Wanted: Studies on mortality estimation methods for humanitarian emergencies, suggestions for future research

被引：31

作者：

Brown V. ^{[1
]}

Checchi F. ^{[2
]}

Depoortere E. ^{[1
]}

Grais R.F. ^{[1
]}

Greenough P.G. ^{[3
]}

Hardy C. ^{[4
]}

Moren A. ^{[5
]}

Richardson L. ^{[6
]}

Rose A.M.C. ^{[1
]}

Soleman N. ^{[7
]}

Spiegel P.B. ^{[8
]}

Sullivan K.M. ^{[9
]}

Tatay M. ^{[10
]}

Woodruff B.A. ^{[11
]}

机构：

[1] Epicentre, 75011 Paris

[2] Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London WC1E 7HT, Keppel Street

[3] Harvard Humanitarian Initiative, Harvard University, Cambridge, MA 02138

[4] International Rescue Committee, New York, NY 10168-1289

[5] Epiconcept, 75012 Paris

[6] United Nations World Food Programme, Parco dei Medici, 00148 Rome

[7] World Health Organization, 1211 Geneva 27

[8] United Nations High Commissioner for Refugees, CH-1211 Geneva 2 Dépôt

[9] Rollins School of Public Health, Emory University, Grace Crum Rollins Building, Atlanta, GA 30322

[10] Médecins Sans Frontières, French Section, 75011 Paris

[11] Maternal and Child Nutrition Branch, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30333

来源：

Emerging Themes in Epidemiology | / 4卷 / 1期

关键词：

Recall Period; Verbal Autopsy; Cluster Survey; World Food Programme; Humanitarian Emergency;

D O I：

10.1186/1742-7622-4-9

中图分类号：

学科分类号：

摘要：

Measuring rates and circumstances of population mortality (in particular crude and under-5 year mortality rates) is essential to evidence-based humanitarian relief interventions. Because prospective vital event registration is absent or deteriorates in nearly all crisis-affected populations, retrospective household surveys are often used to estimate and describe patterns of mortality. Originally designed for measuring vaccination coverage, the two-stage cluster survey methodology is frequently employed to measure mortality retrospectively due to limited time and resources during humanitarian emergencies. The method tends to be followed without considering alternatives, and there is a need for expert advice to guide health workers measuring mortality in the field. In a workshop in France in June 2006, we deliberated the problems inherent in this method when applied to measure outcomes other than vaccine coverage and acute malnutrition (specifically, mortality), and considered recommendations for improvement. Here we describe these recommendations and outline outstanding issues in three main problem areas in emergency mortality assessment discussed during the workshop: sampling, household data collection issues, and cause of death ascertainment. We urge greater research on these issues. As humanitarian emergencies become ever more complex, all agencies should benefit from the most recently tried and tested survey tools. © 2007 Working Group for Mortality Estimation in Emergencies; licensee BioMed Central Ltd.

引用

共 54 条

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