{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:32:47Z","timestamp":1787031167949,"version":"build-2736575974"},"reference-count":35,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,12,5]]},"abstract":"<jats:p>In the absence of a civil registration system, a house-to-house survey is often used to estimate cause-specific mortality in low- and middle-income countries. However, house-to-house surveys are resource and time intensive. We applied a low-cost community knowledge approach to identify maternal deaths from any cause and jaundice-associated deaths among persons aged \u2265 14 years, and stillbirths and neonatal deaths in mothers with jaundice during pregnancy in five rural communities in Bangladesh. We estimated the method\u2019s sensitivity and cost savings compared with a house-to-house survey. In the five communities with a total of 125,570 population, we identified 13 maternal deaths, 60 deaths among persons aged \u2265 14 years associated with jaundice, five neonatal deaths, and four stillbirths born to a mother with jaundice during pregnancy over the 3-year period before the survey using the community knowledge approach. The sensitivity of community knowledge method in identifying target deaths ranged from 80% for neonatal deaths to 100% for stillbirths and maternal deaths. The community knowledge approach required 36% of the staff time to undertake compared with the house-to-house survey. The community knowledge approach was less expensive but highly sensitive in identifying maternal and jaundice-associated mortality, as well as all-cause adult mortality in rural settings in Bangladesh. This method can be applied in rural settings of other low- and middle-income countries and, in conjunction with hospital-based hepatitis diagnoses, used to monitor the impact of programs to reduce the burden of cause-specific hepatitis mortality, a current World Health Organization priority.<\/jats:p>","DOI":"10.4269\/ajtmh.17-0974","type":"journal-article","created":{"date-parts":[[2018,10,9]],"date-time":"2018-10-09T03:08:01Z","timestamp":1539054481000},"page":"1633-1638","source":"Crossref","is-referenced-by-count":11,"title":["A Low-Cost, Community Knowledge Approach to Estimate Maternal and Jaundice-Associated Mortality in Rural Bangladesh"],"prefix":"10.4269","volume":"99","author":[{"given":"Repon C.","family":"Paul","sequence":"first","affiliation":[{"name":"International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh;"},{"name":"School of Public Health and Community Medicine, UNSW Medicine, Sydney, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather F.","family":"Gidding","sequence":"additional","affiliation":[{"name":"School of Public Health and Community Medicine, UNSW Medicine, Sydney, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arifa","family":"Nazneen","sequence":"additional","affiliation":[{"name":"International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kajal C.","family":"Banik","sequence":"additional","affiliation":[{"name":"International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shariful A.","family":"Sumon","sequence":"additional","affiliation":[{"name":"International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kishor K.","family":"Paul","sequence":"additional","affiliation":[{"name":"International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen P.","family":"Luby","sequence":"additional","affiliation":[{"name":"Infectious Diseases and Geographic Medicine, Stanford University, Stanford, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily S.","family":"Gurley","sequence":"additional","affiliation":[{"name":"International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh;"},{"name":"Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Hayen","sequence":"additional","affiliation":[{"name":"Australian Centre for Public and Population Health, Research, University of Technology Sydney, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Lancet","first-page":"462","article-title":"Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group","volume":"387","author":"Alkema","year":"2016"},{"key":"b2","author":"National Institute of Population Research and Training (NIPORT), MEASURE Evaluation, and icddr,b","year":"2012"},{"key":"b3","author":"United Nations","year":"2015"},{"key":"b4","series-title":"Am J Public Health","first-page":"2248","article-title":"Estimating the burden of maternal and neonatal deaths associated with jaundice in Bangladesh: possible role of hepatitis E infection","volume":"102","author":"Gurley","year":"2012"},{"key":"b5","series-title":"Hepatology","first-page":"2218","article-title":"Hepatitis E","volume":"54","author":"Aggarwal","year":"2011"},{"key":"b6","series-title":"Intervirology","first-page":"23","article-title":"Evidence for a virus in non-A, non-B hepatitis transmitted via the fecal-oral route","volume":"20","author":"Balayan","year":"1983"},{"key":"b7","series-title":"Lancet Gastroenterol Hepatol","first-page":"261","article-title":"Hepatitis E: a neglected virus","volume":"1","author":"The Lancet Gastroenterology Hepatology","year":"2016"},{"key":"b8","author":"United Nations Department of Economic and Social Affairs","year":"2014"},{"key":"b9","author":"World Health Organization","year":"2016"},{"key":"b10","author":"WHO","year":"2012"},{"key":"b11","series-title":"Bull World Health Organ","first-page":"657","article-title":"Every death counts: measurement of maternal mortality via a census","volume":"79","author":"Stanton","year":"2001"},{"key":"b12","series-title":"Bull World Health Organ","first-page":"173","article-title":"How should we measure maternal mortality in the developing world? A comparison of household deaths and sibling history approaches","volume":"84","author":"Hill","year":"2006"},{"key":"b13","series-title":"BMC Pregnancy Childbirth","first-page":"74","article-title":"An option for measuring maternal mortality in developing countries: a survey using community informants","volume":"10","author":"Qomariyah","year":"2010"},{"key":"b14","series-title":"BMC Pregnancy Childbirth","first-page":"6","article-title":"A prospective key informant surveillance system to measure maternal mortality\u2014findings from indigenous populations in Jharkhand and Orissa, India","volume":"8","author":"Barnett","year":"2008"},{"key":"b15","series-title":"Indian J Med Res","first-page":"64","article-title":"Field test results of the motherhood method to measure maternal mortality","volume":"133","author":"Maskey","year":"2011"},{"key":"b16","series-title":"PLoS One","first-page":"e83590","article-title":"The neighbourhood method for measuring differences in maternal mortality, infant mortality and other rare demographic events","volume":"9","author":"Alam","year":"2014"},{"key":"b17","series-title":"J Pregnancy","first-page":"267923","article-title":"Using community informants to estimate maternal mortality in a rural district in Pakistan: a feasibility study","volume":"2015","author":"Mir","year":"2015"},{"key":"b18","series-title":"Indian J Med Res","first-page":"550","article-title":"House-to-house survey vs. snowball technique for capturing maternal deaths in India: a search for a cost-effective method","volume":"125","author":"Singh","year":"2007"},{"key":"b19","series-title":"Int J Epidemiol","first-page":"1584","article-title":"A new method to estimate mortality in crisis-affected and resource-poor settings: validation study","volume":"39","author":"Roberts","year":"2010"},{"key":"b20","series-title":"PLoS Negl Trop Dis","first-page":"e0004970","article-title":"Snowball vs. house-to-house technique for measuring annual incidence of kala-azar in the higher endemic blocks of Bihar, India: a comparison","volume":"10","author":"Siddiqui","year":"2016"},{"key":"b21","series-title":"Am J Trop Med Hyg","first-page":"379","article-title":"A novel low-cost approach to estimate the incidence of Japanese encephalitis in the catchment area of three hospitals in Bangladesh","volume":"85","author":"Paul","year":"2011"},{"key":"b22","series-title":"Epidemiol Infect","first-page":"927","article-title":"Incidence of severe diarrhoea due to Vibrio cholerae in the catchment area of six surveillance hospitals in Bangladesh","volume":"144","author":"Paul","year":"2016"},{"key":"b23","series-title":"PLoS One","first-page":"e0147982","article-title":"Respiratory viruses associated hospitalization among children aged <5 years in Bangladesh: 2010\u20132014","volume":"11","author":"Homaira","year":"2016"},{"key":"b24","author":"Bangladesh Bureau of Statistics","year":"2014"},{"key":"b25","series-title":"Econ Polit Wkly","first-page":"217","article-title":"Poverty, gender, and work in Bangladesh","volume":"21","author":"Chen","year":"1986"},{"key":"b26","series-title":"Kinship in Bangladesh","author":"Aziz","year":"1979"},{"key":"b27","series-title":"International Statistical Classification of Diseases and Related Health Problems, Tenth Revision","author":"World Health Organization","year":"1992"},{"key":"b28","author":"Bangladesh Bureau of Statistics","year":"2015"},{"key":"b29","author":"Industry and Labour Wing, Bangladesh Bureau of Statistics","year":"2011"},{"key":"b30","author":"Bangladesh Bureau of Statistics","year":"2015"},{"key":"b31","author":"icddr,b","year":"2015"},{"key":"b32","series-title":"Rural Soc","first-page":"306","article-title":"Revisiting the rural-urban contrast: personal networks in nonmetropolitan and metropolitan settings","volume":"61","author":"Beggs","year":"1996"},{"key":"b33","series-title":"Age Soc","first-page":"55","article-title":"Neighbouring networks and environmental dependency. 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