Circumstances of post-neonatal deaths in Ceara, Northeast Brazil: mothers’ health care-seeking behaviors during their infants’ fatal illness

Souza, Aline Costa; Peterson, Karen E.; Andrade, Francisca Maria; Gardner, Jane; Ascherio, Alberto

doi:10.1016/s0277-9536(00)00100-3

Cited by 71 publications

(64 citation statements)

References 49 publications

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“…However, even in places where people have a good knowledge of symptoms and cause of the disease, there is evidence that individual and structural barriers prevent people from seeking prompt and effective treatment. The large number of deaths resulting from malaria has been attributed to delays in seeking appropriate care [15][16][17].…”

Section: Alternative Malaria Treatments and Factors Affecting Choice mentioning

confidence: 99%

A study of malaria care provider choice in Ghana

Dzator

Asafu‐Adjaye

2004

Health Policy

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Section: Alternative Malaria Treatments and Factors Affecting Choice mentioning

confidence: 99%

A study of malaria care provider choice in Ghana

Dzator

Asafu‐Adjaye

2004

Health Policy

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Section: Introductionmentioning

confidence: 99%

“…6 Neonatal causes of death are also particularly difficult to classify due to nonspecific signs and symptoms in sick newborns. 2,[7][8][9] Recently, several studies have focused exclusively on the use of VA in newborns, making this an opportune time to assess the current state of knowledge and provide direction for future research efforts.We reviewed current literature on neonatal VA that (1) identified specific causes of death during the neonatal period, (2) described VA methodology used and/or (3) reported on validation of VA for neonatal deaths. Using this information, we aimed to: (1) identify current neonatal VA methods, including administration and cause-of-death assignment, (2) identify limitations of current methods, (3) illustrate limitations using examples from current VA data and (4) identify new methods to measure causes of neonatal death.…”

mentioning

confidence: 99%

Ascertaining causes of neonatal deaths using verbal autopsy: current methods and challenges

et al. 2008

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Objective: 'Verbal autopsy' (VA) is used to ascertain cause of death in countries where vital registration systems are lacking. Current VA methods for neonatal deaths vary widely and suffer from several limitations. We aimed to: (1) review current neonatal VA methods, (2) identify gaps and limitations, (3) illustrate some limitations using VA data and (4) identify new approaches in methodology and analysis.Study Design: Rolling techniques and database search terms were used to identify articles that described neonatal VA administration, validation and cause of death assignment.Result: Current VA interviews include open and close-ended modules and are administered by trained interviewers. Causes of death are determined using physician review and/or computer algorithms for various neonatal causes of death. Challenges include lack of a standardized VA instrument and administration of methods, difficulty in identifying gold standards for validation studies, lack of validated algorithms for causes of death, poor existing algorithms, lack of standardized death classification terminology and the use of hierarchy to assign causes of death. Newer probabilistic methods of analysis such as Bayes Theorem or the Symptom Pattern method may improve accuracy for cause of death estimation and alleviate some of the challenges with traditional physician and algorithmic approaches, although additional research is needed.Conclusion: Given the continued reliance on VA to determine cause of death in settings with inadequate registration systems, it is important to understand the gaps in current VA methods and explore how methods can be improved to accurately reflect neonatal disease burden in the global community. Journal of Perinatology (2009) 29, 187-194; doi:10.1038/jp.2008 published online 25 December 2008 Keywords: verbal autopsy; cause of death; neonatal mortality; algorithms; hierarchy; challenges Background Data on causes of death are important for health sector planning, including assessing programmatic needs, monitoring progress of interventions and reassessing health priorities. However, little is known about causes of death in many developing countries because vital registration systems are lacking. Many deaths occur at home, outside the formal health sector, and few are attended by qualified medical professionals. Verbal autopsy (VA) has been used to assign cause of death in such settings.VA is a post-mortem in-depth interview with the primary caregiver of the deceased. In the case of child deaths, this is usually the mother. Underlying assumptions are that (1) each cause of death investigated has a set of observable symptoms that can be recognized and recalled by the primary caregiver, and (2) the characteristics of one cause of death can be distinguished from those of all others.The majority of the estimated 4 million annual global neonatal deaths occur in developing countries outside of the formal health care system. 1 Previous research on cause of death for children <5 often excluded neonatal cases due to poor rep...

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“…Instead, a selective programme of PHC with a focus on the implementation of a few key interventions deemed to be most cost-effective and epidemiologically important was generally favoured in many developing countries (17) . Key interventions aimed at improving child undernutrition implemented over this period largely focused on maternal and child-level determinants, including low birth weight (18)(19)(20) , maternal undernutrition (21,22) , vitamin A (23,24) , Fe and Zn deficiencies (1,25,26) , infectious diseases (27,28) , feeding practices, maternal education and health-seeking behaviour (29)(30)(31)(32) .…”

mentioning

confidence: 99%

Shared environments: a multilevel analysis of community context and child nutritional status in Bangladesh

Corsi

Chow

Lear

et al. 2011

Public Health Nutr.

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Objective: The goal of the present study was to examine the influence of community environment on the nutritional status (weight-for-age and height-forage) of children (aged 0-59 months) in Bangladesh. In addition, we tested the association between specific characteristics of community environments and child nutritional status. Design: Cross-sectional survey. Setting: The data are from the nationally representative 2004 Bangladesh Demographic and Health Survey. Subjects: Respondents were ever-married women (aged 15-49 years) and their children (n 5731), residing in 361 communities. Child nutritional outcomes are physical measurements of weight-for-age and height-for-age in SD units. We considered the following attributes of community environments potentially related to child nutrition: (i) community water and sanitation infrastructure; (ii) availability of community health and education services; (iii) community employment and social participation; and (iv) education level of the community. Results: Multilevel regression analysis showed that the spatial distribution of maternal and child covariates did not entirely explain the between-community variation in child nutritional status. The education level of the community emerged as the strongest community-level predictor of child height-for-age (highest v. lowest tertile, b 5 0?18 (SE 0?07)) and weight-for-age (highest v. lowest tertile, b 5 0?21 (SE 0?06)). In the height-for-age model, community employment and social participation also emerged as being statistically significant (highest v. lowest tertile, b 5 0?13 (SE 5 0?06)). Conclusions: The community environment influences child nutrition in Bangladesh, and maternal-and child-level covariates may fail to capture the entire influence of communities. Interventions to reduce child undernutrition in developing countries should take into consideration the wider community context.

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Circumstances of post-neonatal deaths in Ceara, Northeast Brazil: mothers’ health care-seeking behaviors during their infants’ fatal illness

Cited by 71 publications

References 49 publications

A study of malaria care provider choice in Ghana

A study of malaria care provider choice in Ghana

Ascertaining causes of neonatal deaths using verbal autopsy: current methods and challenges

Shared environments: a multilevel analysis of community context and child nutritional status in Bangladesh

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