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Related Experiment Video

Updated: Jun 20, 2026

Symmetric Bihemispheric Postmortem Brain Cutting to Study Healthy and Pathological Brain Conditions in Humans
08:29

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Published on: December 18, 2016

Methodological trends in studies based on verbal autopsies before and after published guidelines.

Rohina Joshi1, Andre Pascal Kengne, Bruce Neal

  • 1George Institute for International Health, University of Sydney, Sydney NSW, Australia. rjoshi@thegeorgeinstitute.org

Bulletin of the World Health Organization
|September 29, 2009
PubMed
Summary

Guidelines for verbal autopsy studies were issued but not widely adopted. Improved collaboration is needed to enhance mortality statistics from these important studies.

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Area of Science:

  • Public Health and Epidemiology
  • Demography and Biostatistics

Background:

  • Verbal autopsy (VA) is crucial for mortality surveillance in regions with limited vital registration.
  • Guidelines for VA study design were published in the early 1990s to improve data quality.

Purpose of the Study:

  • To assess the extent to which recommendations for VA study design have been implemented.
  • To evaluate changes in methodological indicators in VA studies before and after guideline publication.

Main Methods:

  • Systematic literature search of VA studies published before January 2006.
  • Extraction of data on seven key methodological indicators.
  • Comparison of studies designed before and after the 1990s guidelines.

Main Results:

  • 102 VA studies (60 before, 42 after guidelines) were analyzed.
  • No systematic implementation of design recommendations was evident.
  • Key indicators like combined questionnaires, trained interviewers, and predefined algorithms showed minimal improvement.

Conclusions:

  • Expert recommendations for optimal VA study design have been incompletely adopted.
  • Enhanced collaboration among research teams is essential for better uptake and improved mortality statistics.