A Eulogy for Jane Robinson: A Social Autopsy of Uncare Policies

2021 ◽  
Author(s):  
Jessica M. Mulligan ◽  
Madeline Weil
Keyword(s):  
Social Autopsy

scholarly journals Who are dying and why? A case series study of maternal deaths in Nepal

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e042840
Author(s):  
Rajendra Karkee ◽  
Kirti Man Tumbahangphe ◽  
Nashna Maharjan ◽  
Bharat Budhathoki ◽  
Dharma Manandhar
Keyword(s):  
Case Series ◽  
Public Hospitals ◽  
Birth Preparedness ◽  
Framework Analysis ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Social Autopsy ◽  
Case Series Study ◽  
Referral Hospitals ◽  
Series Study

ObjectivesTo identify delays and associated factors for maternal deaths in Nepal.DesignA cross-sectional case series study of maternal deaths. An integrated verbal and social autopsy tool was used to collect quantitative and qualitative information regarding three delays. We recorded death accounts and conducted social autopsy by means of community Focus Group Discussions for each maternal death; and analysed data by framework analysis.SettingSixty-two maternal deaths in six districts in three provinces of Nepal.ResultsNearly half of the deceased women (45.2%) were primiparous and one-third had no formal education. About 40% were from Terai/Madhesi and 30.6% from lower caste. The most common place of death was private hospitals (41.9%), followed by public hospitals (29.1%). Nearly three-fourth cases were referred to higher health facilities and median time (IQR) of stay at the lower health facility was 120 (60–180) hours. Nearly half of deaths (43.5%) were attributable to more than one delay while first and third delay each contributed equally (25.8%). Lack of perceived need; perceived cost and low status; traditional beliefs and practices; physically inaccessible facilities and lack of service readiness and quality care were important factors in maternal deaths.ConclusionsThe first and third delays were the equal contributors of maternal deaths. Interventions related to birth preparedness, economic support and family planning need to be focused on poor and marginalised communities. Community management of quick transportation, early diagnosis of pregnancy risks, accommodation facilities near the referral hospitals and dedicated skilled manpower with adequate medicines, equipment and blood supplies in referral hospitals are needed for further reduction of maternal deaths in Nepal.

scholarly journals Exploring Drivers of Infant Deaths in Rural Rwanda Through Verbal Social Autopsy

2017 ◽  
Vol 83 (5-6) ◽  
pp. 756 ◽  
Author(s):  
Shalini Navale ◽  
Lameck Habumugisha ◽  
Cheryl Amoroso ◽  
Felix Sayinzoga ◽  
Neil Gupta ◽  
...  
Keyword(s):  
Infant Deaths ◽  
Social Autopsy

scholarly journals Factors associated with delay in care–seeking for fatal neonatal illness in the Sylhet district of Bangladesh: results from a verbal and social autopsy study

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Bareng AS Nonyane ◽  
Narjis Kazmi ◽  
Alain K Koffi ◽  
Nazma Begum ◽  
Salahuddin Ahmed ◽  
...  
Keyword(s):  
Care Seeking ◽  
Autopsy Study ◽  
Factors Associated ◽  
Social Autopsy

scholarly journals Use of verbal autopsy and social autopsy in humanitarian crises

2018 ◽  
Vol 3 (3) ◽  
pp. e000640 ◽  
Author(s):  
Lisa-Marie Thomas ◽  
Lucia D’Ambruoso ◽  
Dina Balabanova
Keyword(s):  
Community Involvement ◽  
Verbal Autopsy ◽  
Causes Of Death ◽  
Vital Statistics ◽  
Vulnerable Groups ◽  
Specific Information ◽  
Holistic View ◽  
Registration System ◽  
Social Autopsy ◽  
Humanitarian Crises

IntroductionTwo billion people live in countries affected by conflict, violence and fragility. These are exceptional situations in which mortality shifts dramatically and in which civil registration and vital statistics systems are often weakened or cease to function. Verbal autopsy and social autopsy (VA and SA) are methods used to assign causes of death and understand the contexts in which these occur, in settings where information is otherwise unavailable. This review sought to explore the use of VA and SA in humanitarian crises, with a focus on how these approaches are used to inform policy and programme responses.MethodsA rapid scoping review was conducted on the use of VA and SA in humanitarian crises in low and middle-income countries since 1991. Drawing on a maximum variation approach, two settings of application (‘application contexts’) were selected and investigated via nine semi-structured expert interviews.ResultsVA can determine causes of death in crisis-affected populations where no other registration system is in place. Combined with SA and active community involvement, these methods can deliver a holistic view of obstacles to seeking and receiving essential healthcare, yielding context-specific information to inform appropriate responses. The contexts in which VA and SA are used require adaptations to standard tools, and new mobile developments in VA raise specific ethical considerations. Furthermore, collecting and sythesising data in a timely, continuous manner, and ensuring coordination and communication between agencies, is important to realise the potential of these approaches.ConclusionVA and SA are valuable research methods to foster evidence-informed responses for populations affected by humanitarian crises. When coordinated and communicated effectively, data generated through these methods can help to identify levels, causes and circumstances of deaths among vulnerable groups, and can enable planning and allocating resources effectively, potentially improving health system resilience to future crises.

scholarly journals Kala-azar in Pregnancy in Mymensingh, Bangladesh: A Social Autopsy

2014 ◽  
Vol 8 (5) ◽  
pp. e2710 ◽  
Author(s):  
Kazi Mizanur Rahman ◽  
Anna Olsen ◽  
David Harley ◽  
Colin D. Butler ◽  
Dinesh Mondal ◽  
...  
Keyword(s):  
Kala Azar ◽  
Social Autopsy ◽  
In Pregnancy
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