Verbal autopsy to ascertain causes of neonatal deaths in a community setting: a study from Morang, Nepal

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Verbal autopsy to ascertain causes of neonatal deaths in a community setting : a study from Morang, Nepal. / Khanal, S; Gc, V S; Dawson, P; Houston, R.

In: JNMA; journal of the Nepal Medical Association, Vol. 51, No. 181, 18.02.2012, p. 21-7.

Research output: Contribution to journalArticle

Harvard

Khanal, S, Gc, VS, Dawson, P & Houston, R 2012, 'Verbal autopsy to ascertain causes of neonatal deaths in a community setting: a study from Morang, Nepal', JNMA; journal of the Nepal Medical Association, vol. 51, no. 181, pp. 21-7.

APA

Khanal, S., Gc, V. S., Dawson, P., & Houston, R. (2012). Verbal autopsy to ascertain causes of neonatal deaths in a community setting: a study from Morang, Nepal. JNMA; journal of the Nepal Medical Association, 51(181), 21-7.

Vancouver

Khanal S, Gc VS, Dawson P, Houston R. Verbal autopsy to ascertain causes of neonatal deaths in a community setting: a study from Morang, Nepal. JNMA; journal of the Nepal Medical Association. 2012 Feb 18;51(181):21-7.

Author

Khanal, S ; Gc, V S ; Dawson, P ; Houston, R. / Verbal autopsy to ascertain causes of neonatal deaths in a community setting : a study from Morang, Nepal. In: JNMA; journal of the Nepal Medical Association. 2012 ; Vol. 51, No. 181. pp. 21-7.

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@article{dece21c7503c4108bf2c5d622d82fb93,
title = "Verbal autopsy to ascertain causes of neonatal deaths in a community setting: a study from Morang, Nepal",
abstract = "INTRODUCTION: Clinical registration of the cause of death is available for less than one-third of the global newborn deaths, but the need for good quality data on causes of death for public health planning has renewed the interest in the Verbal Autopsy (VA). We aimed to determine the cause of neonatal deaths by VA in Morang district of Nepal.METHODS: Caretakers of the deceased were interviewed using a semi-structured VA questionnaire by female community health volunteers. The cause of death was assigned by two senior pediatricians independently and disagreements in ascertaining the proximate cause of death were resolved by consensus.RESULTS: The proximate causes of deaths were infections (41{\%}), birth asphyxia (37.2{\%}), prematurity (11.5{\%}), and low birth weight related causes (6.9{\%}). There was no significant statistical difference in deaths due to infection seen in non-institutional deliveries (43.5{\%}) than institutional deliveries (34.6{\%}). More than half of the deaths (58.5{\%}) occurred within the first three days of life where the predominant cause of death was birth asphyxia (60.7{\%}).CONCLUSIONS: Analysis of verbal autopsies demonstrates that the major causes of death still are infections and birth asphyxia. The timing of deaths suggests that neonatal interventions should be aimed at the first week of life. There is no comparative advantage between institutional deliveries at below district level institutions and non-institutional deliveries to prevent neonatal infection. Thus, further study on the quality of care at institutes below the district level should be conducted. Disparities still occur in deaths, with most deaths in Morang occurring in non-institutional deliveries and in disadvantaged groups.",
keywords = "Autopsy, Cause of Death, Female, Humans, Infant Mortality, Infant, Newborn, Male, Nepal, Prospective Studies, Journal Article, Research Support, Non-U.S. Gov't",
author = "S Khanal and Gc, {V S} and P Dawson and R Houston",
year = "2012",
month = "2",
day = "18",
language = "English",
volume = "51",
pages = "21--7",
journal = "JNMA; journal of the Nepal Medical Association",
issn = "0028-2715",
publisher = "Nepal Medical Association",
number = "181",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Verbal autopsy to ascertain causes of neonatal deaths in a community setting

T2 - a study from Morang, Nepal

AU - Khanal, S

AU - Gc, V S

AU - Dawson, P

AU - Houston, R

PY - 2012/2/18

Y1 - 2012/2/18

N2 - INTRODUCTION: Clinical registration of the cause of death is available for less than one-third of the global newborn deaths, but the need for good quality data on causes of death for public health planning has renewed the interest in the Verbal Autopsy (VA). We aimed to determine the cause of neonatal deaths by VA in Morang district of Nepal.METHODS: Caretakers of the deceased were interviewed using a semi-structured VA questionnaire by female community health volunteers. The cause of death was assigned by two senior pediatricians independently and disagreements in ascertaining the proximate cause of death were resolved by consensus.RESULTS: The proximate causes of deaths were infections (41%), birth asphyxia (37.2%), prematurity (11.5%), and low birth weight related causes (6.9%). There was no significant statistical difference in deaths due to infection seen in non-institutional deliveries (43.5%) than institutional deliveries (34.6%). More than half of the deaths (58.5%) occurred within the first three days of life where the predominant cause of death was birth asphyxia (60.7%).CONCLUSIONS: Analysis of verbal autopsies demonstrates that the major causes of death still are infections and birth asphyxia. The timing of deaths suggests that neonatal interventions should be aimed at the first week of life. There is no comparative advantage between institutional deliveries at below district level institutions and non-institutional deliveries to prevent neonatal infection. Thus, further study on the quality of care at institutes below the district level should be conducted. Disparities still occur in deaths, with most deaths in Morang occurring in non-institutional deliveries and in disadvantaged groups.

AB - INTRODUCTION: Clinical registration of the cause of death is available for less than one-third of the global newborn deaths, but the need for good quality data on causes of death for public health planning has renewed the interest in the Verbal Autopsy (VA). We aimed to determine the cause of neonatal deaths by VA in Morang district of Nepal.METHODS: Caretakers of the deceased were interviewed using a semi-structured VA questionnaire by female community health volunteers. The cause of death was assigned by two senior pediatricians independently and disagreements in ascertaining the proximate cause of death were resolved by consensus.RESULTS: The proximate causes of deaths were infections (41%), birth asphyxia (37.2%), prematurity (11.5%), and low birth weight related causes (6.9%). There was no significant statistical difference in deaths due to infection seen in non-institutional deliveries (43.5%) than institutional deliveries (34.6%). More than half of the deaths (58.5%) occurred within the first three days of life where the predominant cause of death was birth asphyxia (60.7%).CONCLUSIONS: Analysis of verbal autopsies demonstrates that the major causes of death still are infections and birth asphyxia. The timing of deaths suggests that neonatal interventions should be aimed at the first week of life. There is no comparative advantage between institutional deliveries at below district level institutions and non-institutional deliveries to prevent neonatal infection. Thus, further study on the quality of care at institutes below the district level should be conducted. Disparities still occur in deaths, with most deaths in Morang occurring in non-institutional deliveries and in disadvantaged groups.

KW - Autopsy

KW - Cause of Death

KW - Female

KW - Humans

KW - Infant Mortality

KW - Infant, Newborn

KW - Male

KW - Nepal

KW - Prospective Studies

KW - Journal Article

KW - Research Support, Non-U.S. Gov't

M3 - Article

VL - 51

SP - 21

EP - 27

JO - JNMA; journal of the Nepal Medical Association

JF - JNMA; journal of the Nepal Medical Association

SN - 0028-2715

IS - 181

ER -