![]() ![]() For instance, top ten causes of adult mortality are medically avoidable but still deaths occur due to these causes across the world.Despite the availability of highly efficacious medical interventions for a particular illness, some people survive while others die. However, mere development of the intervention for a disease may not prevent or cure it. Thus, prioritization of the disease can be done for which medical intervention is needed. In such a situation, an alternate method of verbal autopsy has beenused in many countries like China and Indiato determine the ‘probable medical cause of death’.Ĭause specific mortality datahelpsin identifying diseases having high morbidity and fatality rates. Hence, the CRVS is not able toprovide medical cause of these deaths. This is because in most of these countries including India, more than 50% deaths occur at home. However, in two-third of the countries, majority of deaths are not registered and information on the cause of death is often unreliable. The information on the number, causes, and determinants of mortality are essential for determining diseases of public health importance.It has been widely accepted that fully functional Civil registration and vital statistics (CRVS) system is the most optimal source of mortality data. ![]() To conclude, social autopsy tool should be integrated with verbal autopsy tool for identification of individual, community, and health system level factors associated with adult mortality. (1) Non availability of medical practitioner in the vicinity, (2) communication gaps between doctor and patient on regular intake of medication, (3) delayed referral by service provider, (4) poor communication with family on illness, and (5) perception of illness to be ‘mild’ by the family or care taker. The top five social causes of adult deaths in a rural area of Punjab in India. The utilization of government health facilities and qualified allopathic doctor increased with each consultation (p value<0.05). The number of medical consultations varied from one to six (median = 2). At the onset of illness, 72 (12%) deceased utilized home remedies and 424 (70.7%)received care from a clinic/hospital, and 104 (17.3%) died withoutreceiving any care. The median duration of illness from symptom onset till death was 9 days (IQR = 1–45 days). Qualitative data was analyzed to find out social causes of death by thematic analysis. Quantitative analysis described the socio-demographic characteristics of the deceased, number and type of consultations from health care providers, and type of care received during illness. An integrated verbal and social autopsy toolwas developed and verbal autopsies of 600 adult deaths, occurring over a reference period of one year, were conducted in 2014. ![]() Therefore, acommunity-based study was conducted in NandpurKalour Block of Fatehgarh Sahib District in Punjab (India)for finding social causes of adult deaths. Use of social autopsy in investigations of causes of adult deaths has been limited. Additional information on social causesmay facilitate designing of more appropriate prevention strategies. Verbal autopsy methods have been developed to determine medical causes of deathforprioritizing disease control programs. ![]()
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