 Geneva, Switzerland

[4] WHO, CH-1211 Geneva, Switzerland

[5] Minist Publ Hlth, Hlth Policy & Strateg Bur, Nonthaburi, Thailand

[6] Swiss Trop & Publ Hlth Inst, Basel, Switzerland

[7] Inst Child Hlth, UCL Ctr Int Hlth & Dev, London, England

[8] Univ Fed Minas Gerais, Fac Med, Belo Horizonte, MG, Brazil

[9] Norwegian Inst Publ Hlth, Genes & Environm Div Epidemiol, Oslo, Norway

[10] Univ Alexandria, Fac Med, Alexandria, Egypt

[11] Ghana Hlth Serfice, Hlth Res & Dev Div, Accra, Ghana

[12] United Nations Populat Fund UNFPA, New York, NY USA

[13] Univ Witwatersrand, Fac Hlth Sci, Sch Publ Hlth, MRC Wits Rural Publ Hlth & Hlth Transit Res Unit, Johannesburg, South Africa

[14] All India Inst Med Sci, Ctr Community Med, New Delhi, India

[15] Ifakara Hlth Inst, Dar Es Salaam, Tanzania

[16] Ctr Dis Control & Prevent, Int Stat Div, Hyattsville, MD USA

[17] Afghanistan Minist Publ Hlth, Afghan Publ Hlth Inst, Kabul, Afghanistan

[18] INDEPTH Network, INDEPTH Network Secretariat, Accra, Ghana

[19] Off United Nations High Commissioner Refugees UNH, Publ Hlth & HIV Sect, Geneva, Switzerland

[20] Hlth Metr Network, Monitoring Vital Events, Geneva, Switzerland

[21] Pan Amer Hlth Org, Washington, DC USA

[22] WHO Reg Off Eastern Mediterranean, Div Hlth Syst & Serv Dev, Cairo, Egypt

[23] WHO Reg Off Europe, Copenhagen, Denmark

[24] WHO Reg Off S Eastern Reg, Evidence Based Hlth Situat & Trends Assessment, New Delhi, India

[25] WHO Reg Off Western Pacific, Manila, Philippines

[26] WHO, Mediterranean Ctr Hlth Risk Reduct, CH-1211 Geneva, Switzerland

[27] WHO, Dept Child & Adolescent Hlth & Dev, CH-1211 Geneva, Switzerland

[28] WHO, Dept Violence & Injury Prevent & Disabil, CH-1211 Geneva, Switzerland

[29] WHO, Classificat Terminol & Stand Unit, CH-1211 Geneva, Switzerland

[30] WHO, Dept Reprod Hlth & Res, CH-1211 Geneva, Switzerland

[31] WHO, CH-1211 Geneva, Switzerland

来源：

GLOBAL HEALTH ACTION | 2013年 / 6卷

关键词：

verbal autopsy; cause of death; vital registration; civil registration; vital statistics; World Health Organization; Inter VA; DIAGNOSTIC GOLD STANDARDS; DATA-DERIVED ALGORITHMS; INTERVA MODEL; ADULT DEATHS; VALIDATION; MORTALITY; PERFORMANCE; POPULATION; MULTICENTER; ACCURACY;

D O I：

10.3402/gha.v6i0.21518

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: Verbal autopsy (VA) is a systematic approach for determining causes of death (CoD) in populations without routine medical certification. It has mainly been used in research contexts and involved relatively lengthy interviews. Our objective here is to describe the process used to shorten, simplify, and standardise the VA process to make it feasible for application on a larger scale such as in routine civil registration and vital statistics (CRVS) systems. Methods: A literature review of existing VA instruments was undertaken. The World Health Organization (WHO) then facilitated an international consultation process to review experiences with existing VA instruments, including those from WHO, the Demographic Evaluation of Populations and their Health in Developing Countries (INDEPTH) Network, InterVA, and the Population Health Metrics Research Consortium (PHMRC). In an expert meeting, consideration was given to formulating a workable VA CoD list [with mapping to the International Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) CoD] and to the viability and utility of existing VA interview questions, with a view to undertaking systematic simplification. Findings: A revised VA CoD list was compiled enabling mapping of all ICD-10 CoD onto 62 VA cause categories, chosen on the grounds of public health significance as well as potential for ascertainment from VA. A set of 221 indicators for inclusion in the revised VA instrument was developed on the basis of accumulated experience, with appropriate skip patterns for various population sub-groups. The duration of a VA interview was reduced by about 40% with this new approach. Conclusions: The revised VA instrument resulting from this consultation process is presented here as a means of making it available for widespread use and evaluation. It is envisaged that this will be used in conjunction with automated models for assigning CoD from VA data, rather than involving physicians.

引用

页数：17

共 41 条

[1] Identifying and verifying causes of death in Turkey: National verbal autopsy survey [J].