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首页> 外文期刊>Global public health >Deciphering Rashomon: An approach to verbal autopsies of maternal deaths Aditi Iyer
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Deciphering Rashomon: An approach to verbal autopsies of maternal deaths Aditi Iyer

机译：解密罗生门：对孕产妇死亡进行口头尸检的方法Aditi Iyer

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The paper discusses an approach to verbal autopsies that engages with the Rashomon phenomenon affecting ex post facto constructions of death and responds to the call for maternal safety. This method differs from other verbal autopsies in its approach to data collection and its framework of analysis. In our approach, data collection entails working with and triangulating multiple narratives, and minimising power inequalities in the investigation process. The framework of analysis focuses on the missed opportunities for death prevention as an alternative to (or deepening of) the Three Delays Model. This framework assesses the behavioural responses of health providers, as well as community and family members at each opportunity for death prevention and categorises them into four groups: non-actions, inadequate actions, inappropriate actions and unavoidably delayed actions. We demonstrate the application of this approach to show how verbal autopsies can delve beneath multiple narratives and rigorously identify health system, behavioural and cultural factors that contribute to avoidable maternal mortality.
机译：本文讨论了一种言语尸检的方法，该方法与影响事后死亡构造的罗生门现象有关，并回应了对产妇安全的呼吁。该方法在数据收集方法和分析框架方面与其他口头尸检不同。在我们的方法中，数据收集需要使用多种叙述并对其进行三角剖分，并在调查过程中最大程度地减少权力不平等。分析框架着眼于错过的预防死亡机会，以替代（或加深）“三延迟”模型。该框架在每次预防死亡的机会时评估卫生服务提供者以及社区和家庭成员的行为反应，并将其分为四类：不采取行动，行动不足，行动不当和不可避免地延迟行动。我们演示了这种方法的应用，以展示口头尸检如何深入多种叙述并严格识别有助于避免可孕产妇死亡的卫生系统，行为和文化因素。

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