The WHO 2016 verbal autopsy instrument: An international standard suitable for automated analysis by InterVA, InSilicoVA, and Tariff 2.0
Open Access
- 1 January 2018
- journal article
- review article
- Published by Public Library of Science (PLoS) in PLoS Medicine
- Vol. 15 (1), e1002486
- https://doi.org/10.1371/journal.pmed.1002486
Abstract
Background Verbal autopsy (VA) is a practical method for determining probable causes of death at the population level in places where systems for medical certification of cause of death are weak. VA methods suitable for use in routine settings, such as civil registration and vital statistics (CRVS) systems, have developed rapidly in the last decade. These developments have been part of a growing global momentum to strengthen CRVS systems in low-income countries. With this momentum have come pressure for continued research and development of VA methods and the need for a single standard VA instrument on which multiple automated diagnostic methods can be developed. Methods and findings In 2016, partners harmonized a WHO VA standard instrument that fully incorporates the indicators necessary to run currently available automated diagnostic algorithms. The WHO 2016 VA instrument, together with validated approaches to analyzing VA data, offers countries solutions to improving information about patterns of cause-specific mortality. This VA instrument offers the opportunity to harmonize the automated diagnostic algorithms in the future. Conclusions Despite all improvements in design and technology, VA is only recommended where medical certification of cause of death is not possible. The method can nevertheless provide sufficient information to guide public health priorities in communities in which physician certification of deaths is largely unavailable. The WHO 2016 VA instrument, together with validated approaches to analyzing VA data, offers countries solutions to improving information about patterns of cause-specific mortality.Keywords
This publication has 19 references indexed in Scilit:
- Probabilistic Cause-of-Death Assignment Using Verbal AutopsiesJournal of the American Statistical Association, 2016
- Improving performance of the Tariff Method for assigning causes of death to verbal autopsiesBMC Medicine, 2015
- Better health intelligence: a new era for civil registration and vital statistics?BMC Medicine, 2015
- Cause-specific mortality in Africa and Asia: evidence from INDEPTH health and demographic surveillance system sitesGlobal Health Action, 2014
- Using verbal autopsy to measure causes of death: the comparative performance of existing methodsBMC Medicine, 2014
- A matter of life and deathPublished by Association for Computing Machinery (ACM) ,2013
- Strengthening standardised interpretation of verbal autopsy data: the new InterVA-4 toolGlobal Health Action, 2012
- Population Health Metrics Research Consortium gold standard verbal autopsy validation study: design, implementation, and development of analysis datasetsPopulation Health Metrics, 2011
- Open data kitPublished by Association for Computing Machinery (ACM) ,2010
- Verbal Autopsy: Methods in TransitionEpidemiologic Reviews, 2010