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Social Autopsy of maternal, neonatal deaths and stillbirths in rural Bangladesh: qualitative exploration of its effect and community acceptance
Örebro University, School of Health Sciences. Centre for Injury Prevention and Research, Dhaka, Bangladesh.
Centre for Injury Prevention and Research, Dhaka, Bangladesh.
Örebro University, School of Health Sciences. Department of Public Health Science.ORCID iD: 0000-0003-0185-0851
Centre for Injury Prevention and Research, Dhaka, Bangladesh.
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2016 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 6, no 8, e010490Article in journal (Refereed) Published
Abstract [en]

Objectives: Social Autopsy (SA) is an innovative strategy where a trained facilitator leads community groups through a structured, standardised analysis of the physical, environmental, cultural and social factors contributing to a serious, non-fatal health event or death. The discussion stimulated by the formal process of SA determines the causes and suggests preventative measures that are appropriate and achievable in the community. Here we explored individual experiences of SA, including acceptance and participant learning, and its effect on rural communities in Bangladesh. The present study had explored the experiences gained while undertaking SA of maternal and neonatal deaths and stillbirths in rural Bangladesh.

Design: Qualitative assessment of documents, observations, focus group discussions, group discussions and in-depth interviews by content and thematic analyses.

Results: Each community's maternal and neonatal death was a unique, sad story. SA undertaken by government field-level health workers were well accepted by rural communities. SA had the capability to explore the social reasons behind the medical cause of the death without apportioning blame to any individual or group. SA was a useful instrument to raise awareness and encourage community responses to errors within the society that contributed to the death. People participating in SA showed commitment to future preventative measures and devised their own solutions for the future prevention of maternal and neonatal deaths.

Conclusions: SA highlights societal errors and promotes discussion around maternal or newborn death. SA is an effective means to deliver important preventative messages and to sensitise the community to death issues. Importantly, the community itself is enabled to devise future strategies to avert future maternal and neonatal deaths in Bangladesh.

Place, publisher, year, edition, pages
London, United Kingdom: BioMed Central, 2016. Vol. 6, no 8, e010490
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:oru:diva-51903DOI: 10.1136/bmjopen-2015-010490ISI: 000382336700018PubMedID: 27554100Scopus ID: 2-s2.0-84984700599OAI: oai:DiVA.org:oru-51903DiVA: diva2:956974
Note

Funding Agencies:

UNICEF, Bangladesh via Canadian CIDA (DFATD)

Department for International Development (DFID)

European Commission (EC)

Available from: 2016-08-31 Created: 2016-08-31 Last updated: 2017-01-18Bibliographically approved

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