TY - JOUR T1 - Integrating community-based verbal autopsy into civil registration and vital statistics: lessons learnt from five countries JF - BMJ Global Health JO - BMJ Global Health DO - 10.1136/bmjgh-2021-006760 VL - 6 IS - 11 SP - e006760 AU - Sonja Margot Firth AU - John D Hart AU - Matthew Reeve AU - Hang Li AU - Lene Mikkelsen AU - Deborah Carmina Sarmiento AU - Khin Sandar Bo AU - Viola Kwa AU - Jin-Lei Qi AU - Peng Yin AU - Agnes Segarra AU - Ian Riley AU - Rohina Joshi Y1 - 2021/11/01 UR - http://gh.bmj.com/content/6/11/e006760.abstract N2 - This paper describes the lessons from scaling up a verbal autopsy (VA) intervention to improve data about causes of death according to a nine-domain framework: governance, design, operations, human resources, financing, infrastructure, logistics, information technologies and data quality assurance. We use experiences from China, Myanmar, Papua New Guinea, Philippines and Solomon Islands to explore how VA has been successfully implemented in different contexts, to guide other countries in their VA implementation. The governance structure for VA implementation comprised a multidisciplinary team of technical experts, implementers and staff at different levels within ministries. A staged approach to VA implementation involved scoping and mapping of death registration processes, followed by pretest and pilot phases which allowed for redesign before a phased scale-up. Existing health workforce in countries were trained to conduct the VA interviews as part of their routine role. Costs included training and compensation for the VA interviewers, information technology (IT) infrastructure costs, advocacy and dissemination, which were borne by the funding agency in early stages of implementation. The complexity of the necessary infrastructure, logistics and IT support required for VA increased with scale-up. Quality assurance was built into the different phases of the implementation. VA as a source of cause of death data for community deaths will be needed for some time. With the right technical and political support, countries can scale up this intervention to ensure ongoing collection of quality and timely information on community deaths for use in health planning and better monitoring of national and global health goals.There are no data in this work. ER -