000089726 001__ 89726
000089726 005__ 20200716101613.0
000089726 0247_ $$2doi$$a10.1080/16549716.2018.1559496
000089726 0248_ $$2sideral$$a118040
000089726 037__ $$aART-2019-118040
000089726 041__ $$aeng
000089726 100__ $$0(orcid)0000-0001-6756-9515$$aMaixenchs, Maria$$uUniversidad de Zaragoza
000089726 245__ $$aSocio-anthropological methods to study the feasibility and acceptability of the minimally invasive autopsy: Lessons learnt from a large multicentre study
000089726 260__ $$c2019
000089726 5060_ $$aAccess copy available to the general public$$fUnrestricted
000089726 5203_ $$aThe minimally invasive autopsy (MIA), an innovative approach for obtaining post-mortem samples of key organs, is increasingly being recognized as a robust methodology for cause of death (CoD) investigation, albeit so far limited to pilot studies and research projects. A better understanding of the real causes of death in middle- and low-income countries, where underlying causes of death are seldom determined, would allow improved health planning, more targeted prioritization of available resources and the implementation of coherent public health policies. This paper discusses lessons learnt from the implementation of a Feasibility and Acceptability (F&A) study evaluating the MIA approach in five countries: Gabon, Kenya, Mali, Mozambique and Pakistan. This article reports the methodological choices made to document sociocultural and religious norms around death, to examine community and relatives’ attitudes and perceptions towards MIA, and to identify factors motivating the MIA’s acceptance and refusal. We used ethnography, grounded theory and framework method approaches. In-depth and semi-structured interviews and focus group discussions with key informants, including next of kin of deceased individuals and healthcare providers, were conducted. Participant observation and direct observation of procedures and ceremonies around death were organized in all study sites. In Mozambique, MIA procedures were observed and case studies conducted. The implementation of this F&A protocol has provided critical lessons that could facilitate the future implementation of post-mortem procedures for CoD investigation. These include the need for early community engagement, staff training and preparedness, flexibility to adapt the protocol, gathering qualitative data from diverse sources, and triangulation of the data. We have applied a rigorous, effective and culturally sensitive methodological approach to assess the F&A of MIA in resource-constrained settings. We strongly recommend that such an approach is applied in settings where MIAs or similar post-mortem sensitive procedures are to be introduced.
000089726 536__ $$9info:eu-repo/grantAgreement/ES/FIS/PI12-00757
000089726 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000089726 590__ $$a2.162$$b2019
000089726 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b57 / 170 = 0.335$$c2019$$dQ2$$eT2
000089726 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b91 / 193 = 0.472$$c2019$$dQ2$$eT2
000089726 592__ $$a1.193$$b2019
000089726 593__ $$aPublic Health, Environmental and Occupational Health$$c2019$$dQ1
000089726 593__ $$aHealth Policy$$c2019$$dQ1
000089726 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000089726 700__ $$aAnselmo, Rui
000089726 700__ $$aMartínez Pérez, Guillermo
000089726 700__ $$aOruko, Kelvin
000089726 700__ $$aAgnandji, Selidji Todagbe
000089726 700__ $$aAngoissa Minsoko, Pamela Catherine
000089726 700__ $$aDiarra, Kounandji
000089726 700__ $$aDjiteye, Mahamane
000089726 700__ $$aBhutta, Zulfiqar A.
000089726 700__ $$aZaidi, Shujaat
000089726 700__ $$aCarrilho, Carla
000089726 700__ $$aSanz, Ariadna
000089726 700__ $$aOrdi, Jaume
000089726 700__ $$aMenendez, Clara
000089726 700__ $$aBasset, Quique
000089726 700__ $$aMunguambe, Khatia
000089726 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000089726 773__ $$g12, 1 (2019), [12 pp.]$$pGLOBAL HEALTH ACTION$$tGLOBAL HEALTH ACTION$$x1654-9880
000089726 8564_ $$s1607188$$uhttps://zaguan.unizar.es/record/89726/files/texto_completo.pdf$$yVersión publicada
000089726 8564_ $$s303178$$uhttps://zaguan.unizar.es/record/89726/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000089726 909CO $$ooai:zaguan.unizar.es:89726$$particulos$$pdriver
000089726 951__ $$a2020-07-16-09:58:02
000089726 980__ $$aARTICLE