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Exploration of social factors associated to maternal deaths due to haemorrhage and convulsions: Analysis of 28 social autopsies in rural Bangladesh
Örebro University, School of Health Sciences. Reproductive and Child Health Unit, Centre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka, Bangladesh.
Reproductive and Child Health Unit, Centre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka, Bangladesh.
Örebro University, School of Health Sciences. (Folkhälsovetenskap)ORCID iD: 0000-0001-7393-796X
Reproductive and Child Health Unit, Centre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka, Bangladesh.
2016 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 16, no 1, 659Article in journal (Refereed) Published
Abstract [en]

Background: Social autopsy is an innovative approach to explore social barriers and factors associated to a death in the community. The process also sensitize the community people to avert future deaths. Social autopsy has been introduced in maternal deaths in Bangladesh first time in 2010. This study is to identify the social factors in the rural community associated to maternal deaths. It also looks at how the community responses in social autopsy intervention to prevent future maternal deaths.

Methods: The study was conducted in the Thakurgaon district of Bangladesh in 2010. We have purposively selected 28 social autopsy cases of which maternal deaths occurred due to either haemorrhage or due to convulsions. The autopsy was conducted by the Government health and family planning first line field supervisors in rural community. Family members and neighbours of the deceased participated in each autopsy and provided their comments and responses.

Results: A number of social factors including delivery conducted by the untrained birth attendant or family members, delays in understanding about maternal complications, delays in decision making to transfer the mother, lack of proper knowledge, education and traditional myth influences the maternal deaths. The community identified their own problems, shared within them and decide upon rectify themselves for future death prevention.

Conclusions: Social autopsy is a useful tools to identify social community within the community by discussing the factors that took place during a maternal death. The process supports villagers to think and change their behavioural patterns and commit towards preventing such deaths in the future.

Place, publisher, year, edition, pages
London, United Kingdom: BioMed Central, 2016. Vol. 16, no 1, 659
Keyword [en]
Maternal death, social autopsy, death review, rural community, Bangladesh
National Category
Social Work Health Sciences Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:oru:diva-53598DOI: 10.1186/s12913-016-1912-6ISI: 000388140000006PubMedID: 27846877Scopus ID: 2-s2.0-84994884924OAI: oai:DiVA.org:oru-53598DiVA: diva2:1048432
Note

Funding Agency:

UNICEF, Bangladesh

Available from: 2016-11-21 Created: 2016-11-21 Last updated: 2017-10-18Bibliographically approved

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