This is one of the advocacy documents of the Fourth Conference of African Ministers Responsible for Civil Registration held from 4 to 8 December 2017 in Nouakchott, Mauritania.
The fact sheet is one of the advocacy documents of the Fourth Conference of African Ministers Responsible for Civil Registration held from 4 to 8 December 2017 in Nouakchott, Mauritania.
The practical guide on improving death registration and collecting cause of death information is one of the background documents of the Fourth Conference of African Ministers Responsible for Civil Registration held from 4 to 8 December 2017 in Nouakchott, Mauritania. It was developed to help tackle the above-mentioned challenges.
The article introduced a new definition of “drowning” (1). Most of the time we intuitively know what drowning is until someone asks us explicitly to define it. In scientific research, meaningful definitions are essential for comparability and reproducibility. Drowning has been listed as the second leading cause of death from unintentional injury in WHO reports, after road traffic accidents (2).
The 11th revision of the International Classification of Diseases and Related Health Problems (ICD) will be developed as a collaborative effort supported by Webbased software.
The Births and Deaths Statistics Report contains information on the births and deaths occurring in Timor-Leste in 2014-2015. In addition to these vital statistics, the report also contains an overview of Timor-Leste's CRVS system, coordination efforts between different government ministries, legal issues regarding CRVS, a comparison of the Ministry of Health's registration information with the General Directorate of Statistics' information, as well as recommendations for improvement.
Posters on cause of death, demographic statistics, household information, vital statistics, and fertility displayed by Malaysia as part of the CRVS Marketplace during the third meeting of the Regional Steering Group held in Bangkok from 18-20 October, 2017.
In this Series paper, the authors examine whether well functioning civil registration and vital statistics (CRVS) systems are associated with improved population health outcomes. They present a conceptual model connecting CRVS to wellbeing, and describe an ecological association between CRVS and health outcomes. The conceptual model posits that the legal identity that civil registration provides to individuals is key to access entitlements and services. Vital statistics produced by CRVS systems provide essential information for public health policy and prevention.
This study aims to assess the quality of mortality data from the registration system of Thailand. The study takes advantage of the Kanchanaburi Project by comparing the deaths found in the annual censuses to those recorded in the civil registration system in order to measure the level of under-registration. The age and sex pattern of death registration found in this study might be useful information in adjusting the data from this source.
An effective Civil Registration and Vital Statistics (CRVS) system helps secure a person’s legal identity, tracks the major events of an individual’s life such as; birth, adoption, marriage, divorce, death, and cause of death, and is essential for planning, measuring and monitoring progress of development. In the past few years, several initiatives have been underway to harness the potential of Information and Communication Technology (ICT) to strengthen CRVS.
UNICEF, UNHCR, UNESCAP, Plan International, and WHO, in collaboration the CRVS Regional Steering Group and other partners, hosted the Asia-Pacific Civil Registrars Meeting. The main objectives of the meeting were to:
• Agree on the formulation of the proposed Asia-Pacific Civil Registrars’ Network and the objectives, principals, roles, modalities and structure
• Present good practices, pilots and promising innovations at national level, and provide guidance on how to most effectively manage and scale up innovations to strengthen CRVS systems
In 2014, at the Sixty-seventh World Health Assembly, 194 Member States endorsed the Every Newborn: an action plan to end preventable deaths (Resolution WHA67.10), a road map of strategic actions to end preventable newborn mortality and stillbirths and contribute to reducing maternal mortality and morbidity. The Every Newborn Action Plan presents evidence-based solutions and sets out a clear path to 2020 with eight specific milestones for what needs to be done differently to greatly reduce mortality rates and improve maternal and newborn health by 2030.
CRVS data on mortality and cause of death is essential for improving health in the Pacific islands.
Please see the poster on Monitoring the Pacific non-communicable disease (NDC) crisis for more details.
"Is every child counted?" provides a status report on the data availability of child related SDG indicators showing that sufficient data is available only for half of those. Many indicators, such as those on poverty and violence cannot be compared, and are either too limited or of poor quality, leaving governments without the information they need to accurately address challenges facing millions of children, or to track progress towards achieving the Goals. The report also identifies priorities for enhancing the collection, analysis and use of data for children.
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 gathered African experts in mortality statistics collections together to collaborate on new technical guidance to be provided to countries for designing better mortality statistics systems; and to develop a pool of available experts to deploy to countries to support technical improvement and results in mortality data collections, especially for death registration, hospital deaths and integrating systems for community deaths.
This document has been developed through a consultative process involving country representatives from the health, civil registration and statistics sectors, technical experts, researchers, and representatives of agencies, donors and development partners. As part of this process, a technical meeting, Improving Mortality Statistics as part of Strengthening Civil Registration and Vital Statistics Systems, World Health Organization, Technical Meeting, was convened by WHO from 4 to 5 November 2014 in Geneva, Switzerland.
Accurate cause of death (COD) information is fundamental to good public health practice. The principal sources of information are medical certificates of COD for deaths in hospitals and verbal autopsies for non-hospital deaths. A verbal autopsy (VA) is a process whereby relatives of the deceased respond to questions about the medical history and terminal illness of the decedent (i.e. the illness that led directly to death). These two sources of COD data are complementary.
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.
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 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.
The Civil Registration and Vital Statistics (CRVS), Data for Health Initiative (D4H), at The University of Melbourne has developed an assessment tool 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.
Iris is an automatic system for coding multiple causes of death and for the selection of the underlying cause of death. It can be used in batch or interactively. The aim of Iris is twofold:
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.
This paper describes a Vital Statistics Performance Index, a composite of six dimensions of VS strength, each assessed by a separate empirical indicator. The six dimensions include: quality of cause of death reporting, quality of age and sex reporting, internal consistency, completeness of death reporting, level of cause-specific detail, and
Increasing demand for better quality data and more investment to strengthen civil registration and vital statistics (CRVS) systems will require increased emphasis on objective, comparable, cost-effective monitoring and assessment methods to measure progress.
This report presents 2013 data on U.S. births according to a wide variety of characteristics. Data are presented for maternal age, live-birth order, race and Hispanic origin, marital status, attendant at birth, method of delivery, period of gestation, birth weight, and plurality. Birth and fertility rates are presented by age, live-birth order, race and Hispanic origin, and marital status. Selected data by mother’s state of residence and birth rates by age and race of father also are shown.
A review of the quality of cause of death data from 115 WHO member countries, published in 2005, categorized South Africa as having low quality cause of death data based on a combination of a more than 20% of deaths being ill-defined deaths and less than 70% of deaths being registered.
Objective To analyse the design and operational status of India’s civil registration and vital statistics system and facilitate the system’s development into an accurate and reliable source of mortality data.
This is a non-official document, for information only, prepared by the Working group of co-organizers of the Ministerial Conference on Civil Registration and Vital Statistics in Asia and the Pacific to be held in Bangkok, 24 November to 28 November 2014. It provides additional background information to delegations attending the Regional Preparatory Meeting for the Ministerial Conference on 28 and 29 August 2014.
This policy brief proposes a framework with options for countries to rapidly improve information about cause of death (COD) in their populations, which includes a series of actions that are based on the literature and national experiences with intervention strategies according to the level of statistical development of a country.
The 2016 version of the WHO verbal autopsy instrument is suitable for routine use. The instrument is designed for all age groups, including maternal and perinatal deaths, and also deaths caused by injuries. Based on the 2012 instrument, and the 2014 version, questions have been added or edited to facilitate the use of publicly available analytical software for assigning the cause of death (SmartVA, InterVA, InSilicoVA).
This rapid assessment tool has been developed to accompany the comprehensive guide, and countries are advised to apply it before undertaking a full review of their systems. The rapid assessment tool is not a replacement for the detailed procedures described in the comprehensive guide; instead, it provides a quick overview of how well or how poorly a country’s overall system is functioning. The rapid assessment tool consists of 25 questions, grouped into 11 areas, about how the civil registration and vital statistics systems function.
This volume of the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) contains guidelines for recording and coding, together with much new material on practical aspects of the classification’s use, as well as an outline of the historical background to the classification. This manual provides a basic description of the ICD, together with practical instructions for mortality and morbidity coders, and guidelines for the presentation and interpretation of data. It is not intended to provide detailed training in the use of the ICD.
The detailed assessment tool reviews the main aspects of the civil registration and vital statistics systems. These include the legal and regulatory framework; registration, certification and coding practices; and the compilation, tabulation and use of the resulting data. The tool comprises both a roadmap, which outlines the main steps in conducting the review, starting with the formation of a review committee of key stakeholders, and an assessment framework, which serves as a template for the detailed review.
The SMoL has been designed to be in line with the ICD, 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 3- or 4-digits should use the Simple Mortality List. Wherever capacity exists or completeness of reporting is sufficient, the full ICD should be used, ideally in combination with electronic coding tools.
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.
The objective of the Mortality Forum and the Mortality Reference Group (MRG) is to improve international comparability of mortality data by establishing standardized application of the International Classification of Diseases, 10th edition (ICD-10).
This resource is a joint IUSSP and UNFPA project to produce a single volume containing updated tools for demographic estimation from limited, deficient and defective data.
The objective of this study is to present available empirical evidence obtained through household surveys in order to estimate levels of registration and to understand which factors are associated with children who obtain a birth certificate, and thus realize their right to a name and legal identity. The paper presents a global assessment of birth registration levels, differentials in birth registration rates according to socio-economic and demographic variables, proximate variables and caretaker knowledge, as well as a multivariate analysis.
This course has been set up in response to the growing shortage of skilled population analysts in low and middle income countries, as identified by IUSSP and UNFPA, and the lack of post-graduate training in technical population analysis available to counteract this trend. The primary focus of this course is introducing the user to the methods used by demographers to analyse population data, and the sources of this data and the methods used to collect this data. Throughout the course, students are introduced to the types of issues of interest to demographers through real examples.
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.
This guide is intended to help build analytical capacity to assess the quality of mortality statistics that are currently being collected in order to improve their value in informing health policies and programs. To assist countries in validating and correcting their mortality data, the World Health Organization (WHO), in partnership with the Health Information Systems Knowledge Hub at the University of Queensland (UQ), Brisbane, has developed this mortality statistics assessment guide and toolkit.
The VAI was initially designed to be used by field reporters with minimal schooling and had only 18 symptom questions. It also allowed for the recording of a brief open-ended narrative, the place of death, any treatment by health services, and the type of treatment. The disease classification was based on Lay reporting of health information (WHO 1978) and COD was entered into the international form of the death certificate. Verbal autopsies (VAs) were physician-coded with reference to diagnostic algorithms.
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 document offers guidance on strategies for strengthening vital statistics in national civil registration and vital statistics (CRVS) plans, with a focus on mortality and cause-of-death statistics, which are urgently needed to inform public health decision-making and monitor progress towards national and international health goals. The document summarizes key mortality related indicators and describes the strengths and limitations of different data sources.
This document highlights the importance of death registration in Africa and presents the status of death registration, what is currently being done and recommendations for improvement.
This international curriculum describes minimum requirements for the content of training in certifying causes of death. Its purpose is to provide a basis for education for all countries.
This paper presents the findings of a case study of civil registration and vital statistics systems in three provinces in Viet Nam. The assessment framework used explores administrative, technical and societal issues that influence civil registration systems to critically examine the current availability and adequacy of the data that the system records.
The value of good-quality mortality data for public health is widely acknowledged. While effective civil registration systems remains the ‘gold standard’ source for continuous mortality measurement, less than 25% of deaths are registered in most African countries. Alternative data collection systems can provide mortality data to complement those from civil registration, given an understanding of data source characteristics and data quality.
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