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Evaluation of the Vietnamese A6 mortality reporting system: injury as a cause of death
  1. Mark R Stevenson1,
  2. Le Tran Ngoan2,
  3. Dang Viet Hung3,
  4. Nguyen Thi Huong Tu3,
  5. Anh Luong Mai3,
  6. Rebecca Q Ivers4,
  7. Hoang Thanh Huong3
  1. 1Accident Research Centre, Monash Injury Research Institute, Monash University, Australia
  2. 2Department of Public Health, Hanoi Medical University, Vietnam
  3. 3Ministry of Health, Hanoi, Vietnam
  4. 4The George Institute for Global Health, The University of Sydney, Australia
  1. Correspondence to Professor M Stevenson, Monash University Accident Research Centre, Monash Injury Research Institute, Monash University, Clayton, Melbourne, Vic 3800, Australia; mark.stevenson{at}monash.edu

Abstract

Background Despite the fact that the A6 mortality reporting system has been operating for almost 20 years in Vietnam, there has been no systematic evaluation of the system. This study assesses the completeness, sensitivity and positive predictive value of the system in relation to injury related mortality.

Methods Evaluation of the A6 system was undertaken in three (geographically distributed) provinces in Vietnam. Deaths identified in the A6 system were compared with deaths identified by an independent consensus panel to determine the per cent completeness of the A6 system. Verbal autopsies (VA) were conducted for all identified deaths from the consensus panels, and the sensitivity and positive predictive value of the A6 system were assessed using the VAs as the reference.

Results 5273 deaths were identified from the A6 system with a further 340 cases identified by the independent consensus panel (total n=5613). Injury related deaths accounted for 13.6% (n=763) of all deaths with an overall injury mortality rate of 55.3 per 100 000 person years. The per cent completeness of the A6 system in relation to injury deaths was 93.9% with a sensitivity of 75.4%, specificity of 98.4% and positive predictive value of 88.4%.

Conclusions The A6 mortality reporting system is embedded within the commune health system and is the lead mortality reporting system for the Ministry of Health. The system performs well in relation to its completeness and classification of injury related deaths. With further enhancements and ongoing support from government and donor agencies, the A6 system will be a valuable resource for identifying and planning preventive strategies targeting the leading causes of injury related deaths in Vietnam.

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Footnotes

  • Funding The study was supported by an AusAID Research Development Grant. MRS is supported by an NHMRC Fellowship and RQI is supported by an NHMRC Career Development Award.

  • Competing interests None.

  • Patient consent Obtained.

  • Ethics approval The study was approved by the ethics committee of the Hanoi Medical University and the human research ethics committee of the University of Sydney.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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