Verbal Autopsy with Participatory Action Research (VA-PAR): Developing a people-centred health systems research methodology. (360G-Wellcome-110313_Z_15_Z)
People-centred health systems (PCHS) is a recent progressive shift that has moved thinking beyond building-blocks models of health systems towards ones that centralise a human and relational nature. Despite the conceptual advance, empirical methods are lacking. The project seeks to develop methods for conducing and using Verbal Autopsy (VA) consistent with a PCHS approach by combining VA with Participatory Action Research (PAR) in a process connected to the health system at different levels. VA is a health surveillance technique that provides information on levels and causes of mortality in populations where deaths occur outside facilities and/or without registration. PAR is a process that aims to transform the roles of those participating from objects of research to active researchers and agents of change. It systematises local experience through collective analysis to generate valid forms of evidence on the relationships between health problems and their causes. Three phases of research are proposed. In Phase 1, we will conduct a secondary analysis of data gained through the application of the 2012 WHO VA standard in a Health and Demographic Surveillance Site (HDSS) in rural South Africa. Combing data on medical causes with new data on background characteristics of deaths, we will develop improved ways to classify causes in a method suitable for use at sub-district/district level. In Phase 2, local service users and providers will engage in a PAR process to review the results of Phase 1, set priorities for local services, and explore the potential for co-benefits related to empowerment and social inclusion. The final Phase 3 aims to consult at higher levels of the health system to consider how the method could be further applied and evaluated. The overall output is a practical and integrated methodology based on core standards that is contextually relevant and capable of affecting health gains by translating local priorities into actionable public health agendas.
Where is this data from?
This data was originally published by The Wellcome Trust. If you see something about your organisation or the funding it has received on this page that doesn't look right you can submit a grantee amendment request. You can hover over codes from standard codelists to see the user-friendly name provided by 360Giving.
Grant Details
Amount Awarded | 33202 |
Applicant Surname | D'Ambruoso |
Approval Committee | Joint Health Systems Research Committee |
Award Date | 2015-03-25T00:00:00+00:00 |
Financial Year | 2014/15 |
Grant Programme: Title | Joint Health Systems Research Award |
Internal ID | 110313/Z/15/Z |
Lead Applicant | Dr Lucia D'Ambruoso |
Other Applicant(s) | Dr Kathleen Kahn, Prof Peter Byass, Prof Stephen Tollman |
Partnership Name | Joint global health trials |
Partnership Value | 33202 |
Planned Dates: End Date | 2016-11-30T00:00:00+00:00 |
Planned Dates: Start Date | 2015-06-01T00:00:00+00:00 |
Recipient Org: Country | United Kingdom |
Region | Scotland |