Verbal autopsy: current practices and challenges
Verbal autopsy: current practices and challenges
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DOI：
10.2471/blt.05.027003
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发表时间：
2006-03-01
期刊：
影响因子：
--
通讯作者：
Shibuya, Kenji
中科院分区：
文献类型：
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作者：
Soleman, Nadia;Chandramohan, Daniel;Shibuya, Kenji
在人口动态登记系统不完整或没有人口动态登记系统的国家，死因推断数据越来越多地用于卫生规划、确定优先事项、监测和评价。在世界某些地区，这是获得死亡原因分布估计数的唯一方法。目前，VA方法在超过35个地点常规使用，主要在非洲和亚洲。在本文中，我们提出了一个概述的VA过程和审查的VA工具和操作程序在人口监测站点和样本的重要登记系统的结果。我们从36个实地调查点询问了有关实地操作程序的信息，并审查了13个国家使用的18份死因推断问卷和10份死因清单。VA问卷的格式和内容、现场操作程序、死亡原因列表以及从VA过程中得出死亡原因的程序在各研究中心之间差异很大。我们讨论了使用不同的方法的后果，并得出结论，VA工具和程序必须是标准化的和可靠的，以准确的国家和国际比较VA数据。我们还强调了标准VA过程的发展所需的进一步步骤。
Cause-of-death data derived from verbal autopsy (VA) are increasingly used for health planning, priority setting, monitoring and evaluation in countries with incomplete or no vital registration systems. In some regions of the world it is the only method available to obtain estimates on the distribution of causes of death. Currently, the VA method is routinely used at over 35 sites, mainly in Africa and Asia. In this paper, we present an overview of the VA process and the results of a review of VA tools and operating procedures used at demographic surveillance sites and sample vital registration systems. We asked for information from 36 field sites about field-operating procedures and reviewed 18 verbal autopsy questionnaires and 10 cause-of-death lists used in 13 countries. The format and content of VA questionnaires, field-operating procedures, cause-of-death lists and the procedures to derive causes of death from VA process varied substantially among sites. We discuss the consequences of using varied methods and conclude that the VA tools and procedures must be standardized and reliable in order to make accurate national and international comparisons of VA data. We also highlight further steps needed in the development of a standard VA process.