Conceptual frameworks for understanding the acceptability and feasibility of the minimally invasive autopsy to determine cause of death: Findings from the CADMIA Study in western Kenya

Oruko, Kelvin, Maixenchs, Maria, Phillips-Howard, Penelope ORCID: https://orcid.org/0000-0003-1018-116X, Ondire, Maureen, Akelo, Clarah, Sanz, Ariadna, Ordi, Jaume, Menendez, Clara, Bassat, Quique, Odhiambo, Frank O and Munguambe, Khatia (2020) 'Conceptual frameworks for understanding the acceptability and feasibility of the minimally invasive autopsy to determine cause of death: Findings from the CADMIA Study in western Kenya'. PLoS ONE, Vol 15, Issue 12, e0242574.

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Abstract

Establishing the cause of death (CoD) is critical to better understanding health and prioritizing health investments, however the use of full post-mortem examination is rare in most low and middle-income counties for multiple reasons. The use of minimally invasive autopsy (MIA) approaches, such as needle biopsies, presents an alternate means to assess CoD. In order to understand the feasibility and acceptability of MIA among communities in western Kenya, we conducted focus groups and in-depth interviews with next-of-kin of recently deceased persons, community leaders and health care workers in Siaya and Kisumu counties. Results suggest two conceptual framework can be drawn, one with facilitating factors for acceptance of MIA due to the ability to satisfy immediate needs related to interest in learning CoD or protecting social status and honoring the deceased), and one framework covering barriers to acceptance of MIA, for reasons relating to the failure to serve an existing need, and/or the exacerbation of an already difficult time.

Item Type:	Article
Subjects:	QZ Pathology > QZ 35 Postmortem examination QZ Pathology > QZ 4 General works WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries WA Public Health > Mortuary Practice > WA 840 Mortuary practice
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI):	https://doi.org/10.1371/journal.pone.0242574
Depositing User:	Cheryl Giddings
Date Deposited:	20 Jan 2021 15:30
Last Modified:	20 Jan 2021 15:30
URI:	https://archive.lstmed.ac.uk/id/eprint/16712

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