Acceptability of minimally invasive autopsy by community members and healthcare workers in Siaya and Kisumu counties, western Kenya, 2017-2018.
Worldwide, nearly six million children under the age of five (<5s) die annually, a substantial proportion of which are due to preventable and treatable diseases. Efforts to reduce child mortality indicators in the most affected regions are often undermined by a lack of accurate cause of death dat...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2023-01-01
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| Series: | PLOS Global Public Health |
| Online Access: | https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0001319&type=printable |
| _version_ | 1797670207189155840 |
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| author | Peter Otieno Victor Akelo Sammy Khagayi Richard Omore Kelvin Akoth Maryanne Nyanjom Sara Ngere Ken Ochola Maria Maixenchs Ahoua Kone John Blevins Emily Zielinski-Gutierrez Beth A Tippett Barr |
| author_facet | Peter Otieno Victor Akelo Sammy Khagayi Richard Omore Kelvin Akoth Maryanne Nyanjom Sara Ngere Ken Ochola Maria Maixenchs Ahoua Kone John Blevins Emily Zielinski-Gutierrez Beth A Tippett Barr |
| author_sort | Peter Otieno |
| collection | DOAJ |
| description | Worldwide, nearly six million children under the age of five (<5s) die annually, a substantial proportion of which are due to preventable and treatable diseases. Efforts to reduce child mortality indicators in the most affected regions are often undermined by a lack of accurate cause of death data. To generate timely and more accurate causes of death data for <5s, the Child Health and Mortality Prevention Surveillance (CHAMPS) Network established mortality surveillance in multiple countries using Minimally Invasive Tissue Sampling (MITS) in <5 deaths. Here we present acceptability of MITS by community members and healthcare workers in Siaya and Kisumu counties, western Kenya. From April 2017 to February 2018, we conducted 40 in-depth interviews and five focus group discussions with healthcare workers and community members, before and during CHAMPS implementation. Participants were purposively selected. Field observations to understand traditional death-related practices were also performed. Interviews were transcribed into Nvivo 11.0 for data organization and management. Analysis was guided by the grounded theory approach. Facilitators of acceptability were desire to understand why death occurred, timely performance of MITS procedures, potential for MITS results in improving clinical practice and specific assistance provided to families by the CHAMPS program. However, cultural and religious beliefs highlighted important challenges to acceptability, including CHAMPS teams recruiting after a child's death, rumours and myths, unmet expectations from families, and fear by healthcare workers that some families could use MITS results to sue for negligence. Increasing MITS uptake requires sustained strategies to strengthen the identified facilitators of acceptability and simultaneously address the barriers. MITS acceptance will contribute to better characterization of causes of death and support the development of improved interventions aimed at reducing <5 mortality. |
| first_indexed | 2024-03-11T20:56:23Z |
| format | Article |
| id | doaj.art-0412da95229e40c7b60515fc61bba516 |
| institution | Directory Open Access Journal |
| issn | 2767-3375 |
| language | English |
| last_indexed | 2024-03-11T20:56:23Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLOS Global Public Health |
| spelling | doaj.art-0412da95229e40c7b60515fc61bba5162023-09-30T05:54:50ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752023-01-0139e000131910.1371/journal.pgph.0001319Acceptability of minimally invasive autopsy by community members and healthcare workers in Siaya and Kisumu counties, western Kenya, 2017-2018.Peter OtienoVictor AkeloSammy KhagayiRichard OmoreKelvin AkothMaryanne NyanjomSara NgereKen OcholaMaria MaixenchsAhoua KoneJohn BlevinsEmily Zielinski-GutierrezBeth A Tippett BarrWorldwide, nearly six million children under the age of five (<5s) die annually, a substantial proportion of which are due to preventable and treatable diseases. Efforts to reduce child mortality indicators in the most affected regions are often undermined by a lack of accurate cause of death data. To generate timely and more accurate causes of death data for <5s, the Child Health and Mortality Prevention Surveillance (CHAMPS) Network established mortality surveillance in multiple countries using Minimally Invasive Tissue Sampling (MITS) in <5 deaths. Here we present acceptability of MITS by community members and healthcare workers in Siaya and Kisumu counties, western Kenya. From April 2017 to February 2018, we conducted 40 in-depth interviews and five focus group discussions with healthcare workers and community members, before and during CHAMPS implementation. Participants were purposively selected. Field observations to understand traditional death-related practices were also performed. Interviews were transcribed into Nvivo 11.0 for data organization and management. Analysis was guided by the grounded theory approach. Facilitators of acceptability were desire to understand why death occurred, timely performance of MITS procedures, potential for MITS results in improving clinical practice and specific assistance provided to families by the CHAMPS program. However, cultural and religious beliefs highlighted important challenges to acceptability, including CHAMPS teams recruiting after a child's death, rumours and myths, unmet expectations from families, and fear by healthcare workers that some families could use MITS results to sue for negligence. Increasing MITS uptake requires sustained strategies to strengthen the identified facilitators of acceptability and simultaneously address the barriers. MITS acceptance will contribute to better characterization of causes of death and support the development of improved interventions aimed at reducing <5 mortality.https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0001319&type=printable |
| spellingShingle | Peter Otieno Victor Akelo Sammy Khagayi Richard Omore Kelvin Akoth Maryanne Nyanjom Sara Ngere Ken Ochola Maria Maixenchs Ahoua Kone John Blevins Emily Zielinski-Gutierrez Beth A Tippett Barr Acceptability of minimally invasive autopsy by community members and healthcare workers in Siaya and Kisumu counties, western Kenya, 2017-2018. PLOS Global Public Health |
| title | Acceptability of minimally invasive autopsy by community members and healthcare workers in Siaya and Kisumu counties, western Kenya, 2017-2018. |
| title_full | Acceptability of minimally invasive autopsy by community members and healthcare workers in Siaya and Kisumu counties, western Kenya, 2017-2018. |
| title_fullStr | Acceptability of minimally invasive autopsy by community members and healthcare workers in Siaya and Kisumu counties, western Kenya, 2017-2018. |
| title_full_unstemmed | Acceptability of minimally invasive autopsy by community members and healthcare workers in Siaya and Kisumu counties, western Kenya, 2017-2018. |
| title_short | Acceptability of minimally invasive autopsy by community members and healthcare workers in Siaya and Kisumu counties, western Kenya, 2017-2018. |
| title_sort | acceptability of minimally invasive autopsy by community members and healthcare workers in siaya and kisumu counties western kenya 2017 2018 |
| url | https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0001319&type=printable |
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