minimally invasive tissue sampling; low- and lower middle-income countries
Abstract :
[en] ("[en] PURPOSE: In most low- and lower middle-income countries (LMICs), minimally invasive tissue sampling (MITS) is a relatively new procedure for identifying the cause of death (CoD). This study aimed to explore perceptions and acceptance of bereaved families and health-care professionals regarding MITS in the context of MITS initiation in Rwanda as an alternative to clinical autopsy.
METHODS: This was a qualitative phenomenological study with thematic analysis. Participants were bereaved relatives (individual interviews) and health-care professionals (focus-group discussions) involved in MITS implementation. It was conducted in the largest referral and teaching hospital in Rwanda.
RESULTS: Motivators of MITS acceptance included eagerness to know the CoD, noninvasiveness of MITS, trust in medics, and the fact that it was free. Barriers to consent to MITS included inadequate explanations from health-care professionals, high socioeconomic status, lack of power to make decisions, and lack of trust in medics. Health-care professionals perceived both conventional autopsy and MITS as gold-standard procedures in CoD determination. They recommended including MITS among hospital services and commended the post-MITS multidisciplinary discussion panel in CoD determination. They pointed out that there might be reticence in approaching bereaved relatives to obtain consent for MITS. Both groups of participants highlighted the issue of delay in releasing MITS results.
CONCLUSION: Both health-care professionals and bereaved relatives appreciate that MITS is an acceptable procedure to include in routine hospital services. Dealing with barriers met by either group is to be considered in the eventual next phases of MITS implementation in Rwanda and similar sociocultural contexts.","[en] ","")
Disciplines :
Forensic medicine
Author, co-author :
Rugwizangoga, Belson ; Department of Clinical Biology, University of Rwanda, Kigali, Rwanda ; Department of Pathology, University Teaching Hospital of Kigali, Kigali, Rwanda
Niyibizi, Jean Berchmans ; Department of Public Health, University of Rwanda, Kigali, Rwanda
Ndayisaba, Marie Claire; Department of Pathology, University Teaching Hospital of Kigali, Kigali, Rwanda
Musoni, Emile; Department of Clinical Biology, University of Rwanda, Kigali, Rwanda ; Department of Pathology, University Teaching Hospital of Kigali, Kigali, Rwanda
Manirakiza, Felix; Department of Clinical Biology, University of Rwanda, Kigali, Rwanda ; Department of Pathology, University Teaching Hospital of Kigali, Kigali, Rwanda
Uwineza, Annette; Department of Clinical Biology, University of Rwanda, Kigali, Rwanda ; Department of Pathology, University Teaching Hospital of Kigali, Kigali, Rwanda
Tuyisenge, Lisine; Department of Pediatrics, University Teaching Hospital of Kigali, Kigali, Rwanda
Nyundo, Martin ; Université de Liège - ULiège > Faculté de Médecine > Form. doct. sc. méd. (paysage) ; Department of Surgery, University Teaching Hospital of Kigali, Kigali, Rwanda
Hategekimana, Theobald; Department of Surgery, University Teaching Hospital of Kigali, Kigali, Rwanda
Ntakirutimana, Gervais; Department of Pathology, University Teaching Hospital of Kigali, Kigali, Rwanda
Language :
English
Title :
Exploring Perceptions and Acceptance of Minimally Invasive Tissue Sampling among Bereaved Relatives and Health-Care Professionals in Rwanda.
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