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• W2890153428 abstract "Introduction: Most people in Africa die without appearing in official vital statistics records. To improve this situation, Malawi has introduced solar-powered electronic village registers (EVR), managed by village headmen, to record birth and death information for production of vital statistics. The EVR is deployed in 83 villages in Traditional Authority Mtema, Lilongwe, which is an area without electricity. In 17 villages, village headmen were also trained to use a simple verbal autopsy tool adapted from one developed by the World Health Organization. Study objectives were to i) document numbers and causes of death occurring in 17 villages between April 2016 and September 2017, and ii) assess percentage measures of agreement on causes of death as recorded by village headmen using a simple verbal autopsy tool and by a team of health surveillance assistant (HSA) / medical doctor using the WHO verbal autopsy tool. Methods: Analytic cross-sectional study using secondary data from the EVR and data obtained from and compared between two different verbal autopsy tools. Results: Over 18 months, 120 deaths were recorded by EVR in 14,264 residents - crude annual death rate 5.6/1,000 population. Median age at death was 43 years with 69 (58%) deaths being in males. Death occurred at home (75%) and at health facility (25%). Malaria, diarrhoeal disease, pulmonary tuberculosis, acute respiratory infection and stroke accounted for 56% of deaths recorded by village headmen using the simple verbal autopsy tool. Causes of death between village headmen and the HSA / medical doctor team were compared for 107 deaths. There was full agreement in causes of death in 33 (31%) deaths, mostly for malaria, severe anaemia, intentional self-harm, cancer and epilepsy. Unknown-sudden death and sepsis recorded by the HSA / medical doctor team were responsible for most disagreements. Conclusion: It is feasible for village headmen in rural Malawi to use an EVR and simple verbal autopsy tool to document numbers and causes of deaths. More work is needed to improve accuracy of causes of death by village headmen." @default.
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• W2890153428 date "2018-09-04" @default.
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• W2890153428 title "Can a Village Headman Use an Electronic Village Register and a Simplified Community-Based Verbal Autopsy Tool to Record Numbers and Causes of Death in Rural Malawi?" @default.
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• W2890153428 doi "https://doi.org/10.3389/fpubh.2018.00246" @default.
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