Economic Feasibility of a New Method to Estimate Mortality in Crisis-Affected and Resource-Poor Settings 英文参考文献.docVIP

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Economic Feasibility of a New Method to Estimate Mortality in Crisis-Affected and Resource-Poor Settings 英文参考文献.doc

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Economic Feasibility of a New Method to Estimate Mortality in Crisis-Affected and Resource-Poor Settings 英文参考文献

EconomicFeasibilityofaNewMethodtoEstimate MortalityinCrisis-AffectedandResource-PoorSettings BayardRoberts1*,OliverW.Morgan2,MohammedGhausSultani1,PeterNyasulu3,SundayRwebangila4, EgbertSondorp1,DanielChandramohan5,FrancescoChecchi5 1Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom, 2United States Centers for Disease Control and Prevention,Atlanta,Georgia,UnitedStatesofAmerica,3Me′decinsSansFrontie`resFrance,MalawiProgramme,Chiradzulu,Malawi,4UnitedNationsHighCommissioner forRefugees,TanzaniaOffice,Kigoma,Tanzania,5FacultyofInfectiousandTropicalDiseases,LondonSchoolofHygieneandTropicalMedicine,London,UnitedKingdom Abstract Introduction:Mortalitydataprovideessentialevidenceonthehealthstatusofpopulationsincrisis-affectedandresource- poorsettingsandtoguideandassessreliefoperations.Retrospectivesurveysarecommonlyusedtocollectmortalitydata insuchpopulations,butrequire substantialresourcesandhaveimportantmethodologicallimitations. Weevaluatedthe feasibility ofanalternativemethodfor rapidlyquantifying mortality (theinformant method).Thestudy objectivewasto assesstheeconomicfeasibilityoftheinformantmethod. Methods:Theinformantmethodcapturesdeathsthroughanexhaustivesearchforalldeathsoccurringinapopulationover a defined and recent recall period, using key community informants and next-of-kin of decedents. Between July and October 2008, we implemented and evaluated the informant method in: Kabul, Afghanistan; Mae La camp for Karen refugees, Thai-Burma border; Chiradzulu District, Malawi; and Lugufu and Mtabila refugee camps, Tanzania. We documented the time and cost inputs for the informant method in each site, and compared these with projections for hypotheticalretrospectivemortalitysurveysimplementedinthesamesitewitha6monthrecallperiodandwitha30day recallperiod. Findings:Theinformantmethodwasestimatedtorequireanaverageof29%lesstimeinputsand33%lessmonetaryinputs acrossallfourstudysiteswhencomparedwithretrosp