Vital Statistics Assessment and Strategic Planning in Afghanistan
Conducted by the Ministry of Public Health, this initiative aimed to improve Civil Registration and Vital Statistics systems in Afghanistan through comprehensive assessments, strategic planning, and capacity building efforts. The results showcased significant achievements in death certification reporting and birth registration, aiding in better public health outcomes.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
You are allowed to download the files provided on this website for personal or commercial use, subject to the condition that they are used lawfully. All files are the property of their respective owners.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.
E N D
Presentation Transcript
Ministry of Public Health General Directorate of EHIS Vital Statistics Department Vital Statistics in Afghanistan
Outline Background Results & Achievement Challenges Way forward
Background A Comprehensive Assessment of Civil Registration and Vital statistics System initiated by the MOPH on 15-18 Sep 2013 Leading Ministries and Sections: Ministry of Interior Ministry of Public Health Central Statistics Organization Participants (Development Partners): WHO, UNICEF, UNFPA and Others
Aim Of the Assessment To develop a Detailed Strategic Plan for improving CRVS, with cost estimation, a time schedule and clear responsibilities assigned to each stakeholder for implementing the action
Results strategic plan developed Areas of action identified in the SP for stakeholders Ministry of Public Health got the responsibility of collecting Death Reports Based (ICD10) & Birth Registration 10 Master Trainers trained by support of WHO
Results An access based database developed considering the standard Death Certification Report according to ICD10 22 Hospitals (including District, Provincial & National Hospitals) selected for piloting the reporting in 9 Provinces of The country Training conducted for Around 200 participants 19 Hospitals are reporting Death Certification Reports
Achievements Totally 4259 Death Certificates Reported Among which 942 DC excluded from analysis due to (632 DC did not show any specific UCD and Other & 310 DC was left blank) Total Number of DC with specific UCD 3317
Death Certificate vs. HMIS Province Facility ID Facility Name Facility type 2015 2016 2017 Total DC Reports Badakhshan Badakhshan Bamyan Ghazni Hirat Hirat Kabul Kabul Kabul Kabul Kabul Kabul Kabul Kabul Kandahar Kunduz Nangarhar Nangarhar Nimroz Parwan Takhar Takhar Wardak Total 403 Fayzabad Hospital 1167 Baharak District Hospital 1171 Bamyan Hospital 1100 Ghazni Hospital 630 Herat 650 Beds Regional Hospital 648 Gozara District Hospital 5 Qara Bagh District Hospital 40 Surobi District Hospital 138 Isteqlal Hospital 142 Rabia Balkhi Hospital 147 Malalai Maternal Hospital 169 Khair Khana Hospital 170 Dasht-e-Barchi District Hospital DH (H3) 1001 Indra Gandhi Child Health Hospital 1228 Mirwais Regional Hospital 519 Kunduz Hospital 1209 Fatemat-ul-Zahra Hospital 1212 Nanagarhar Regional Hospital RH (H1) 686 Zaranj Hospital 61 Charikar Hospital 429 Shaheed Ahmad Shah Masood Hospital 439 Shaheed Estar General Mohammad Daud Daud 91 MaidanShahr Hospital PH (H2) DH (H3) PH (H2) PH (H2) RH (H1) DH (H3) DH (H3) DH (H3) SH (SH) SH (SH) SH (SH) SH (SH) 251 38 66 260 2035 280 33 93 245 2228 531 19 117 264 2376 1062 90 276 769 6639 14 747 71 154 437 803 5 1 4 6 1 8 3 2 7 0 2 2 4 19 540 330 711 130 17 5312 3455 2170 1230 6096 361 222 2177 177 76 235 35 143 111 154 42 220 143 322 53 88 133 9 0 5 5 7 11 746 SH (SH) RH (H1) RH (H1) PH (H2) 2010 1056 677 359 1373 123 83 612 1716 1127 718 449 1803 98 60 723 1586 1272 775 422 2920 140 79 842 0 0 1 929 PH (H2) PH (H2) PH (H2) DH (H3) PH (H2) 0 7 1 2 4 0 3 7 84 69 104 257 115 4258 9569 10112 12207 31888 Indicators Number of hospital deaths 2015 2016 2017 Total 18132 19419 21683 59234
% of Death Cases By Gender Female 47% Male 53%
Distribution of Death Cases by Age Category 1800 40.0 36.0 1600 35.0 29.7 1400 30.0 1200 25.0 1000 20.0 800 14.1 15.0 600 9.2 10.0 7.2 400 3.8 5.0 200 0 0.0 Withen 7 Days of age (Prenatal Including Early Neonatal) Withen 28 Days of age (Neonatal excluding early Neonatal) Less than one year of Age (Infant excluding Neonatal) Under Five Years of Age (Excluding Infant) Over Fives Non Specified (Blanks)
Underlying Cause of Deaths Underlying Causes of Deaths in Afghanistan 14.0% 450 400 12.0% 350 10.0% 300 8.0% 250 200 6.0% 150 4.0% 100 2.0% 50 0.0% 0
Challenges Capacity in identification of UCD still exist at Hospitals Ignorance in death reports Coordination issues Staff turnover at different level (hospitals & MOPH) Shortages of IT equipment (Computers & Internet) Lack of technical staff (official vs. focal points)
Way Forward Expansion of data collection to 10 More Hospitals Provision of capacity building to new hospital staff provision of refresher trainings Efforts will be made on strengthening of coordination among other stakeholders Replacement of Data entry in SMOL through DHIS2 instead of Previous Ms. Access database
Way Forward Piloting Verbal Autopsy in few provinces A pilot project of VA implemented in Bamyan Provinces (2017)
