Mortality in India established through verbal autopsies (MINErVA): Strengthening national mortality surveillance system in India.
Background: Following data access and storage concerns, Government of India transferred the management of its Sample Registration System (SRS) based mortality surveillance (formerly known as the Million Death Study) to an Indian agency. This paper introduces the new system, challenges it faced and i...
| Publicado en: | Journal of Global Health Vol. 10; no. 2; pp. 1 - 12 |
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| Autores principales: | , , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Edinburgh University Global Health Society
Dec2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=148508346&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 148508346 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20472978 DBQG jtl: Journal of Global Health issn: 20472978 maglogo: N pubinfo: dt: Dec2020 vid: 10 iid: 2 pid: 72708 pub: Edinburgh University Global Health Society artinfo: ui: 148508346 148508346 NLM33282224 10.7189/jogh.10.020431 NLM33282224 148508346 ppf: 1 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Mortality in India established through verbal autopsies (MINErVA): Strengthening national mortality surveillance system in India. aug: au: Krishnan, Anand Gupta, Vivek Nongkynrih, Baridalyne Kumar, Rakesh Kaur, Ravneet Malhotra, Sumit Salve, Harshal R. Narayan, Venkatesh Gupta, Ayon affil: Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India sug: subj: Mortality Autopsy Methods India Adult Cause of Death Physicians Clinical Assessment Tools Scales Ferrans and Powers Quality of Life Index Adult: 19-44 years ab: Background: Following data access and storage concerns, Government of India transferred the management of its Sample Registration System (SRS) based mortality surveillance (formerly known as the Million Death Study) to an Indian agency. This paper introduces the new system, challenges it faced and its vision for future.Methods: The All India Institute of Medical Sciences (AIIMS), New Delhi, the new nodal agency, established the "Mortality in India Established through Verbal Autopsy" (MINErVA) platform with state level partners across India in November 2017. The network in its first three years has undertaken capacity building of supervisors conducting verbal autopsy under the SRS, established a panel of trained physician reviewers and developed three IT-based platforms for training, quality control and coding. Coding of VA forms started from January 2015 onwards, and the cause specific mortality fractions (CSMF) of the first 14 185 adult verbal autopsy (VA) records for 2015 were compared with earlier published data for 2010-2013 to check for continuity of system performance.Results: The network consists of 25 institutions and a panel of 676 trained physician reviewers. 916 supervisors have been trained in conducting verbal autopsies. More than 75 000 VA forms have been coded to date. The median time taken for finalizing cause of death on the coding platform is 37 days. The level of physician agreement (67%) and proportion of VA forms requiring adjudication (12%) are consistent with published literature. Preliminary CSMF estimates for 2015 were comparable with those for 2010-2013 and identified same top ten causes of death. In addition to the delay, two major challenges identified for coding were language proficiency of physician reviewers vis-à-vis language of narratives and quality of verbal autopsies. While an initial strategic decision was made to consolidate the system to ensure continuity, future vision of the network is to move towards technology-based solutions including electronic data capture of VAs and its analysis and improving the use of mortality data in decision making.Conclusion: MINErVA network is now fully functional and is moving towards achieving global standards. It provides valuable lessons for other developing countries to establish their own mortality surveillance systems. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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