1.Conducting verbal autopsy by telephone interview during the pandemic to support mortality surveillance: a feasibility study in Malaysia
Nur Hamizah binti Nasaruddin ; Shubash Shander Ganapathy ; S. Maria Awaluddin ; Mohamad Fuad Mohamad Anuar ; Nazirah binti Alias ; Chan Yee Mang ; Khaw Wan-Fei
Western Pacific Surveillance and Response 2022;13(2):08-14
Objective:
Verbal autopsy (VA) through face-to-face interviews with caregivers is a way to determine cause of death without medical certification. In Malaysia, the use of VA has improved mortality statistics. However, during the coronavirus disease 2019 (COVID-19) pandemic, face-to-face interviews were delayed, reducing VA data collection and affecting data for mortality surveillance. This study aims to investigate the feasibility and acceptability of conducting VA interviews via telephone calls, and the quality of the data gathered.
Methods:
The study was conducted in Malaysia from September to October 2020 using a cross-sectional design. Participants were health-care workers from established VA teams across the country. They conducted VA interviews via telephone and provided feedback through a customized online form. Data collected from the form were used to assess the feasibility, acceptability and quality of the telephone interviews using IBM SPSS version 23.
Results:
Responses were received from 113 participants. There were 74 (65.5%) successful interviews, representing 91% of the 81 cases who were able to be contacted. More than two thirds of health-care workers provided positive feedback on the telephone interview method for themselves and the interviewees. Only 10.8% of causes of death were unusable.
Discussion
This study provides preliminary evidence that VA via telephone interview is feasible, acceptable and can be used as an alternative to face-to-face interviews without affecting data quality. During times when face-to-face interviews are not advisable, VA telephone interviews can be used for data collection for mortality surveillance.
2.Nutritional and Non-Communicable Disease (NCD) Status Association with Fall among Older Persons in Malaysia: Findings from National Health and Morbidity Survey (NHMS) Malaysia 2018
Jayvikramjit Singh ; Mohamad Fuad Mohamad Anuar ; Azli Baharudin ; Suhaila Abdul Ghaffar ; Cheong Siew Man ; Lalita Palineveloo ; Syafinaz Mohd Sallehuddin ; Nur Shahida Abd Aziz ; Norsyamlina Che Abdul Rahim ; Munawara Pardi ; Nur Hamizah Nasaruddin ; Ahmad Ali Zainuddin
International Journal of Public Health Research 2021;11(2):1448-1454
Introduction:
Fall is a health problem for older persons. This study investigates the potential
factors of concern: the nutritional status of older persons and non-communicable
disease association with incidence of falls.
Methods:
This study used data from NHMS 2018, and conducted a cross-sectional design
by applying two-stage stratified cluster sampling. Descriptive statistics such as
the percentage of each variable were done. Factors associated with falls were
determined at both univariate and multivariable levels using simple logistic
regression and multiple logistic regression. The data were presented as standard
values for each analysis and adjusted odds ratios with 95% CI with p values
(<0.05).
Results:
A total of 3,867 from 3,977 elderly (mean age 68.2+ 6.85) were recruited with
the response rate of 97.2%. Factors associated with fall were 70 years old and
above (AOR= 1.34, 95% CI: 1.09, 1.64), obesity (AOR=1.55, 95% CI: 1.21,
1.98), undernutrition (AOR=1.59, 95% CI: 1.30, 1.94), persons with 2 NCDs
(AOR=1.49, 95% CI: 1.15, 1.92) and persons with 3 NCDs (AOR=1.63, 95%
CI: 1.23, 2.16).
Conclusions
Advanced age, malnutrition, obesity, and having two or more NCDs are
associated with falls in the NHMS 2018 study. In conclusion, falls are prevalent
among older persons. There is an urgent need for public health strategies and
programmes to decrease the incidence of modifiable risk factors and early
identification of those at risk. Implementation of fall preventive programs which
includes multifactorial interventions at hospitals and homes can also
significantly reduce incidence of falls among older persons