Exploring Drivers of Infant Deaths in Rural Rwanda Through Verbal Social Autopsy

Background</h3><p id="sp0010">Rwanda has been a leader in the global effort to reduce infant mortality, particularly in regions of sub-Saharan Africa. Although rates have dropped, deaths still occur.</p><h3 id="st1015">Objective</h3><p id="sp...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Shalini Navale, Lameck Habumugisha, Cheryl Amoroso, Felix Sayinzoga, Neil Gupta, Lisa R. Hirschhorn
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2017
Materias:	barriers to care infant mortality mixed methods Rwanda verbal social autopsy Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/2c79d281acb54399983a7ce8380491aa
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:2c79d281acb54399983a7ce8380491aa
record_format	dspace
spelling	oai:doaj.org-article:2c79d281acb54399983a7ce8380491aa2021-12-02T03:05:50ZExploring Drivers of Infant Deaths in Rural Rwanda Through Verbal Social Autopsy2214-999610.1016/j.aogh.2017.10.029https://doaj.org/article/2c79d281acb54399983a7ce8380491aa2017-11-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/145https://doaj.org/toc/2214-9996Background</h3><p id="sp0010">Rwanda has been a leader in the global effort to reduce infant mortality, particularly in regions of sub-Saharan Africa. Although rates have dropped, deaths still occur.</p><h3 id="st1015">Objective</h3><p id="sp1010">To explore the <a title="Learn more about Clinical pathway" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/clinical-pathway">care pathways</a> and barriers taken by infant caregivers before the death of their infant through a verbal social autopsy study in 2 districts in eastern Rwanda.</p><h3 id="st0025">Methods</h3><p id="sp0020">We adapted the World Health Organization verbal socialautopsy tools to reflect local context and priorities. Caregivers of infants in the 2 districts were interviewed using the adapted quantitative survey and semistructured interview guide. Interviews were recorded and thematic analysis employed on a subsample (n = 133) to extract the content relevant to understanding the drivers of infant death and inform results of the quantitative data until saturation was reached (66). Results were interpreted through a driver diagram framework to explore caregiver-reported challenges in knowledge and experiences with care access and delivery.</p><h3 id="st0030">Findings</h3><p id="sp0025">Most study participants (82%) reported accessing the formal health system at some point before the infant's death. The primary caregiver-reported drivers for infant death included challenges in accessing care in a timely manner, concerns about the technical quality of care received, and poor responsiveness of the system and providers. The 2 most commonly discussed drivers were gaps in communication between providers and patients and challenges obtaining and using the community-based health insurance. The framework of the driver diagram was modified to identify the factors where change was needed to further reduce mortality.</p><h3 id="st0035">Conclusion</h3><p id="sp0030">This study provides important information on the experiential quality of care received by infants and their caregivers within the current health care space in rural Rwanda. By listening to the individual stories of so many caregivers regarding the gaps and challenges they faced, appropriate action may be taken to bolster the existing health care system.Shalini NavaleLameck HabumugishaCheryl AmorosoFelix SayinzogaNeil GuptaLisa R. HirschhornUbiquity Pressarticlebarriers to careinfant mortalitymixed methodsRwandaverbal social autopsyInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 83, Iss 5-6, Pp 756-766 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	barriers to care infant mortality mixed methods Rwanda verbal social autopsy Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	barriers to care infant mortality mixed methods Rwanda verbal social autopsy Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Shalini Navale Lameck Habumugisha Cheryl Amoroso Felix Sayinzoga Neil Gupta Lisa R. Hirschhorn Exploring Drivers of Infant Deaths in Rural Rwanda Through Verbal Social Autopsy
description	Background</h3><p id="sp0010">Rwanda has been a leader in the global effort to reduce infant mortality, particularly in regions of sub-Saharan Africa. Although rates have dropped, deaths still occur.</p><h3 id="st1015">Objective</h3><p id="sp1010">To explore the <a title="Learn more about Clinical pathway" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/clinical-pathway">care pathways</a> and barriers taken by infant caregivers before the death of their infant through a verbal social autopsy study in 2 districts in eastern Rwanda.</p><h3 id="st0025">Methods</h3><p id="sp0020">We adapted the World Health Organization verbal socialautopsy tools to reflect local context and priorities. Caregivers of infants in the 2 districts were interviewed using the adapted quantitative survey and semistructured interview guide. Interviews were recorded and thematic analysis employed on a subsample (n = 133) to extract the content relevant to understanding the drivers of infant death and inform results of the quantitative data until saturation was reached (66). Results were interpreted through a driver diagram framework to explore caregiver-reported challenges in knowledge and experiences with care access and delivery.</p><h3 id="st0030">Findings</h3><p id="sp0025">Most study participants (82%) reported accessing the formal health system at some point before the infant's death. The primary caregiver-reported drivers for infant death included challenges in accessing care in a timely manner, concerns about the technical quality of care received, and poor responsiveness of the system and providers. The 2 most commonly discussed drivers were gaps in communication between providers and patients and challenges obtaining and using the community-based health insurance. The framework of the driver diagram was modified to identify the factors where change was needed to further reduce mortality.</p><h3 id="st0035">Conclusion</h3><p id="sp0030">This study provides important information on the experiential quality of care received by infants and their caregivers within the current health care space in rural Rwanda. By listening to the individual stories of so many caregivers regarding the gaps and challenges they faced, appropriate action may be taken to bolster the existing health care system.
format	article
author	Shalini Navale Lameck Habumugisha Cheryl Amoroso Felix Sayinzoga Neil Gupta Lisa R. Hirschhorn
author_facet	Shalini Navale Lameck Habumugisha Cheryl Amoroso Felix Sayinzoga Neil Gupta Lisa R. Hirschhorn
author_sort	Shalini Navale
title	Exploring Drivers of Infant Deaths in Rural Rwanda Through Verbal Social Autopsy
title_short	Exploring Drivers of Infant Deaths in Rural Rwanda Through Verbal Social Autopsy
title_full	Exploring Drivers of Infant Deaths in Rural Rwanda Through Verbal Social Autopsy
title_fullStr	Exploring Drivers of Infant Deaths in Rural Rwanda Through Verbal Social Autopsy
title_full_unstemmed	Exploring Drivers of Infant Deaths in Rural Rwanda Through Verbal Social Autopsy
title_sort	exploring drivers of infant deaths in rural rwanda through verbal social autopsy
publisher	Ubiquity Press
publishDate	2017
url	https://doaj.org/article/2c79d281acb54399983a7ce8380491aa
work_keys_str_mv	AT shalininavale exploringdriversofinfantdeathsinruralrwandathroughverbalsocialautopsy AT lameckhabumugisha exploringdriversofinfantdeathsinruralrwandathroughverbalsocialautopsy AT cherylamoroso exploringdriversofinfantdeathsinruralrwandathroughverbalsocialautopsy AT felixsayinzoga exploringdriversofinfantdeathsinruralrwandathroughverbalsocialautopsy AT neilgupta exploringdriversofinfantdeathsinruralrwandathroughverbalsocialautopsy AT lisarhirschhorn exploringdriversofinfantdeathsinruralrwandathroughverbalsocialautopsy
_version_	1718401971758563328

Exploring Drivers of Infant Deaths in Rural Rwanda Through Verbal Social Autopsy

Ejemplares similares