Abstract
BackgroundSocial autopsy is an innovative approach to explore social barriers and factors associated to a death in the community. The process also sensitize the community people to avert future deaths. Social autopsy has been introduced in maternal deaths in Bangladesh first time in 2010. This study is to identify the social factors in the rural community associated to maternal deaths. It also looks at how the community responses in social autopsy intervention to prevent future maternal deaths.MethodsThe study was conducted in the Thakurgaon district of Bangladesh in 2010. We have purposively selected 28 social autopsy cases of which maternal deaths occurred due to either haemorrhage or due to convulsions. The autopsy was conducted by the Government health and family planning first line field supervisors in rural community. Family members and neighbours of the deceased participated in each autopsy and provided their comments and responses.ResultsA number of social factors including delivery conducted by the untrained birth attendant or family members, delays in understanding about maternal complications, delays in decision making to transfer the mother, lack of proper knowledge, education and traditional myth influences the maternal deaths. The community identified their own problems, shared within them and decide upon rectify themselves for future death prevention.ConclusionsSocial autopsy is a useful tools to identify social community within the community by discussing the factors that took place during a maternal death. The process supports villagers to think and change their behavioural patterns and commit towards preventing such deaths in the future.
Highlights
Social autopsy is an innovative approach to explore social barriers and factors associated to a death in the community
Social autopsy in Maternal and neonatal death review (MNDR) has been introduced as social intervention in the community to explore the social, behavioural and medical causes, including errors and barriers in the community that have contributing towards a death [10,11,12,13]
This study aims to identify the social factors in the rural community associated to maternal deaths
Summary
Social autopsy is an innovative approach to explore social barriers and factors associated to a death in the community. The process sensitize the community people to avert future deaths. Social autopsy has been introduced in maternal deaths in Bangladesh first time in 2010. This study is to identify the social factors in the rural community associated to maternal deaths. It looks at how the community responses in social autopsy intervention to prevent future maternal deaths. Social autopsy (SA) is an interactive discussion meeting (courtyard meeting) with the neighbours of deceased to share and explore the circumstances behind the death and how it could have been averted [14]. The meeting seeks a commitment from the community to combat such events in the future
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