Improving Civil Registration and Vital Statistics System for Institutional Deaths in Zambia
Enhance the operational efficiency of the civil registration and vital statistics system in Zambia by addressing bottlenecks and implementing desired procedures for the notification, certification, and registration of deaths occurring in health facilities. Strategies include training medical personnel, implementing ICD-10 coding, consolidating forms, enhancing collaboration between relevant authorities, and establishing monitoring mechanisms for accurate data reporting.
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Presentation Transcript
Strategies for Improving Civil Registration and Vital Statistics System on Institutional Deaths in Zambia Palver Sikanyiti And Martin Nyahoda
Current System Have more than 1 form for a single death event. One used for medical certification which includes CoD and given to relatives as a base for burial licence from local authorities Other form used as death notification.
Current System Family members are responsible for the death registration according to law. There is a punishment (go to prison) if no registration Law is not enforced.
Current Procedures for the Notification, Certification and Registration of Deaths that occur in Health Facilities Hospital death Medical Certificate of the Cause of Death District Local Registrars Notification form Ministry of Home Affairs - Registrar General CODING Death certificate CENTRAL STATISTICAL OFFICE
Bottlenecks in the Current Business Process The Medical Personnel are not trained on cause of death Certification There is no ICD 10 coding Two forms used for death certification Deaths from rural health facilities are left out No monitoring mechanism in place There are no publications on deaths from CR produced by the CSO
Desired Procedures for the Notification, Certification and Registration of Deaths that occur in Health Facilities Hospital death Medical Certificate of the Cause of Death Coding Notification form Ministry of Home Affairs - Registrar General CENTRAL STATISTICAL OFFICE Death certificate
Strategies to Address the Bottlenecks Training of doctors/certifiers Training on ICD 10 Coding Combine the two forms for death registration MoH, MOHA and Statistical Office must work together for quality and coverage Put a monitoring mechanism in place Statistical Office to publish the death and causes of death statistics.
End of Presentation Thank you!
