Fiji’s country presentation made at the Technical Seminar on Legal Framework for Civil Registration, Vital Statistics and Identity Management Systems on 17-19 July 2017 in Manila, Philippines.
In late November the Pacific Community (SPC) will be hosting a review/“train the trainers” meeting in Fiji on cause of death certification.
The Start-Up Mortality List (SMoL) has been designed to be in line with the International Classification of Diseases version 10 (ICD-10), and informs setting public health priorities and tracking progress towards national and international targets and goals such as the post-2015 health and development agenda. This list is designed to be a first step towards standardized reporting of causes of death. Countries lacking the capacities to code to ICD-10 3- or 4-digits should use the SMoL.
The workshop aimed to guide countries in developing a sustainable nation-wide strategy to implement ICD for causes of death. By the end of the workshop each country should have a sound strategy with set goals and timelines given their resources. Their strategy may also include using verbal autopsy as an approach to obtain causes of death in deaths occurring outside of health-facilities. This will include:
As part of the CRVS D4H Initiative, Sri Lanka is focused on improving the quality of mortality statistics. Through four prioritised interventions, CRVSsystem performance will be enhanced, leading to a significant shift in the quality of vital statistics.
Six interventions have been developed in the Solomon Islands to advance system performance by focusing on unmet objectives from the National CRVS Improvement Plan. These interventions will help advance a system that operates according to international best practice.
In line with their strong commitment to improving civil registration and vital statistics, the Philippines has identified six interventions to improve system performance, with a focus on improving mortality statistics and strengthening staff capacity.
As part of the CRVS D4H Initiative, Myanmar aims to increase the registration of deaths, improve the quality of cause of death data, and enhance understanding of the importance of civil registration. Combined, these activities will help to produce high-quality evidence for policy and planning.
Mortality coding involves transforming information on death certificates into alpha-numeric codes. This allows for the tabulation and aggregation of mortality statistics for monitoring population health.
As part of the Bloomberg Philanthropies Data for Health (D4H) Initiative, countries will be provided with guidance and advice on how to implement or improve mortality coding according to ICD-10 coding rules.
Certification is the process doctors use to determine underlying cause of death. Improved certification practices ensure that decision-makers have accurate information on what people are dying from. Activities to improve certification include: establishing national mortality committees; introducing the international form of medical certificate of cause of death; training courses and curriculum.
This tool is designed to assess the quality of death certification practices through checking for the presence of common errors in death certificates. This can be used to assess the quality of death certification as part of routine assessment, or to assess the training needs of doctors in designing cause of death certification training. This tool can also be used to evaluate the effectiveness of death certification training.
This document provides guidance on how to improve the quality of cause of death data in hospitals, and will be useful for Ministry of Health staff, hospital administrators and managers, medical society officers, medical education leaders, and physicians. It will also be of interest to stakeholders involved in planning and strengthening civil registration and vital statistics systems, as it provides overall guidance on the steps required in improving hospital data.
This handbook aims to guide doctors in filling out death certificates. Death certification forms an important part of a doctor’s duties because the information recorded in death certificates helps decision-makers determine health priorities for prevention of deaths due to similar causes in the future.
This tool is designed to quickly assess the quality of death certification practices through checking for the presence of common errors in death certificates. This can be used to assess the quality of death certification as part of routine assessment, or to assess the training needs of doctors in designing cause of death certification training. This tool can also be used to evaluate the effect of death certification training.
This is the report of the first meeting of National CRVS Steering and Coordination Committee held in Hotel Marriot- Islamabad and supported through WHO under its COIA initiative. Following were the main workshop objectives;
– To discuss the progress made for CRVS improvement and implementation of CRVS Strategic Plan.
– To urge the provincial and special area governments to notify their provincial steering and coordination committees so that national strategic direction could be translated.
During the Ministerial Conference on Civil Registration and Vital Statistics 24 – 28 November 2014, APO discussed ways of producing high quality evidence on health systems to inform policy makers, Knowledge Broker between researchers, development agencies and governments, Building capacity for health policy analyses and evidence based policy formation.
This global health and life sciences course enables learners to investigate health problems affecting large populations – the whole world in fact! By understanding the big numbers in global mortality and their causes and distributions you will learn how to think numerically about global health. We will use real data from real people to ask the questions: What are the major causes of death in the world? Why do we need cause of death statistics? How does counting the dead help the living?
The ANACoD electronic tool provides a step-by-step approach to enable users to quickly conduct a comprehensive analysis of data on mortality levels and causes of death. The tool is an Excel-based application and offers a wider range of analyses and includes a special module for analysing external causes of injury deaths.
This handbook contains instructions for physicians on cause-of-death certification. It was prepared by the Department of Health and Human Services’ Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS). These instructions pertain to the 2003 revision of the U.S. Standard Certificate of Death and the 1992 revision of the Model StateVital Statistics Act and Regulations. This handbook serves as a model that can be adapted by any vital statistics registration area.
These basic guidelines are a tool for countries and regions that have not yet introduced correct cause-of-death certification according to the ICD, or established ICD morbidity and mortality coding practices for their data, and therefore cannot compare the health situation of their population to that of other countries. The tool is organised for easy reference and explains in a stepwise way how to go about establishing ICD certification and coding practices in a country or region.
This manual provides instructions to mortality medical coders and nosologists for coding the underlying cause of death from death certificates filed in the states. These mortality coding instructions are used by both the State vital statistics programs and the National Center for Health Statistics (NCHS), which is the Federal agency responsible for the compilation of U.S. statistics on causes of death. NCHS is part of the Centers for Disease Control and Prevention.
This is an online module on “Improving Cause of Death Reporting” for training physicians. It covers topics such as importance of cause of death, completing a death certificate, and the medical examiner or coroner physician overview. This module can be used with or without audio.
This handbook has been developed to provide doctors and medical students with guidelines on documenting medical records to the required level of quality, as defined by the Royal College of Physicians (2009) and the World Health Organization (2006).The handbook is aimed primarily at junior doctors whose first language is not English, especially those in Sri Lanka and the Asia Pacific region
The section on the cause of death on the death certificate is identical worldwide. It has two parts - called Part I and Part II, and a section to record the time interval between the onset of each condition and the date of death.
Part I - is used for diseases or conditions that form part of the sequence of events leading directly to death.
Part II - is used for conditions which have no direct connection with the events leading to death but whose presence contributed to death.
The objective of this study is to synthesise the findings from a large number of studies that have used medical record reviews to validate the COD reported on the death certificate or through the vital registration system. Based on an analysis of a core set of these studies, we developed a methodological framework for medical record reviews for countries to follow for routinely validating their CODs.
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