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Developing a Social Autopsy Tool for Dengue Mortality: A Pilot Study
Authors:María José Arauz  Valéry Ridde  Libia Milena Hernández  Yaneth Charris  Mabel Carabali  Luis ángel Villar
Affiliation:1School of Public Health (ESPUM), University of Montreal / University of Montreal Hospital Research Center (CRCHUM), Montreal, Canada;2Centro de Atención y Diagnóstico de Enfermedades Infecciosas (CDI-APRESIA), Bucaramanga, Colombia;3Dengue Vaccines Initiative / International Vaccines Institute, Seoul, Republic of Korea;4Universidad Industrial de Santander, Bucaramanga, Colombia;Rajarata Univeresity of Sri Lanka, SRI LANKA
Abstract:BackgroundDengue fever is a public health problem in the tropical and sub-tropical world. Dengue cases have grown dramatically in recent years as well as dengue mortality. Colombia has experienced periodic dengue outbreaks with numerous dengue related-deaths, where the Santander department has been particularly affected. Although social determinants of health (SDH) shape health outcomes, including mortality, it is not yet understood how these affect dengue mortality. The aim of this pilot study was to develop and pre-test a social autopsy (SA) tool for dengue mortality.ConclusionsThe SA tool is based on the scientific literature, a validated conceptual framework, researchers’ and health professionals’ expertise, and a pilot study. It is the first time that a SA tool has been created for the dengue mortality context. Our work furthers the study on SDH and how these are applied to neglected tropical diseases, like dengue. This tool could be integrated in surveillance systems to provide complementary information on the modifiable and avoidable death-related factors and therefore, be able to formulate interventions for dengue mortality reduction.
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