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

Identifieur interne : 000561 ( Main/Exploration ); précédent : 000560; suivant : 000562

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

Auteurs : Jordana Leitao [Royaume-Uni] ; Daniel Chandramohan [Royaume-Uni] ; Peter Byass [Suède] ; Robert Jakob [Suisse] ; Kanitta Bundhamcharoen [Thaïlande] ; Chanpen Choprapawon [Thaïlande] ; Don De Savigny [Suisse] ; Edward Fottrell [Royaume-Uni] ; Elizabeth França [Brésil] ; Frederik Fr En [Norvège] ; Gihan Gewaifel [Égypte] ; Abraham Hodgson [Ghana] ; Sennen Hounton [États-Unis] ; Kathleen Kahn [Afrique du Sud] ; Anand Krishnan [Inde] ; Vishwajeet Kumar [Inde] ; Honorati Masanja [Tanzanie] ; Erin Nichols [États-Unis] ; Francis Notzon [États-Unis] ; Mohammad Hafiz Rasooly [Afghanistan] ; Osman Sankoh [Ghana] ; Paul Spiegel [Suisse] ; Carla Abouzahr ; Marc Amexo [Suisse] ; Derege Kebede [États-Unis] ; William Soumbey Alley [États-Unis] ; Fatima Marinho [États-Unis] ; Mohamed Ali [Égypte] ; Enrique Loyola [Danemark] ; Jyotsna Chikersal [Inde] ; Jun Gao ; Giuseppe Annunziata [Suisse] ; Rajiv Bahl [Suisse] ; Kidist Bartolomeus [Suisse] ; Ties Boerma [Suisse] ; Bedirhan Ustun [Suisse] ; Doris Chou [Suisse] ; Lulu Muhe [Suisse] ; Matthews Mathai [Suisse]

Source :

RBID : pubmed:28141011

Abstract

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.

DOI: 10.3402/gha.v6i0.21518
PubMed: 28141011


Affiliations:


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<name sortKey="Ali, Mohamed" sort="Ali, Mohamed" uniqKey="Ali M" first="Mohamed" last="Ali">Mohamed Ali</name>
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<name sortKey="Loyola, Enrique" sort="Loyola, Enrique" uniqKey="Loyola E" first="Enrique" last="Loyola">Enrique Loyola</name>
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<name sortKey="Bahl, Rajiv" sort="Bahl, Rajiv" uniqKey="Bahl R" first="Rajiv" last="Bahl">Rajiv Bahl</name>
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<nlm:affiliation>ac Department of Child and Adolescent Health and Development, WHO , Geneva , Switzerland.</nlm:affiliation>
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<wicri:regionArea>ac Department of Child and Adolescent Health and Development, WHO , Geneva </wicri:regionArea>
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<name sortKey="Bartolomeus, Kidist" sort="Bartolomeus, Kidist" uniqKey="Bartolomeus K" first="Kidist" last="Bartolomeus">Kidist Bartolomeus</name>
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<nlm:affiliation>ad Department of Violence and Injury Prevention and Disability, WHO , Geneva , Switzerland.</nlm:affiliation>
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<name sortKey="Boerma, Ties" sort="Boerma, Ties" uniqKey="Boerma T" first="Ties" last="Boerma">Ties Boerma</name>
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<name sortKey="Ustun, Bedirhan" sort="Ustun, Bedirhan" uniqKey="Ustun B" first="Bedirhan" last="Ustun">Bedirhan Ustun</name>
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<nlm:affiliation>af Classification , Terminology and Standards Unit, WHO , Geneva , Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>af Classification , Terminology and Standards Unit, WHO , Geneva </wicri:regionArea>
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<name sortKey="Chou, Doris" sort="Chou, Doris" uniqKey="Chou D" first="Doris" last="Chou">Doris Chou</name>
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<nlm:affiliation>ag Department of Reproductive Health and Research, WHO , Geneva , Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>ag Department of Reproductive Health and Research, WHO , Geneva </wicri:regionArea>
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<name sortKey="Muhe, Lulu" sort="Muhe, Lulu" uniqKey="Muhe L" first="Lulu" last="Muhe">Lulu Muhe</name>
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<nlm:affiliation>ah Child and Adolescent Health and Development, WHO , Geneva , Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>ah Child and Adolescent Health and Development, WHO , Geneva </wicri:regionArea>
<wicri:noRegion>Geneva </wicri:noRegion>
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<name sortKey="Mathai, Matthews" sort="Mathai, Matthews" uniqKey="Mathai M" first="Matthews" last="Mathai">Matthews Mathai</name>
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<nlm:affiliation>ai Maternal, Newborn, Child and Adolescent Health, WHO , Geneva , Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>ai Maternal, Newborn, Child and Adolescent Health, WHO , Geneva </wicri:regionArea>
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<date when="2013">2013</date>
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<title xml:lang="en">Revising the WHO verbal autopsy instrument to facilitate routine cause-of-death monitoring.</title>
<author>
<name sortKey="Leitao, Jordana" sort="Leitao, Jordana" uniqKey="Leitao J" first="Jordana" last="Leitao">Jordana Leitao</name>
<affiliation wicri:level="1">
<nlm:affiliation>a Disease Control and Vector Biology , London School of Hygiene and Tropical Medicine , London , UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>a Disease Control and Vector Biology , London School of Hygiene and Tropical Medicine , London </wicri:regionArea>
<wicri:noRegion>London </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Chandramohan, Daniel" sort="Chandramohan, Daniel" uniqKey="Chandramohan D" first="Daniel" last="Chandramohan">Daniel Chandramohan</name>
<affiliation wicri:level="1">
<nlm:affiliation>a Disease Control and Vector Biology , London School of Hygiene and Tropical Medicine , London , UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>a Disease Control and Vector Biology , London School of Hygiene and Tropical Medicine , London </wicri:regionArea>
<wicri:noRegion>London </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Byass, Peter" sort="Byass, Peter" uniqKey="Byass P" first="Peter" last="Byass">Peter Byass</name>
<affiliation wicri:level="1">
<nlm:affiliation>b WHO Collaborating Centre for Verbal Autopsy, Division of Epidemiology and Global Health, Department of Public Health and Clinical Medicine Umeå University , Umeå , Sweden.</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>b WHO Collaborating Centre for Verbal Autopsy, Division of Epidemiology and Global Health, Department of Public Health and Clinical Medicine Umeå University , Umeå </wicri:regionArea>
<wicri:noRegion>Umeå </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Jakob, Robert" sort="Jakob, Robert" uniqKey="Jakob R" first="Robert" last="Jakob">Robert Jakob</name>
<affiliation wicri:level="1">
<nlm:affiliation>c Health Information and Statistics, WHO , Geneva , Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>c Health Information and Statistics, WHO , Geneva </wicri:regionArea>
<wicri:noRegion>Geneva </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Bundhamcharoen, Kanitta" sort="Bundhamcharoen, Kanitta" uniqKey="Bundhamcharoen K" first="Kanitta" last="Bundhamcharoen">Kanitta Bundhamcharoen</name>
<affiliation wicri:level="1">
<nlm:affiliation>d International Health Policy Program, Thailand Ministry of Public Health , Nonthaburi , Thailand.</nlm:affiliation>
<country xml:lang="fr">Thaïlande</country>
<wicri:regionArea>d International Health Policy Program, Thailand Ministry of Public Health , Nonthaburi </wicri:regionArea>
<wicri:noRegion>Nonthaburi </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Choprapawon, Chanpen" sort="Choprapawon, Chanpen" uniqKey="Choprapawon C" first="Chanpen" last="Choprapawon">Chanpen Choprapawon</name>
<affiliation wicri:level="1">
<nlm:affiliation>e Health Policy and Strategic Bureau, Ministry of Public Health , Nonthaburi , Thailand.</nlm:affiliation>
<country xml:lang="fr">Thaïlande</country>
<wicri:regionArea>e Health Policy and Strategic Bureau, Ministry of Public Health , Nonthaburi </wicri:regionArea>
<wicri:noRegion>Nonthaburi </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="De Savigny, Don" sort="De Savigny, Don" uniqKey="De Savigny D" first="Don" last="De Savigny">Don De Savigny</name>
<affiliation wicri:level="1">
<nlm:affiliation>f Public Health and Health Systems , Swiss Tropical and Public Health Institute , Basel , Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>f Public Health and Health Systems , Swiss Tropical and Public Health Institute , Basel </wicri:regionArea>
<wicri:noRegion>Basel </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Fottrell, Edward" sort="Fottrell, Edward" uniqKey="Fottrell E" first="Edward" last="Fottrell">Edward Fottrell</name>
<affiliation wicri:level="1">
<nlm:affiliation>g UCL Centre for International Health and Development, Institute of Child Health , London , UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>g UCL Centre for International Health and Development, Institute of Child Health , London </wicri:regionArea>
<wicri:noRegion>London </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Franca, Elizabeth" sort="Franca, Elizabeth" uniqKey="Franca E" first="Elizabeth" last="França">Elizabeth França</name>
<affiliation wicri:level="1">
<nlm:affiliation>h Epidemiology and Health Evaluation Faculty of Medicine , Federal University of Minas Gerais, Minas Gerais , Brazil.</nlm:affiliation>
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>h Epidemiology and Health Evaluation Faculty of Medicine , Federal University of Minas Gerais, Minas Gerais </wicri:regionArea>
<wicri:noRegion>Minas Gerais </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Fr En, Frederik" sort="Fr En, Frederik" uniqKey="Fr En F" first="Frederik" last="Fr En">Frederik Fr En</name>
<affiliation wicri:level="1">
<nlm:affiliation>i Genes and Environment Division of Epidemiology , Norwegian Institute of Public Health , Oslo , Norway.</nlm:affiliation>
<country xml:lang="fr">Norvège</country>
<wicri:regionArea>i Genes and Environment Division of Epidemiology , Norwegian Institute of Public Health , Oslo </wicri:regionArea>
<wicri:noRegion>Oslo </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Gewaifel, Gihan" sort="Gewaifel, Gihan" uniqKey="Gewaifel G" first="Gihan" last="Gewaifel">Gihan Gewaifel</name>
<affiliation wicri:level="1">
<nlm:affiliation>j Faculty of Medicine , University of Alexandria , Alexandria , Egypt.</nlm:affiliation>
<country xml:lang="fr">Égypte</country>
<wicri:regionArea>j Faculty of Medicine , University of Alexandria , Alexandria </wicri:regionArea>
<wicri:noRegion>Alexandria </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hodgson, Abraham" sort="Hodgson, Abraham" uniqKey="Hodgson A" first="Abraham" last="Hodgson">Abraham Hodgson</name>
<affiliation wicri:level="1">
<nlm:affiliation>k Health Research and Development Division, Ghana Health Serfice , Accra , Ghana.</nlm:affiliation>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>k Health Research and Development Division, Ghana Health Serfice , Accra </wicri:regionArea>
<wicri:noRegion>Accra </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hounton, Sennen" sort="Hounton, Sennen" uniqKey="Hounton S" first="Sennen" last="Hounton">Sennen Hounton</name>
<affiliation wicri:level="1">
<nlm:affiliation>l Headquarter , United Nations Population Fund (UNFPA) , New York , USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>l Headquarter , United Nations Population Fund (UNFPA) , New York </wicri:regionArea>
<wicri:noRegion>New York </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Kahn, Kathleen" sort="Kahn, Kathleen" uniqKey="Kahn K" first="Kathleen" last="Kahn">Kathleen Kahn</name>
<affiliation wicri:level="1">
<nlm:affiliation>m MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) , School of Public Health, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg , South Africa.</nlm:affiliation>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>m MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) , School of Public Health, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg </wicri:regionArea>
<wicri:noRegion>Johannesburg </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Krishnan, Anand" sort="Krishnan, Anand" uniqKey="Krishnan A" first="Anand" last="Krishnan">Anand Krishnan</name>
<affiliation wicri:level="1">
<nlm:affiliation>n Centre for Community Medicine, All India Institute of Medical Sciences , New Delhi , India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>n Centre for Community Medicine, All India Institute of Medical Sciences , New Delhi </wicri:regionArea>
<wicri:noRegion>New Delhi </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Kumar, Vishwajeet" sort="Kumar, Vishwajeet" uniqKey="Kumar V" first="Vishwajeet" last="Kumar">Vishwajeet Kumar</name>
<affiliation wicri:level="1">
<nlm:affiliation>o Uttar Pradesh Center, Community Empowerment Lab , Uttar Pradesh , India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>o Uttar Pradesh Center, Community Empowerment Lab , Uttar Pradesh </wicri:regionArea>
<wicri:noRegion>Uttar Pradesh </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Masanja, Honorati" sort="Masanja, Honorati" uniqKey="Masanja H" first="Honorati" last="Masanja">Honorati Masanja</name>
<affiliation wicri:level="1">
<nlm:affiliation>p Ifakara Health Institute , Dar es Salaam , Tanzania.</nlm:affiliation>
<country xml:lang="fr">Tanzanie</country>
<wicri:regionArea>p Ifakara Health Institute , Dar es Salaam </wicri:regionArea>
<wicri:noRegion>Dar es Salaam </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Nichols, Erin" sort="Nichols, Erin" uniqKey="Nichols E" first="Erin" last="Nichols">Erin Nichols</name>
<affiliation wicri:level="1">
<nlm:affiliation>q International Statistics Division , Centers for Disease Control and Prevention , Hyattsville , USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>q International Statistics Division , Centers for Disease Control and Prevention , Hyattsville </wicri:regionArea>
<wicri:noRegion>Hyattsville </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Notzon, Francis" sort="Notzon, Francis" uniqKey="Notzon F" first="Francis" last="Notzon">Francis Notzon</name>
<affiliation wicri:level="1">
<nlm:affiliation>q International Statistics Division , Centers for Disease Control and Prevention , Hyattsville , USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>q International Statistics Division , Centers for Disease Control and Prevention , Hyattsville </wicri:regionArea>
<wicri:noRegion>Hyattsville </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Rasooly, Mohammad Hafiz" sort="Rasooly, Mohammad Hafiz" uniqKey="Rasooly M" first="Mohammad Hafiz" last="Rasooly">Mohammad Hafiz Rasooly</name>
<affiliation wicri:level="1">
<nlm:affiliation>r Afghan Public Health Institute, Afghanistan Ministry of Public Health , Kabul , Afghanistan.</nlm:affiliation>
<country xml:lang="fr">Afghanistan</country>
<wicri:regionArea>r Afghan Public Health Institute, Afghanistan Ministry of Public Health , Kabul </wicri:regionArea>
<wicri:noRegion>Kabul </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Sankoh, Osman" sort="Sankoh, Osman" uniqKey="Sankoh O" first="Osman" last="Sankoh">Osman Sankoh</name>
<affiliation wicri:level="1">
<nlm:affiliation>s INDEPTH Network Secretariat, INDEPTH Network , Accra , Ghana.</nlm:affiliation>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>s INDEPTH Network Secretariat, INDEPTH Network , Accra </wicri:regionArea>
<wicri:noRegion>Accra </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Spiegel, Paul" sort="Spiegel, Paul" uniqKey="Spiegel P" first="Paul" last="Spiegel">Paul Spiegel</name>
<affiliation wicri:level="1">
<nlm:affiliation>t Public Health and HIV Section , The office of the United Nations High Commissioner for Refugees (UNHCR) , Geneva , Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>t Public Health and HIV Section , The office of the United Nations High Commissioner for Refugees (UNHCR) , Geneva </wicri:regionArea>
<wicri:noRegion>Geneva </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Abouzahr, Carla" sort="Abouzahr, Carla" uniqKey="Abouzahr C" first="Carla" last="Abouzahr">Carla Abouzahr</name>
<affiliation>
<nlm:affiliation>u Independent Consultant.</nlm:affiliation>
<wicri:noCountry code="no comma">u Independent Consultant.</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Amexo, Marc" sort="Amexo, Marc" uniqKey="Amexo M" first="Marc" last="Amexo">Marc Amexo</name>
<affiliation wicri:level="1">
<nlm:affiliation>v Monitoring of Vital Events , Health Metrics Network , Geneva , Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>v Monitoring of Vital Events , Health Metrics Network , Geneva </wicri:regionArea>
<wicri:noRegion>Geneva </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Kebede, Derege" sort="Kebede, Derege" uniqKey="Kebede D" first="Derege" last="Kebede">Derege Kebede</name>
<affiliation wicri:level="2">
<nlm:affiliation>w Health Information and Analysis , Pan American Health Organization , Washington , DC , USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>w Health Information and Analysis , Pan American Health Organization , Washington , DC </wicri:regionArea>
<placeName>
<region type="state">District de Columbia</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Soumbey Alley, William" sort="Soumbey Alley, William" uniqKey="Soumbey Alley W" first="William" last="Soumbey Alley">William Soumbey Alley</name>
<affiliation wicri:level="2">
<nlm:affiliation>w Health Information and Analysis , Pan American Health Organization , Washington , DC , USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>w Health Information and Analysis , Pan American Health Organization , Washington , DC </wicri:regionArea>
<placeName>
<region type="state">District de Columbia</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Marinho, Fatima" sort="Marinho, Fatima" uniqKey="Marinho F" first="Fatima" last="Marinho">Fatima Marinho</name>
<affiliation wicri:level="2">
<nlm:affiliation>w Health Information and Analysis , Pan American Health Organization , Washington , DC , USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>w Health Information and Analysis , Pan American Health Organization , Washington , DC </wicri:regionArea>
<placeName>
<region type="state">District de Columbia</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Ali, Mohamed" sort="Ali, Mohamed" uniqKey="Ali M" first="Mohamed" last="Ali">Mohamed Ali</name>
<affiliation wicri:level="1">
<nlm:affiliation>x Division of Health Systems and Services Development, WHO Regional Office for the Eastern Mediterranean , Cairo , Egypt.</nlm:affiliation>
<country xml:lang="fr">Égypte</country>
<wicri:regionArea>x Division of Health Systems and Services Development, WHO Regional Office for the Eastern Mediterranean , Cairo </wicri:regionArea>
<wicri:noRegion>Cairo </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Loyola, Enrique" sort="Loyola, Enrique" uniqKey="Loyola E" first="Enrique" last="Loyola">Enrique Loyola</name>
<affiliation wicri:level="1">
<nlm:affiliation>y Health Information , Evidence and Research Policy, WHO Regional Office for Europe , Kobenhavn , Denmark.</nlm:affiliation>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea>y Health Information , Evidence and Research Policy, WHO Regional Office for Europe , Kobenhavn </wicri:regionArea>
<wicri:noRegion>Kobenhavn </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Chikersal, Jyotsna" sort="Chikersal, Jyotsna" uniqKey="Chikersal J" first="Jyotsna" last="Chikersal">Jyotsna Chikersal</name>
<affiliation wicri:level="1">
<nlm:affiliation>z Evidence-Based Health Situation and Trends Assessment, WHO Regional Office for the South Eastern Region , New Dehli , India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>z Evidence-Based Health Situation and Trends Assessment, WHO Regional Office for the South Eastern Region , New Dehli </wicri:regionArea>
<wicri:noRegion>New Dehli </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Gao, Jun" sort="Gao, Jun" uniqKey="Gao J" first="Jun" last="Gao">Jun Gao</name>
<affiliation>
<nlm:affiliation>aa Health Information, Evidence and Research Policy, WHO Regional Office for Western Pacific , Manila , Philipines.</nlm:affiliation>
<wicri:noCountry code="subField">Philipines</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Annunziata, Giuseppe" sort="Annunziata, Giuseppe" uniqKey="Annunziata G" first="Giuseppe" last="Annunziata">Giuseppe Annunziata</name>
<affiliation wicri:level="1">
<nlm:affiliation>ab Mediterranean Centre for Health Risk Reduction, WHO , Geneva , Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>ab Mediterranean Centre for Health Risk Reduction, WHO , Geneva </wicri:regionArea>
<wicri:noRegion>Geneva </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Bahl, Rajiv" sort="Bahl, Rajiv" uniqKey="Bahl R" first="Rajiv" last="Bahl">Rajiv Bahl</name>
<affiliation wicri:level="1">
<nlm:affiliation>ac Department of Child and Adolescent Health and Development, WHO , Geneva , Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>ac Department of Child and Adolescent Health and Development, WHO , Geneva </wicri:regionArea>
<wicri:noRegion>Geneva </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Bartolomeus, Kidist" sort="Bartolomeus, Kidist" uniqKey="Bartolomeus K" first="Kidist" last="Bartolomeus">Kidist Bartolomeus</name>
<affiliation wicri:level="1">
<nlm:affiliation>ad Department of Violence and Injury Prevention and Disability, WHO , Geneva , Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>ad Department of Violence and Injury Prevention and Disability, WHO , Geneva </wicri:regionArea>
<wicri:noRegion>Geneva </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Boerma, Ties" sort="Boerma, Ties" uniqKey="Boerma T" first="Ties" last="Boerma">Ties Boerma</name>
<affiliation wicri:level="1">
<nlm:affiliation>ae Health Statistics and Informatics, WHO , Geneva , Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>ae Health Statistics and Informatics, WHO , Geneva </wicri:regionArea>
<wicri:noRegion>Geneva </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Ustun, Bedirhan" sort="Ustun, Bedirhan" uniqKey="Ustun B" first="Bedirhan" last="Ustun">Bedirhan Ustun</name>
<affiliation wicri:level="1">
<nlm:affiliation>af Classification , Terminology and Standards Unit, WHO , Geneva , Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>af Classification , Terminology and Standards Unit, WHO , Geneva </wicri:regionArea>
<wicri:noRegion>Geneva </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Chou, Doris" sort="Chou, Doris" uniqKey="Chou D" first="Doris" last="Chou">Doris Chou</name>
<affiliation wicri:level="1">
<nlm:affiliation>ag Department of Reproductive Health and Research, WHO , Geneva , Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>ag Department of Reproductive Health and Research, WHO , Geneva </wicri:regionArea>
<wicri:noRegion>Geneva </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Muhe, Lulu" sort="Muhe, Lulu" uniqKey="Muhe L" first="Lulu" last="Muhe">Lulu Muhe</name>
<affiliation wicri:level="1">
<nlm:affiliation>ah Child and Adolescent Health and Development, WHO , Geneva , Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>ah Child and Adolescent Health and Development, WHO , Geneva </wicri:regionArea>
<wicri:noRegion>Geneva </wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Mathai, Matthews" sort="Mathai, Matthews" uniqKey="Mathai M" first="Matthews" last="Mathai">Matthews Mathai</name>
<affiliation wicri:level="1">
<nlm:affiliation>ai Maternal, Newborn, Child and Adolescent Health, WHO , Geneva , Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>ai Maternal, Newborn, Child and Adolescent Health, WHO , Geneva </wicri:regionArea>
<wicri:noRegion>Geneva </wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Global health action</title>
<idno type="eISSN">1654-9880</idno>
<imprint>
<date when="2013" type="published">2013</date>
</imprint>
</series>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">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.</div>
</front>
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<li>Afghanistan</li>
<li>Afrique du Sud</li>
<li>Brésil</li>
<li>Danemark</li>
<li>Ghana</li>
<li>Inde</li>
<li>Norvège</li>
<li>Royaume-Uni</li>
<li>Suisse</li>
<li>Suède</li>
<li>Tanzanie</li>
<li>Thaïlande</li>
<li>Égypte</li>
<li>États-Unis</li>
</country>
<region>
<li>District de Columbia</li>
</region>
</list>
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   |texte=   Revising the WHO verbal autopsy instrument to facilitate routine cause-of-death monitoring.
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