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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Commentary

Learning to Listen

Elizabeth Molyneux and Sassy Molyneux
Pediatrics April 2021, 147 (4) e2020044081; DOI: https://doi.org/10.1542/peds.2020-044081
Elizabeth Molyneux
aPaediatric and Child Health Department, College of Medicine, University of Malawi, Blantyre, Malawi;
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Sassy Molyneux
bNuffield Department of Medicine, University of Oxford, Oxford, UK; and
cKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya
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  • Abbreviations:
    SA —
    social autopsy
    VA —
    verbal autopsy
  • In this issue of Pediatrics, Lapidot et al1 report the findings of modified verbal autopsies (VAs) conducted for infants from the ages of 4 days to 6 months who were brought in dead to the main teaching hospital in Lusaka, Zambia. Universal health coverage2 and attaining the Sustainable Development Goals3 can only be achieved if the causes of death are known and actions to intervene are monitored. Yet, 1 in 2 deaths in low- and middle-income settings goes unreported because few low- and middle-income countries have a fully functional civil registration and vital statistics system in which to register deaths.4 These unregistered deaths occur in deprived communities in which health care is limited and poverty abounds. The investigators are based in Lusaka at the university teaching hospital, at which infants who have died out of a hospital are brought to have the deaths registered. The primary aim of the study is to identify the pathologic causes of death. Postmortems are performed after consent from the family. When obtaining permission and recording demographic details of a child, the interviewers ask the family some open-ended questions about the events leading up to the death. It is these narratives that Lapidot et al1 report in this issue of Pediatrics.

    The authors call the stories “modified verbal autopsies,” although a standardized and validated questionnaire was not used and the analyses were retrospectively …

    Address correspondence to Elizabeth Molyneux, FRCPCH, Flat 4, Cap Martin, The Serpentine, Liverpool L23 6TD, UK. E-mail: emmolyneux{at}gmail.com

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    Pediatrics
    Vol. 147, Issue 4
    1 Apr 2021
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    Learning to Listen
    Elizabeth Molyneux, Sassy Molyneux
    Pediatrics Apr 2021, 147 (4) e2020044081; DOI: 10.1542/peds.2020-044081

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    Learning to Listen
    Elizabeth Molyneux, Sassy Molyneux
    Pediatrics Apr 2021, 147 (4) e2020044081; DOI: 10.1542/peds.2020-044081
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