Bulletin of the World Health Organization

Verbal autopsy coding: are multiple coders better than one?

Rohina Joshi, Alan D Lopez, Stephen MacMahon, Srinath Reddy, Rakhi Dandona, Lalit Dandona & Bruce Neal

Volume 87, Number 1, January 2009, 51-57

Table 2. Breakdown of estimated annual cost of implementing a mortality surveillance system, Andhra Pradesh, India, 2003–2004

Process Cost per death
Total costa
Total savings with single codingb
Rs US$c Rs US$c Rs US$c
Training 50 1.09 67 025 1 474.97 0 0
Data collection 106 2.34 144 024 3 169.44 0 0
Cause of death assignment 250 5.51 339 000 7 460.14 169 500 3 730
Project management 252 5.55 341 724 7 520.08 103 662 2 281
Total cost 659 14.49 891 773 19 624.63 273 162 6 011

US$, United States dollars; Rs, Indian rupees.
a Cost per death multiplied by total number of deaths (1354).
b With deaths coded only once, the cause-of-death assignment costs would be reduced by half, and project management costs would be reduced by one third.
c Conversion rate: 1 Rs = US$ 0.0220063 (average exchange rate for 2003–2004, Reserve Bank of India).
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