Assessing The Mortality Patterns in Rural Villages of Gujarat State of India Through Field Based Study Using Verbal Autopsy Tool

Authors

  • Uday Shankar Singh Pramukhswami Medical College, Karamsad, Gujarat, India
  • Rahul Bogam Primary Health Care Corporation (PHCC), Doha, Qatar
  • Abdul Hamid Mavli Kuwait Integrated Petroleum Industries Company, Kuwait

DOI:

https://doi.org/10.55489/njcm.140820232899

Keywords:

India, Non communicable diseases, Reconciliation, Rural, Verbal Autopsy

Abstract

Background: Well-planned verbal autopsies can provide timely, robust, and plausible information on mortality causes and can have positive influence on disease control priorities. The present study was intended to assess probable causes of death in rural areas of Anand district of Gujarat State by implementing “Verbal autopsy tool.”

Material and Methods: A Cross-sectional study was conducted where all recorded 227 deaths from six villages of selected areas during January 2017 to December 2018 were considered for the study. Multiple steps were employed in conducting verbal autopsy including staff training, development of study questionnaires, physician’s involvement in assigning causes of death etc. The data analysis was performed using Statistical Package for Social Sciences (SPSS) Software with Version 24.

Results: Out of 227 deaths, the maximum deaths were attributed to non-communicable diseases (NCDs). The predominant NCDs among deceased individuals were cardiovascular diseases (66.01%), malignancy (21.56%), chronic pulmonary diseases (9.80%) and Diabetes Mellitus type 2 (2.63%). Among communicable diseases, nearly 48% of deceased individuals had bacterial infections including Tuberculosis followed by viral infections including HIV (31%), parasitic infections (21%).

Conclusions: Despite few limitations, lay reporting of deaths supplemented with physician assignment of cause of death for verbal autopsies, remains a practicable strategy to record the various patterns of mortality reliably for unattended deaths.

References

Raghupathi V and Raghupathi W. The influence of education on health: an empirical assessment of OECD countries for the period 1995-2015. Arch Public Health 2020; 78 (20): 20-28. Doi: https://doi.org/10.1186/s13690-020-00402-5 PMid:32280462 PMCid:PMC7133023

Ministry of Health and Family Welfare Government of India. Annual Report [cited 2022 June 3]. Available from: https://main.mohfw.gov.in/sites/default/files/Annual%20Report%202020-21%20English.pdf.

Zeltner T, Riahi F, Huber J. Acute and chronic health challenges in sub-Saharan Africa: an unfinished agenda. Africa's Population: In Search of a Demographic Dividend 2017; 27 (1):283-297. Doi: https://doi.org/10.1007/978-3-319-46889-1_18 PMCid:PMC7122485

World Mortality Report [cited 2022 February 27]. Available from: https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/mortality_theme_wmr2015_highlights.pdf.

Chandramohan D, Fottrell E, Leitao J,Erin N, Samuel J,Carine A, et al. Estimating causes of death where there is no medical certifica-tion: evolution and state of the art of verbal autopsy. Glob Health Action 2021; 26 (1):1-10. Doi: https://doi.org/10.1080/16549716.2021.1982486 PMid:35377290 PMCid:PMC8986278

Blanco A, Perez A, Casillas A, Cobos D. Extracting cause of death from verbal autopsy with deep learning interpretable methods. IEEE J Biomed Health Inform 2021; 25 (4):1315-1325. Doi: https://doi.org/10.1109/JBHI.2020.3005769 PMid:32749982

Herrera S, Enuameh Y, Adjei G, Kenneth A, Kwaku PK, Osman S, et al. A systematic review and synthesis of the strengths and limita-tions of measuring malaria mortality through verbal autopsy. Malar J 2017; 16 (3):1-8. Doi: https://doi.org/10.1186/s12936-017-2071-x PMid:29058621 PMCid:PMC5651608

Thomas LM, Ambruoso LD, Balabanova D. Use of verbal autopsy and social autopsy in humanitarian crises. BMJ Glob Health 2018; 9 (3):1-14. Doi: https://doi.org/10.1136/bmjgh-2017-000640 PMid:29736275 PMCid:PMC5935165

Sankar MJ, Neogi SB, Sharma J, Chauhan M, Srivastava R, Prabhakar PK, et al. State of new born health in India. J Perinatol 2016; 36 (3):1-8. Doi: https://doi.org/10.1038/jp.2016.27 PMid:27109087 PMCid:PMC4848744

Juyal D, Kumar A, Pal S, Thaledi S, Jauhari S, Thawani V. Medical certification of cause of death during COVID-19 pandemic - a chal-lenging scenario. J Family Med Prim Care 2020; 9(12):5896-98. Doi: https://doi.org/10.4103/jfmpc.jfmpc_1435_20 PMid:33681015 PMCid:PMC7928126

Gajalakshmi V and Peto R. Verbal autopsy of 80,000 adult deaths in Tamil Nadu, South India. BMC Public Health 2004; 4 (47):1-7. Doi: https://doi.org/10.1186/1471-2458-4-47 PMid:15488138 PMCid:PMC535898

Gajalakshmi V, Peto R, Kanaka S, Balsubramanian S. Verbal autopsy of 48 000 adult deaths attributable to medical causes in Chennai (formerly Madras), India. BMC Public Health 2002; 2 (7):1-9. Doi: https://doi.org/10.1186/1471-2458-2-7 PMid:12014994 PMCid:PMC113750

Nongkynrih B, Anand K, Kapoor SK. Use of verbal autopsy by health workers in under-five children. Indian Pediatr 2003; 40 (8):766-771.

Indian Council of Medical Research, Verbal autopsy [cited 2022 April 21]: Available from https://main.icmr.nic.in/sites/default/files/reports/NCD.pdf.

Rathod S, Singh P, Rahul D, Dharmendra J, Vibha G, Harshad P, Devang R. Socio-demographic profile of Infant mortality by verbal au-topsy in Urban area of Bhavnagar, Gujarat. Natl J Community Med 2011; 2 (3):335-339.

Jha P, Kumar D, Dikshit R, Budukh A, Begum R, Sati P, et al. Automated versus physician assignment of cause of death for verbal au-topsies: randomized trial of 9374 deaths in 117 villages in India. BMC Med 2019; 17 (3):1-11. Doi: https://doi.org/10.1186/s12916-019-1353-2 PMid:31242925 PMCid:PMC6595581

Krishnan A, Gupta V, Nongkynrih B, Kumar R, Kaur R, Malhotra S, et al. Mortality in India established through verbal autopsies (MI-NErVA): Strengthening national mortality surveillance system in India. J Glob Health 2020; 10 (2):1-9. Doi: https://doi.org/10.7189/jogh.10.020431 PMid:33282224 PMCid:PMC7688192

Jha P, Gajalakshmi V, Gupta P, Kumar R, Mony P, Dhingra N, et al. Prospective study of one million deaths in India: rationale, design, and validation results. PLOS Med 2006, 3 (2):191-200. Doi: https://doi.org/10.1371/journal.pmed.0030018 PMid:16354108 PMCid:PMC1316066

Khademi H, Etemadi A, Kamangar F, Mehdi N, Ramin S, Behrooz A, et al. Verbal autopsy: reliability and validity estimates for causes of death in the Golestan Cohort Study in Iran. PLOS One 2010; 5(6):81-90. Doi: https://doi.org/10.1371/journal.pone.0011183 PMid:20567597 PMCid:PMC2887437

Byass P, Ambruoso L, Ouedraogo M, Qumariya N. Assessing the repeatability of verbal autopsy for determining cause of death: two case studies among women of reproductive age in Burkina Faso and Indonesia. Popul Health Metrics 2009; 7 (6):1-11. Doi: https://doi.org/10.1186/1478-7954-7-6 PMid:19416528 PMCid:PMC2679716

Don DS, Riley I, Chandramohan D, Frank O, Erin N, Sam N, et al. Integrating community-based verbal autopsy into civil registration and vital statistics (CRVS): system-level considerations. Glob Health Action 2017; 10 (1):1-14. Doi: https://doi.org/10.1080/16549716.2017.1272882 PMid:28137194 PMCid:PMC5328373

World Health Organization. WHO verbal autopsy instrument. Geneva [cited 2022 Oct 21]: Available from https://www.who.int/standards/classifications/other-classifications/verbal-autopsy-standards-ascertaining-and-attributing-causes-of-death-tool.

Census India 2011 [cited 2022 June 10]: Available from https://censusindia.gov.in/census.website/data/census-tables.

Dudala SR, Reddy KAK, Prabhu GR. Prasad's socio-economic status classification-An update for 2014. Int J Res Health Sci 2014; 31;2(3):875-78.

Downloads

Published

2023-08-01

How to Cite

1.
Singh US, Bogam R, Mavli AH. Assessing The Mortality Patterns in Rural Villages of Gujarat State of India Through Field Based Study Using Verbal Autopsy Tool. Natl J Community Med [Internet]. 2023 Aug. 1 [cited 2024 May 12];14(08):477-84. Available from: https://njcmindia.com/index.php/file/article/view/2899

Issue

Section

Original Research Articles