Evidence map›Paper›PMID 32146903›Full record

ArticleBMC medicine2020

Automated verbal autopsy: from research to routine use in civil registration and vital statistics systems.

Riley H Hazard, Mahesh P K Buddhika, John D Hart, Hafizur R Chowdhury, Sonja Firth, Rohina Joshi, Ferchito Avelino, Agnes Segarra, Deborah Carmina Sarmiento, Abdul Kalam Azad and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
15.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 60 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 3 countries.

Riley H HazardMelbourne School of Population and Global Health, The University of Melbourne, Carlton, Victoria, Australia. riley.hazard@unimelb.edu.au.
Mahesh P K BuddhikaMelbourne School of Population and Global Health, The University of Melbourne, Carlton, Victoria, Australia.
John D HartMelbourne School of Population and Global Health, The University of Melbourne, Carlton, Victoria, Australia.
Hafizur R ChowdhuryMelbourne School of Population and Global Health, The University of Melbourne, Carlton, Victoria, Australia.
Sonja FirthMelbourne School of Population and Global Health, The University of Melbourne, Carlton, Victoria, Australia.
Rohina JoshiThe George Institute for Global Health, UNSW Sydney, Newtown, New South Wales, 2042, Australia.
Ferchito AvelinoDepartment of Health, Manila, Philippines.
Agnes SegarraDepartment of Health, Manila, Philippines.
Deborah Carmina SarmientoMelbourne School of Population and Global Health, The University of Melbourne, Carlton, Victoria, Australia.
Abdul Kalam AzadDirectorate General of Health Services, Dhaka, Bangladesh.
Shah Ali Akbar AshrafiDirectorate General of Health Services, Dhaka, Bangladesh.
Khin Sandar BoMelbourne School of Population and Global Health, The University of Melbourne, Carlton, Victoria, Australia.
Violoa KwaMelbourne School of Population and Global Health, The University of Melbourne, Carlton, Victoria, Australia.
Alan D LopezMelbourne School of Population and Global Health, The University of Melbourne, Carlton, Victoria, Australia.
University of Melbourne · AUDepartment of Health · PHDirectorate General of Health Services · BDUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe majority of low- and middle-income countries (LMICs) do not have adequate civil registration and vital statistics (CRVS) systems to properly support health policy formulation. Verbal autopsy (VA), long used in research, can provide useful information on the cause of death (COD) in populations where physicians are not available to complete medical certificates of COD. Here, we report on the application of the SmartVA tool for the collection and analysis of data in several countries as part of routine CRVS activities.

methodsData from VA interviews conducted in 4 of 12 countries supported by the Bloomberg Philanthropies Data for Health (D4H) Initiative, and at different stages of health statistical development, were analysed and assessed for plausibility: Myanmar, Papua New Guinea (PNG), Bangladesh and the Philippines. Analyses by age- and cause-specific mortality fractions were compared to the Global Burden of Disease (GBD) study data by country. VA interviews were analysed using SmartVA-Analyze-automated software that was designed for use in CRVS systems. The method in the Philippines differed from the other sites in that the VA output was used as a decision support tool for health officers.

resultsCountry strategies for VA implementation are described in detail. Comparisons between VA data and country GBD estimates by age and cause revealed generally similar patterns and distributions. The main discrepancy was higher infectious disease mortality and lower non-communicable disease mortality at the PNG VA sites, compared to the GBD country models, which critical appraisal suggests may highlight real differences rather than implausible VA results.

conclusionAutomated VA is the only feasible method for generating COD data for many populations. The results of implementation in four countries, reported here under the D4H Initiative, confirm that these methods are acceptable for wide-scale implementation and can produce reliable COD information on community deaths for which little was previously known.

Indexed as

Vital StatisticsAutomationAutopsyBangladeshCause of DeathCommunicable DiseasesFemaleHumansMaleMyanmarNoncommunicable DiseasesPapua New GuineaPhilippinesPovertyResearchSoftwareBangladeshCause of deathCivil registration and vital statisticsMyanmarPapua New GuineaPhilippinesVerbal autopsy

Identifiers

PMID32146903
PMCPMC7061477
OpenAlexW3012076789

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.