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

Jordana Leitao, Daniel Chandramohan, Peter Byass, Robert Jakob, Kanitta Bundhamcharoen, Chanpen Choprapawon, Don de Savigny, Edward Fottrell, Elizabeth França, Frederik Frøen, Gihan Gewaifel, Abraham Hodgson, Sennen Hounton, Kathleen Kahn, Anand Krishnan, Vishwajeet Kumar, Honorati Masanja, Erin Nichols, Francis Notzon, Mohammad Hafiz RasoolyOsman Sankoh, Paul Spiegel, Carla AbouZahr, Marc Amexo, Derege Kebede, William Soumbey Alley, Fatima Marinho, Mohamed Ali, Enrique Loyola, Jyotsna Chikersal, Jun Gao, Giuseppe Annunziata, Rajiv Bahl, Kidist Bartolomeus, Ties Boerma, Bedirhan Ustun, Doris Chou, Lulu Muhe, Matthews Mathai

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Article number21518
JournalGlobal Health Action
Volume6
Issue number1
DOIs
StatePublished - 2013
Externally publishedYes

Fingerprint

Cause of Death
Autopsy
International Classification of Diseases
Interviews
Health
Referral and Consultation
Population
Vital Statistics
Certification
Population Groups
Research
Developing Countries
Public Health
Demography
Physicians

Keywords

  • Cause of death
  • Civil registration
  • InterVA
  • Verbal autopsy
  • Vital registration
  • Vital statistics
  • World health organization

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

Leitao, J., Chandramohan, D., Byass, P., Jakob, R., Bundhamcharoen, K., Choprapawon, C., ... Mathai, M. (2013). Revising the WHO verbal autopsy instrument to facilitate routine cause-of-death monitoring. Global Health Action, 6(1), [21518]. https://doi.org/10.3402/gha.v6i0.21518

Revising the WHO verbal autopsy instrument to facilitate routine cause-of-death monitoring. / Leitao, Jordana; Chandramohan, Daniel; Byass, Peter; Jakob, Robert; Bundhamcharoen, Kanitta; Choprapawon, Chanpen; de Savigny, Don; Fottrell, Edward; França, Elizabeth; Frøen, Frederik; Gewaifel, Gihan; Hodgson, Abraham; Hounton, Sennen; Kahn, Kathleen; Krishnan, Anand; Kumar, Vishwajeet; Masanja, Honorati; Nichols, Erin; Notzon, Francis; Rasooly, Mohammad Hafiz; Sankoh, Osman; Spiegel, Paul; AbouZahr, Carla; Amexo, Marc; Kebede, Derege; Alley, William Soumbey; Marinho, Fatima; Ali, Mohamed; Loyola, Enrique; Chikersal, Jyotsna; Gao, Jun; Annunziata, Giuseppe; Bahl, Rajiv; Bartolomeus, Kidist; Boerma, Ties; Ustun, Bedirhan; Chou, Doris; Muhe, Lulu; Mathai, Matthews.

In: Global Health Action, Vol. 6, No. 1, 21518, 2013.

Research output: Contribution to journalArticle

Leitao, J, Chandramohan, D, Byass, P, Jakob, R, Bundhamcharoen, K, Choprapawon, C, de Savigny, D, Fottrell, E, França, E, Frøen, F, Gewaifel, G, Hodgson, A, Hounton, S, Kahn, K, Krishnan, A, Kumar, V, Masanja, H, Nichols, E, Notzon, F, Rasooly, MH, Sankoh, O, Spiegel, P, AbouZahr, C, Amexo, M, Kebede, D, Alley, WS, Marinho, F, Ali, M, Loyola, E, Chikersal, J, Gao, J, Annunziata, G, Bahl, R, Bartolomeus, K, Boerma, T, Ustun, B, Chou, D, Muhe, L & Mathai, M 2013, 'Revising the WHO verbal autopsy instrument to facilitate routine cause-of-death monitoring', Global Health Action, vol. 6, no. 1, 21518. https://doi.org/10.3402/gha.v6i0.21518
Leitao J, Chandramohan D, Byass P, Jakob R, Bundhamcharoen K, Choprapawon C et al. Revising the WHO verbal autopsy instrument to facilitate routine cause-of-death monitoring. Global Health Action. 2013;6(1). 21518. https://doi.org/10.3402/gha.v6i0.21518
Leitao, Jordana ; Chandramohan, Daniel ; Byass, Peter ; Jakob, Robert ; Bundhamcharoen, Kanitta ; Choprapawon, Chanpen ; de Savigny, Don ; Fottrell, Edward ; França, Elizabeth ; Frøen, Frederik ; Gewaifel, Gihan ; Hodgson, Abraham ; Hounton, Sennen ; Kahn, Kathleen ; Krishnan, Anand ; Kumar, Vishwajeet ; Masanja, Honorati ; Nichols, Erin ; Notzon, Francis ; Rasooly, Mohammad Hafiz ; Sankoh, Osman ; Spiegel, Paul ; AbouZahr, Carla ; Amexo, Marc ; Kebede, Derege ; Alley, William Soumbey ; Marinho, Fatima ; Ali, Mohamed ; Loyola, Enrique ; Chikersal, Jyotsna ; Gao, Jun ; Annunziata, Giuseppe ; Bahl, Rajiv ; Bartolomeus, Kidist ; Boerma, Ties ; Ustun, Bedirhan ; Chou, Doris ; Muhe, Lulu ; Mathai, Matthews. / Revising the WHO verbal autopsy instrument to facilitate routine cause-of-death monitoring. In: Global Health Action. 2013 ; Vol. 6, No. 1.
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AU - Leitao, Jordana

AU - Chandramohan, Daniel

AU - Byass, Peter

AU - Jakob, Robert

AU - Bundhamcharoen, Kanitta

AU - Choprapawon, Chanpen

AU - de Savigny, Don

AU - Fottrell, Edward

AU - França, Elizabeth

AU - Frøen, Frederik

AU - Gewaifel, Gihan

AU - Hodgson, Abraham

AU - Hounton, Sennen

AU - Kahn, Kathleen

AU - Krishnan, Anand

AU - Kumar, Vishwajeet

AU - Masanja, Honorati

AU - Nichols, Erin

AU - Notzon, Francis

AU - Rasooly, Mohammad Hafiz

AU - Sankoh, Osman

AU - Spiegel, Paul

AU - AbouZahr, Carla

AU - Amexo, Marc

AU - Kebede, Derege

AU - Alley, William Soumbey

AU - Marinho, Fatima

AU - Ali, Mohamed

AU - Loyola, Enrique

AU - Chikersal, Jyotsna

AU - Gao, Jun

AU - Annunziata, Giuseppe

AU - Bahl, Rajiv

AU - Bartolomeus, Kidist

AU - Boerma, Ties

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AU - Chou, Doris

AU - Muhe, Lulu

AU - Mathai, Matthews

PY - 2013

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N2 - 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.

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KW - World health organization

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