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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Cause of death distribution with InterVA and physician coding in a rural area of Burkina Faso
Tropical Medicine and International Health, Volume 17, No. 7, Year 2012
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Description
Objectives To compare the cause of death distribution using the Physician Coded Verbal Autopsy approach versus the Interpreting Verbal Autopsy model, based on information from a French verbal autopsy questionnaire, in rural north-western Burkina Faso. Methods Data from 5649 verbal autopsy questionnaires reviewed by local physicians at the Nouna Health and Demographic Surveillance Site between 1998 and 2007 were considered for analyses. Information from VA interviews was extracted to create a set of standard indicators needed to run the Interpreting Verbal Autopsy model. Cause-specific mortality fractions were used to compare Physician Coded Verbal Autopsy and Interpreting Verbal Autopsy results. Results At the population level, 62.5% of causes of death using the Interpreting Verbal Autopsy model corresponded with those determined by two or three physicians. Although seven of the 10 main causes of death were present in both approaches, the comparison of percentages of single causes of death shows discrepancies, dominated by higher malaria rates found in the Physician Coded Verbal Autopsy approach. Conclusion Our results confirm that national mortality statistics, which are partly based on verbal autopsies, must be carefully interpreted. Difficulties in determining malaria as cause of death in holoendemic malaria regions might result in higher discrepancies than those in non-endemic areas. As neither Physician Coded Verbal Autopsy nor Interpreting Verbal Autopsy results represent a gold standard, uncertainty levels with either procedure are high. © 2012 Blackwell Publishing Ltd.
Authors & Co-Authors
Ramroth, Heribert
Germany, Heidelberg
Universitätsklinikum Heidelberg
Lorenz, Eva
Germany, Heidelberg
Universitätsklinikum Heidelberg
Rankin, Johanna C.
Germany, Heidelberg
Universitätsklinikum Heidelberg
Fottrell, Edward F.
Sweden, Umea
Umeå Universitet
United Kingdom, London
Ucl Great Ormond Street Institute of Child Health
Ye´, Maurice
Burkina Faso, Nouna
Centre de Recherche en Sante de Nouna
Neuhann, H. Florian
Germany, Heidelberg
Universitätsklinikum Heidelberg
Ssennono, Mark
Germany, Heidelberg
Universitätsklinikum Heidelberg
Sié, Alie
Burkina Faso, Nouna
Centre de Recherche en Sante de Nouna
Byass, P.
Sweden, Umea
Umeå Universitet
Becher, Heiko
Germany, Heidelberg
Universitätsklinikum Heidelberg
Statistics
Citations: 29
Authors: 10
Affiliations: 4
Identifiers
Doi:
10.1111/j.1365-3156.2012.02998.x
ISSN:
13602276
e-ISSN:
13653156
Research Areas
Infectious Diseases
Study Design
Cross Sectional Study
Study Locations
Burkina Faso