Capturing the context of maternal deaths from verbal autopsies: a reliability study of the maternal data extraction tool (M-DET).

<h4>Background</h4>The availability of quality data to inform policy is essential to reduce maternal deaths. To characterize maternal deaths in settings without complete vital registration systems, we designed and assessed the inter-rater reliability of a tool to systematically extract d...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ann L Montgomery, Shaun K Morris, Rajesh Kumar, Raju Jotkar, Prem Mony, Diego G Bassani, Prabhat Jha
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2011
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/3a2f6f5c2e2742fdae4d8a5286bfe341
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:3a2f6f5c2e2742fdae4d8a5286bfe341
record_format	dspace
spelling	oai:doaj.org-article:3a2f6f5c2e2742fdae4d8a5286bfe3412021-11-18T06:59:11ZCapturing the context of maternal deaths from verbal autopsies: a reliability study of the maternal data extraction tool (M-DET).1932-620310.1371/journal.pone.0014637https://doaj.org/article/3a2f6f5c2e2742fdae4d8a5286bfe3412011-02-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21326873/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>The availability of quality data to inform policy is essential to reduce maternal deaths. To characterize maternal deaths in settings without complete vital registration systems, we designed and assessed the inter-rater reliability of a tool to systematically extract data and characterize the events that precede a nationally representative sample of maternal deaths in India.<h4>Method/principal findings</h4>Of 1017 nationally representative pregnancy-related deaths, which occurred between 2001 and 2003, we randomly selected 105 reports. Two independent coders used the maternal data extraction tool (questions with coding guidelines) to collect information on antenatal care access, final pregnancy outcome; planned place of birth and care provider; community consultation, transport, admission, hospital referral; and verification of cause of death assignment. Kappa estimated inter-rater agreement was calculated and classified as poor (K≤0.4), moderate (K = 0.4≤0.6), substantial (K = 0.6≤ 0.8) and high (K>0.8) using the criteria from Landis & Koch. The data extraction tool had high agreement for gestational age, pregnancy outcome, transport, death en route and admission to hospital; substantial agreement for receipt of antenatal care, planned place of birth, readmission and referral to higher level hospital, and whether or not death occurred in the intrapartum period; moderate to substantial agreement for classification of deaths as direct or indirect obstetric deaths or incidental deaths; moderate agreement for classification of community healthcare consultation and total number of healthcare contacts; and poor agreement for the classification of deaths as sudden deaths and other/unknown cause of death. The ability of the tool to identify the most-responsible-person in labour varied from moderate agreement to high agreement.<h4>Conclusions</h4>This data extraction tool achieved good inter-rater reliability and can be used to collect data on events surrounding maternal deaths and for verification/improvement of underlying cause of death.Ann L MontgomeryShaun K MorrisRajesh KumarRaju JotkarPrem MonyDiego G BassaniPrabhat JhaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 2, p e14637 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ann L Montgomery Shaun K Morris Rajesh Kumar Raju Jotkar Prem Mony Diego G Bassani Prabhat Jha Capturing the context of maternal deaths from verbal autopsies: a reliability study of the maternal data extraction tool (M-DET).
description	<h4>Background</h4>The availability of quality data to inform policy is essential to reduce maternal deaths. To characterize maternal deaths in settings without complete vital registration systems, we designed and assessed the inter-rater reliability of a tool to systematically extract data and characterize the events that precede a nationally representative sample of maternal deaths in India.<h4>Method/principal findings</h4>Of 1017 nationally representative pregnancy-related deaths, which occurred between 2001 and 2003, we randomly selected 105 reports. Two independent coders used the maternal data extraction tool (questions with coding guidelines) to collect information on antenatal care access, final pregnancy outcome; planned place of birth and care provider; community consultation, transport, admission, hospital referral; and verification of cause of death assignment. Kappa estimated inter-rater agreement was calculated and classified as poor (K≤0.4), moderate (K = 0.4≤0.6), substantial (K = 0.6≤ 0.8) and high (K>0.8) using the criteria from Landis & Koch. The data extraction tool had high agreement for gestational age, pregnancy outcome, transport, death en route and admission to hospital; substantial agreement for receipt of antenatal care, planned place of birth, readmission and referral to higher level hospital, and whether or not death occurred in the intrapartum period; moderate to substantial agreement for classification of deaths as direct or indirect obstetric deaths or incidental deaths; moderate agreement for classification of community healthcare consultation and total number of healthcare contacts; and poor agreement for the classification of deaths as sudden deaths and other/unknown cause of death. The ability of the tool to identify the most-responsible-person in labour varied from moderate agreement to high agreement.<h4>Conclusions</h4>This data extraction tool achieved good inter-rater reliability and can be used to collect data on events surrounding maternal deaths and for verification/improvement of underlying cause of death.
format	article
author	Ann L Montgomery Shaun K Morris Rajesh Kumar Raju Jotkar Prem Mony Diego G Bassani Prabhat Jha
author_facet	Ann L Montgomery Shaun K Morris Rajesh Kumar Raju Jotkar Prem Mony Diego G Bassani Prabhat Jha
author_sort	Ann L Montgomery
title	Capturing the context of maternal deaths from verbal autopsies: a reliability study of the maternal data extraction tool (M-DET).
title_short	Capturing the context of maternal deaths from verbal autopsies: a reliability study of the maternal data extraction tool (M-DET).
title_full	Capturing the context of maternal deaths from verbal autopsies: a reliability study of the maternal data extraction tool (M-DET).
title_fullStr	Capturing the context of maternal deaths from verbal autopsies: a reliability study of the maternal data extraction tool (M-DET).
title_full_unstemmed	Capturing the context of maternal deaths from verbal autopsies: a reliability study of the maternal data extraction tool (M-DET).
title_sort	capturing the context of maternal deaths from verbal autopsies: a reliability study of the maternal data extraction tool (m-det).
publisher	Public Library of Science (PLoS)
publishDate	2011
url	https://doaj.org/article/3a2f6f5c2e2742fdae4d8a5286bfe341
work_keys_str_mv	AT annlmontgomery capturingthecontextofmaternaldeathsfromverbalautopsiesareliabilitystudyofthematernaldataextractiontoolmdet AT shaunkmorris capturingthecontextofmaternaldeathsfromverbalautopsiesareliabilitystudyofthematernaldataextractiontoolmdet AT rajeshkumar capturingthecontextofmaternaldeathsfromverbalautopsiesareliabilitystudyofthematernaldataextractiontoolmdet AT rajujotkar capturingthecontextofmaternaldeathsfromverbalautopsiesareliabilitystudyofthematernaldataextractiontoolmdet AT premmony capturingthecontextofmaternaldeathsfromverbalautopsiesareliabilitystudyofthematernaldataextractiontoolmdet AT diegogbassani capturingthecontextofmaternaldeathsfromverbalautopsiesareliabilitystudyofthematernaldataextractiontoolmdet AT prabhatjha capturingthecontextofmaternaldeathsfromverbalautopsiesareliabilitystudyofthematernaldataextractiontoolmdet
_version_	1718424095235768320

Capturing the context of maternal deaths from verbal autopsies: a reliability study of the maternal data extraction tool (M-DET).

Ejemplares similares