Strengthening Cause of Death Statistics in Selected Districts of 3 States in India: Protocol for an Uncontrolled, Before-After, Mixed Method Study
BackgroundMortality statistics are vital for health policy development, epidemiological research, and health care service planning. A robust surveillance system is essential for obtaining vital information such as cause of death (CoD) information. ObjectiveThis st...
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JMIR Publications
2024-12-01
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| Series: | JMIR Research Protocols |
| Online Access: | https://www.researchprotocols.org/2024/1/e51493 |
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| author | Ashoo Grover Saritha Nair Saurabh Sharma Shefali Gupta Suyesh Shrivastava Pushpendra Singh Srikanta Kanungo Senthanro Ovung Charan Singh Abdul Mabood Khan Sandeep Sharma Subrata Kumar Palo Tapas Chakma Anjali Bajaj |
| author_facet | Ashoo Grover Saritha Nair Saurabh Sharma Shefali Gupta Suyesh Shrivastava Pushpendra Singh Srikanta Kanungo Senthanro Ovung Charan Singh Abdul Mabood Khan Sandeep Sharma Subrata Kumar Palo Tapas Chakma Anjali Bajaj |
| author_sort | Ashoo Grover |
| collection | DOAJ |
| description |
BackgroundMortality statistics are vital for health policy development, epidemiological research, and health care service planning. A robust surveillance system is essential for obtaining vital information such as cause of death (CoD) information.
ObjectiveThis study aims to develop a comprehensive model to strengthen the CoD information in the selected study sites. The specific objectives are (1) to identify the best practices and challenges in the functioning of the Civil Registration and Vital Statistics (CRVS) system with respect to mortality statistics and CoD information; (2) to develop and implement interventions to strengthen the CoD information; (3) to evaluate the quality improvement of the Medical Certification of Cause of Death (MCCD); and (4) to improve the CoD information at the population level through verbal autopsy for noninstitutional deaths in the selected study sites.
MethodsAn uncontrolled, before-after, mixed method study will be conducted in 3 blocks located in the districts of 3 states (Madhya Pradesh, Uttar Pradesh, and Odisha) in India. A baseline assessment to identify the best practices and challenges in the functioning of the CRVS system, along with a quality assessment of the MCCD, will be conducted. An intervention informed by existing literature and the baseline assessment will be developed and implemented in the study sites. The major components of intervention will include a Training of Trainers workshop, orientation of stakeholders in the functioning of the CRVS system, training of physicians and medical officers in the MCCD, and training of community health workers in World Health Organization Verbal Autopsy 2022 instrument. Postintervention evaluation will be carried out to assess the impact made by the intervention on the availability and quality improvement of CoD information in the selected study sites. The outcome will be measured in terms of the quality improvement of the MCCD and the availability of CoD information at population level through verbal autopsy in the selected study sites.
ResultsThe project has been funded, and regulatory approval has been obtained from the Institutional Ethics Committee. The data collection process began in May 2023. The duration of the study will be for 24 months.
ConclusionsOur study is expected to provide a valuable contribution toward strengthening CoD information, which could be helpful for policy making and further research. The intervention model will be developed in collaboration with the existing functionaries of the health and CRVS systems in the selected study sites that are engaged in reporting and recording CoD information; this will ensure sustainability and provide lessons for upscaling, with the aim to improve the reporting of CoD information in the country.
International Registered Report Identifier (IRRID)DERR1-10.2196/51493 |
| format | Article |
| id | doaj-art-db144c79e3f54e64a6b5be46f7e77787 |
| institution | Kabale University |
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| language | English |
| publishDate | 2024-12-01 |
| publisher | JMIR Publications |
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| series | JMIR Research Protocols |
| spelling | doaj-art-db144c79e3f54e64a6b5be46f7e777872024-12-20T21:31:13ZengJMIR PublicationsJMIR Research Protocols1929-07482024-12-0113e5149310.2196/51493Strengthening Cause of Death Statistics in Selected Districts of 3 States in India: Protocol for an Uncontrolled, Before-After, Mixed Method StudyAshoo Groverhttps://orcid.org/0000-0001-8027-8608Saritha Nairhttps://orcid.org/0000-0002-4560-6124Saurabh Sharmahttps://orcid.org/0000-0001-6744-5846Shefali Guptahttps://orcid.org/0000-0002-5636-7261Suyesh Shrivastavahttps://orcid.org/0000-0002-1311-7895Pushpendra Singhhttps://orcid.org/0000-0001-9453-8669Srikanta Kanungohttps://orcid.org/0000-0001-5647-0122Senthanro Ovunghttps://orcid.org/0000-0003-2893-4932Charan Singhhttps://orcid.org/0009-0008-9315-5111Abdul Mabood Khanhttps://orcid.org/0000-0002-0383-4604Sandeep Sharmahttps://orcid.org/0000-0002-9872-1628Subrata Kumar Palohttps://orcid.org/0000-0003-0582-0350Tapas Chakmahttps://orcid.org/0000-0001-8304-8816Anjali Bajajhttps://orcid.org/0009-0001-2655-5579 BackgroundMortality statistics are vital for health policy development, epidemiological research, and health care service planning. A robust surveillance system is essential for obtaining vital information such as cause of death (CoD) information. ObjectiveThis study aims to develop a comprehensive model to strengthen the CoD information in the selected study sites. The specific objectives are (1) to identify the best practices and challenges in the functioning of the Civil Registration and Vital Statistics (CRVS) system with respect to mortality statistics and CoD information; (2) to develop and implement interventions to strengthen the CoD information; (3) to evaluate the quality improvement of the Medical Certification of Cause of Death (MCCD); and (4) to improve the CoD information at the population level through verbal autopsy for noninstitutional deaths in the selected study sites. MethodsAn uncontrolled, before-after, mixed method study will be conducted in 3 blocks located in the districts of 3 states (Madhya Pradesh, Uttar Pradesh, and Odisha) in India. A baseline assessment to identify the best practices and challenges in the functioning of the CRVS system, along with a quality assessment of the MCCD, will be conducted. An intervention informed by existing literature and the baseline assessment will be developed and implemented in the study sites. The major components of intervention will include a Training of Trainers workshop, orientation of stakeholders in the functioning of the CRVS system, training of physicians and medical officers in the MCCD, and training of community health workers in World Health Organization Verbal Autopsy 2022 instrument. Postintervention evaluation will be carried out to assess the impact made by the intervention on the availability and quality improvement of CoD information in the selected study sites. The outcome will be measured in terms of the quality improvement of the MCCD and the availability of CoD information at population level through verbal autopsy in the selected study sites. ResultsThe project has been funded, and regulatory approval has been obtained from the Institutional Ethics Committee. The data collection process began in May 2023. The duration of the study will be for 24 months. ConclusionsOur study is expected to provide a valuable contribution toward strengthening CoD information, which could be helpful for policy making and further research. The intervention model will be developed in collaboration with the existing functionaries of the health and CRVS systems in the selected study sites that are engaged in reporting and recording CoD information; this will ensure sustainability and provide lessons for upscaling, with the aim to improve the reporting of CoD information in the country. International Registered Report Identifier (IRRID)DERR1-10.2196/51493https://www.researchprotocols.org/2024/1/e51493 |
| spellingShingle | Ashoo Grover Saritha Nair Saurabh Sharma Shefali Gupta Suyesh Shrivastava Pushpendra Singh Srikanta Kanungo Senthanro Ovung Charan Singh Abdul Mabood Khan Sandeep Sharma Subrata Kumar Palo Tapas Chakma Anjali Bajaj Strengthening Cause of Death Statistics in Selected Districts of 3 States in India: Protocol for an Uncontrolled, Before-After, Mixed Method Study JMIR Research Protocols |
| title | Strengthening Cause of Death Statistics in Selected Districts of 3 States in India: Protocol for an Uncontrolled, Before-After, Mixed Method Study |
| title_full | Strengthening Cause of Death Statistics in Selected Districts of 3 States in India: Protocol for an Uncontrolled, Before-After, Mixed Method Study |
| title_fullStr | Strengthening Cause of Death Statistics in Selected Districts of 3 States in India: Protocol for an Uncontrolled, Before-After, Mixed Method Study |
| title_full_unstemmed | Strengthening Cause of Death Statistics in Selected Districts of 3 States in India: Protocol for an Uncontrolled, Before-After, Mixed Method Study |
| title_short | Strengthening Cause of Death Statistics in Selected Districts of 3 States in India: Protocol for an Uncontrolled, Before-After, Mixed Method Study |
| title_sort | strengthening cause of death statistics in selected districts of 3 states in india protocol for an uncontrolled before after mixed method study |
| url | https://www.researchprotocols.org/2024/1/e51493 |
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