Stevenson Mark, Hung Dang Viet, Hoang Thanh Huong, Mai Anh Luong, Nguyen Thi Hong Tu, Le Tran Ngoan
The University of Melbourne, Australia
Ministry of Health, Hanoi, Vietnam.
Asia Pac J Public Health. 2015 Oct;27(7):733-42. doi: 10.1177/1010539515602742. Epub 2015 Aug 26.
There has been no systematic evaluation of Viet Nam's A6 mortality reporting system. An evaluation was undertaken in 3 provinces in Viet Nam. Deaths identified in the A6 system were compared with deaths identified by an independent consensus panel to determine the percentage completeness of the A6 system. Verbal autopsies (VAs) were conducted for all identified deaths from the consensus panels, and the sensitivity and positive predictive value of the A6 system was assessed. The sensitivity of the A6 system varied depending on the cause of death, with the sensitivity of the system being excellent for injury (sensitivity = 75.4%), cancer (sensitivity = 66.9%), and circulatory diseases (sensitivity = 63.1%). The A6 mortality reporting system performs well in relation to its completeness and classification of 3 leading causes of death—namely, circulatory disease, cancer, and injury. With further enhancements and ongoing support from government and donor agencies, the A6 system will be a valuable resource.
越南A6死亡率报告系统尚未得到系统评估。在越南的3个省份开展了一项评估。将A6系统识别出的死亡情况与一个独立共识小组识别出的死亡情况进行比较，以确定A6系统的完整率。对共识小组所有识别出的死亡进行了死因推断，评估了A6系统的灵敏度和阳性预测值。A6系统的灵敏度因死因不同而有所差异，该系统对损伤（灵敏度=75.4%）、癌症（灵敏度=66.9%）和循环系统疾病（灵敏度=63.1%）的灵敏度很高。A6死亡率报告系统在完整性以及对循环系统疾病、癌症和损伤这3种主要死因的分类方面表现良好。随着政府和捐助机构的进一步改进与持续支持，A6系统将成为一项宝贵资源。
