scholarly journals India’s Civil Registration System: a potentially viable data source for reliable subnational mortality measurement

2020 ◽  
Author(s):  
Chalapati Rao ◽  
Mamta Kansal
Keyword(s):  
Cause Of Death ◽  
Civil Registration System ◽  
Registration System ◽  
Civil Registration ◽  
Medical Certification ◽  
Sample Registration System ◽  
Reliable Source ◽  
Data Source ◽  
Near Future

ABSTRACTIntroductionThe Indian national Civil Registration System (CRS) is the optimal data source for mortality measurement, but is yet under development. As an alternative, data from the Sample Registration System (SRS) which covers less than 1% of the national population is used. This article presents a comparative analysis of mortality measures from the SRS and CRS in 2017, and explores the potential of the CRS to meet these subnational data needs.MethodsData on population and deaths by age and sex for 2017 from each source were used to compute national and state level life tables. Sex specific ratios of death probabilities in five age categories (0-4, 5-14, 15-29, 30-69, 70 -84, 85+) were used to evaluate CRS data completeness, using SRS probabilities as reference values. The quality of medically certified causes of death was assessed through hospital reporting coverage and proportions of deaths registered with ill-defined causes from each state.ResultsThe CRS operates through an extensive infrastructure with high reporting coverage, but child deaths are uniformly under reported, as well as female deaths in some states. However, at ages 30 to 69 years, CRS death probabilities are higher than the SRS values in 15 states in males and 10 states in females. SRS death probabilities are of limited precision for measuring mortality trends and differentials. Medical certification of cause of death is affected by low hospital reporting coverage.ConclusionsThe Indian CRS is more reliable than the SRS for measuring adult mortality in several states. Targeted initiatives to improve the recording of child and female deaths, to strengthen the quality of medical certification of cause of death, and to promote use of verbal autopsy methods are necessary to establish the CRS as a reliable source of sub national mortality statistics in the near future.KEY MESSAGESThe Sample Registration System (SRS) is currently the main source of mortality statistics in India, since the Civil Registration System (CRS) is yet under developmentLimitations in sample size as well as problems with quality of causes of death result in considerable uncertainty in population level mortality estimates from the SRSThis research evaluated the quality of the sex and age specific mortality risks from the CRS, using the SRS values in each state as reference valuesThe CRS has high levels of reporting coverage for death registration, and also measures higher levels of mortality at ages 30 to 69 years in several states, with high precisionInterventions are required to improve child death registration, strengthen medical certification of cause of death in hospitals, and introduce verbal autopsy for home deathsThese interventions will establish the CRS as a routine and reliable source for national and subnational mortality measurement in India in the near future

scholarly journals Addressing the rising cause of death due to diseases of the circulatory system geared towards achieving SDG 3: evidence from data on medical certification of cause of deaths in Rajasthan State, India: 1999-2015

2017 ◽  
Vol 5 (1) ◽  
pp. 182 ◽  
Author(s):  
Manoj Kumar Raut ◽  
Ananta Basudev Sahu
Keyword(s):  
Cause Of Death ◽  
Estimation Method ◽  
Well Being ◽  
Chronic Respiratory Disease ◽  
Civil Registration System ◽  
Registration System ◽  
Civil Registration ◽  
Medical Certification ◽  
Cause Of Deaths ◽  
Circulatory Diseases

Background: Medical certification of cause of death (MCCD) scheme is imperative tool to obtain scientific and reliable information in terms causes of mortality. The office of the registrar general of India (ORGI) initiated the scheme on MCCD under civil registration system (CRS), during the third five year plan. Methods: This paper analyzes the data for the last 16 years for MCCD in Rajasthan from 1999 to 2015. The findings are based on more than half a million deaths, for which cause of death data is reported. The per cent of cause of deaths have been computed and the curve estimation method has been used to project the cause of death due to circulatory diseases. Results: The data reveals that the percentage of medically certified deaths hovers around 10 to 13 percent during 1999 to 2015 of the total deaths registered under the civil registration system, which is about 5 million deaths. The highest percentage of deaths that has been medically certified is due to circulatory diseases as seen for the combined period of sixteen years (1999-2015) (21 percent) followed by deaths due to certain infectious and parasitic diseases (16 percent). This has increased from 13.8 per cent in 1999 to 20.2 per cent in 2015. This proportion has been projected upto 2030, the target year of achievement of Sustainable Development Goals (SDGs). Conclusions: Addressing this cause, could help in the achievement of indicator of 3.4.1, mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory disease under the target of reducing by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being by 2030 subsumed under the SDG 3 of ensuring healthy lives and promote well-being for all at all ages. 

scholarly journals Registration and medical certification of deaths in the Indian States: A comparative analysis of data of CRS and MCCD reports (2010-2019)

2021 ◽  
Author(s):  
Anuj Kumar Pandey ◽  
Diksha Gautam ◽  
Benson Thomas M ◽  
Yogita Kharakwal
Keyword(s):  
Cause Of Death ◽  
State Level ◽  
Current Status ◽  
Quality Of Data ◽  
Indian States ◽  
Registration System ◽  
Civil Registration ◽  
Registration Data ◽  
Medical Certification

AbstractBackgroundThe medical certification of cause of death (MCCD) under Civil Registration System (CRS) has been implemented in the States/UTs in a phased manner to provide data on cause of death but due to incomplete coverage and inadequate quality of civil registration data and medically certified data system, use of this data has been compromised. The completeness of registration of death (CoRD) and completeness of medically certified deaths were assessed from 2010 to 2019 at state level to understand their current status and trend over time and also to identify gaps in data to improve data quality.MethodsCoRD and CoMeRD for each year for each state was calculated from the CRS reports and MCCD reports respectively for the period 2010-2019. Data were analyzed nationally as per geographical region and individual state. Union Territories excluding Delhi and Telangana have not been considered in this analysis.ResultsThe CoRD in India have increased in the CRS from 66.9% in 2010 to 92 percent in 2019, a significant increase of 37.7% over 9 years (P<0.001) whereas India has not witnessed a substantial increase in the CoMeRD in MCCD which has increased from 17.1% in 2010 to only 20.6% in 2019. Among the 29 States, 18 (62%) had CoRD >95 percent in 2019, with 15 states recording 100 percent of CoRD however just 3 states (10.3%) have CoMeRD more than 50% namely Goa (100%), Manipur (67.3%) and Delhi (61.7%).Interpretation & conclusionsDespite the significant progress made in CoRD in India, importance of medical certification cannot be undermined; critical differences between the States within the CRS and MCCD remain a cause of concern. Concentrated efforts to assess the strengths and weaknesses at the State level of the MCCD and CRS processes, quality of data and plausibility of information generated are needed in India.

scholarly journals The civil registration system is a potentially viable data source for reliable subnational mortality measurement in India

2020 ◽  
Vol 5 (8) ◽  
pp. e002586 ◽  
Author(s):  
Chalapati Rao ◽  
Mamta Gupta
Keyword(s):  
Causes Of Death ◽  
National Level ◽  
State Level ◽  
Adult Mortality ◽  
Civil Registration System ◽  
Mortality Trends ◽  
Registration System ◽  
Civil Registration ◽  
Data Source

IntroductionThe Indian national Civil Registration System (CRS) is the optimal data source for subnational mortality measurement, but is yet under development. As an alternative, data from the Sample Registration System (SRS), which covers less than 1% of the national population, is used. This article presents a comparison of mortality measures from the SRS and CRS in 2017, and explores the potential of the CRS to meet these subnational data needs.MethodsData on population and deaths by age and sex for 2017 from each source were used to compute national-level and state-level life tables. Sex-specific ratios of death probabilities in five age categories (0–4, 5–14, 15–29, 30–69, 70–84) were used to evaluate CRS data completeness using SRS probabilities as reference values. The quality of medically certified causes of death was assessed through hospital reporting coverage and proportions of deaths registered with ill-defined causes from each state.ResultsThe CRS operates through an extensive infrastructure with high reporting coverage, but child deaths are uniformly under-reported, as are female deaths in many states. However, at ages 30–69 years, CRS death probabilities are higher than the SRS values in 15 states for males and 10 states for females. SRS death probabilities are of limited precision for measuring mortality trends and differentials. Data on medically certified causes of death are of limited use due to low hospital reporting coverage.ConclusionsThe Indian CRS is more reliable than the SRS for measuring adult mortality in several states. Targeted initiatives to improve the recording of child and female deaths, to strengthen the reporting and quality of medically certified causes of death, and to promote use of verbal autopsy methods can establish the CRS as a reliable source of subnational mortality statistics in the near future.

scholarly journals Application of verbal autopsy in routine civil registration in Lusaka District of Zambia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
C. Chabila Mapoma ◽  
Brian Munkombwe ◽  
Chomba Mwango ◽  
Bupe Bwalya Bwalya ◽  
Audrey Kalindi ◽  
...  
Keyword(s):  
Middle Ages ◽  
Cause Of Death ◽  
Verbal Autopsy ◽  
Opportunistic Infections ◽  
Civil Registration System ◽  
Registration System ◽  
Civil Registration ◽  
Major Teaching Hospital ◽  
External Causes ◽  
Causes Of Deaths

Abstract Background Ascertaining the causes for deaths occurring outside health facilities is a significant problem in many developing countries where civil registration systems are not well developed or non-functional. Standardized and rigorous verbal autopsy methods is a potential solution to determine the cause of death. We conducted a demonstration project in Lusaka District of Zambia where verbal autopsy (VA) method was implemented in routine civil registration system. Methods About 3400 VA interviews were conducted for bodies “brought-in-dead” at Lusaka’s two major teaching hospital mortuaries using a SmartVA questionnaire between October 2017 and September 2018. Probable underlying causes of deaths using VA and cause-specific mortality fractions were determined.. Demographic characteristics were analyzed for each VA-ascertained cause of death. Results Opportunistic infections (OIs) associated with HIV/AIDS such as pneumonia and tuberculosis, and malaria were among leading causes of deaths among bodies “brought-in-dead”. Over 21.6 and 26.9% of deaths were attributable to external causes and non-communicable diseases (NCDs), respectively. The VA-ascertained causes of death varied by age-group and sex. External causes were more prevalent among males in middle ages (put an age range like 30–54 years old) and NCDs highly prevalent among those aged 55 years and older. Conclusions VA application in civil registration system can provide the much-needed cause of death information for non-facility deaths in countries with under-developed or non-functional civil registration systems.

scholarly journals Penilaian Kualitas Data Penyebab Kematian di Indonesia Tahun 2014

2020 ◽  
Vol 48 (4) ◽  
pp. 235-242
Author(s):  
Endang Indriasih ◽  
Tita Rosita ◽  
Anni Yulianti ◽  
Rozana Ika Agustiya
Keyword(s):  
Cause Of Death ◽  
Public Health Policy ◽  
Causes Of Death ◽  
Circulatory System ◽  
Quality Of Data ◽  
Registration System ◽  
Low Level ◽  
Sample Registration System ◽  
Garbage Code

Sample Registration System (SRS) is a demographic survey for providing data on causes of death (COD) in Indonesia. The quality of COD will be taken into consideration for health policies development. This paper aims to assess the quality of data on the causes of death in Indonesia through the proportion and level of garbage codes on the impact when used in policy making. The 2014 National COD data set were assessed by applying the Analysis of National Causes of Death for Action (ANACONDA) software tool version 3.7.0. Distributions and levels of unusable and insufficiently specified “garbage” codes were analyzed. The Result shows, Diseases of the circulatory system (62.6%) contributed the most to garbage cause of death. The proportion of unusable COD was 31% of total data. 80% of garbage code were unspecified deaths group. Most of the garbage codes has low-level on severity of impact level for policy, while 11% of total codes has medium, high dan very high level of impact. In Conclusion, the 2014 SRS data was not at high quality, but the implications of garbage code in making inappropriate policies are mostly at low level. The use of low-level codes has less important impact on public health policy. The 2014 SRS data could be considered as a scientific basis evidence for public health policy. Quality improvement still needs to be done by conducting training and refreshing to determine the cause of death for doctors and data collection techniques for data collectors Keywords : Cause of Death, quality of data, Sample Registration System, ANACONDA Abstrak Sample Registration System (SRS) merupakan survei demografi untuk menyediakan data penyebab kematian (COD) di Indonesia. Kualitas COD akan menjadi bahan pertimbangan dalam membuat kebijakan kesehatan. Tulisan ini bertujuan untuk menilai kualitas data penyebab kematian di Indonesia melalui besar proporsi dan level kode sampah terhadap dampak yang ditimbulkan ketika digunakan dalam membuat kebijakan. Data penyebab kematian nasional tahun 2014 dinilai dengan menggunakan perangkat lunak Analisis Penyebab Kematian Nasional untuk Tindakan (ANACONDA) versi 3.7.0. Distribusi dan level kode "sampah" yang tidak dapat digunakan dianalisis dengan menggunakan ANACONDA. Hasil analisis menunjukkan, Diseases of the circulatory system (62.6%) berkontribusi terbanyak dalam hal kode sampah. Proporsi kode sampah yang tidak dapat digunakan adalah 31% dari total kode. Kode sampah yang paling umum digunakan adalah kelompok penyebab kematian tidak spesifik dan kelompok penyebab kematian antara. Berdasarkan tingkat keparahan dalam membuat kebijakan, sebagian besar kode sampah termasuk kategori level rendah, hanya 11% dari total kode memiliki tingkat dampak sedang, tinggi dan sangat tinggi. Kesimpulannya, kualitas data SRS 2014 masih kurang baik, namun implikasi yang ditimbulkan kode sampah dalam membuat kebijakan yang salah sebagian besar berada pada level rendah. Penggunaan kode-kode level rendah memiliki dampak yang kurang penting bagi kebijakan kesehatan masyarakat. Data penyebab kematian SRS 2014 layak dipertimbangkan untuk digunakan sebagai dasar kebijakan Kesehatan masyarakat. Pelatihan penentuan penyebab kematian untuk dokter dan juga petugas AV perlu dilakukan agar kualitas data COD selanjutnya dapat lebih baik Kata kunci: penyebab kematian, kualitas data, Sample Registration System, ANACONDA

The Danish unique personal identifier and the Danish Civil Registration System as a tool for research and quality improvement

2019 ◽  
Author(s):  
Jan Mainz ◽  
Mikkel Hagen Hess ◽  
Søren Paaske Johnsen
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Quality Of Care ◽  
Research Quality ◽  
Civil Registration System ◽  
Registration System ◽  
Civil Registration ◽  
Personal Identifier ◽  
Danish Civil Registration System

Abstract All countries want to improve the health of their populations and to improve the quality of care and patient safety. Consequently, there is an ongoing need to assess and document population health, the quality of care and patient safety using valid and reliable data. This requires the ability to monitor the same individuals over time as they receive prevention, diagnostics, treatments, care and rehabilitation and experience improvements or deteriorations in their health or healthcare. This is, however, a challenge for most healthcare systems. A prerequisite to such data is the unique personal identifier. This perspective on quality paper describes the experience with the unique personal identifier in Denmark, based on the Danish Civil Registration System (DCRS) as a tool for research in epidemiology, health services research, quality improvement and patient safety. DCRS has been celebrating its 50 years anniversary.

scholarly journals Ascertaining Cause of non-Facility Deaths and Associated Demographic Characteristics: An Application of Verbal Autopsy in Routine Civil Registration in Lusaka District of Zambia

2021 ◽  
Author(s):  
Chabila Mapoma ◽  
Brian Munkombwe ◽  
Chomba Mwango ◽  
Bwalya Bwalya ◽  
Audrey Kalindi ◽  
...  
Keyword(s):  
Middle Ages ◽  
Cause Of Death ◽  
Verbal Autopsy ◽  
Opportunistic Infections ◽  
Demographic Characteristics ◽  
Civil Registration System ◽  
Registration System ◽  
Civil Registration ◽  
External Causes ◽  
Causes Of Deaths

Abstract BACKGROUND: Ascertaining the cause for deaths occurring outside health facilities is a significant problem in many developing countries where civil registration systems are poor or non-functional. Standardized and rigorous verbal autopsy methods is a potential solution determine the cause of death. We conducted a demonstration project in Lusaka District of Zambia where verbal autopsy (VA) method was implemented in routine civil registration system. METHODS: About 3400 VA interviews were conducted for the “brought-in-dead” cases at Lusaka’s two major hospital mortuaries using a SmartVA questionnaire between October 2017 and September 2018. Probable underlying causes of deaths using VA and cause-specific mortality fractions were determined for each cause. Demographic characteristics associated with each cause were analyzed. RESULTS: Opportunistic infections associated with HIV/AIDS such as pneumonia, tuberculosis and malaria were among leading causes of deaths among cases of “brought-in-dead”. Over 21% and 27% of deaths were attributable to external causes and non-communicable diseases, respectively. The VA-ascertained causes of death varied by age-group and sex. External causes were more prevalent among males in middle ages (put an age range like 30-54 years old) and NCDs highly prevalent among those aged 55 years and older CONCLUSIONS: VA application in civil registration system can provide the much needed cause of death information for non-facility deaths in countries with poor civil registration system.

scholarly journals Civil registration system (CRS) for birth and death registration in Assam – A rapid assessment

2020 ◽  
Vol 8 (1) ◽  
pp. 117-122
Author(s):  
Tushar Manohar Rane ◽  
Tulika Goswami Mahanta ◽  
Safikul Islam ◽  
Pranjal Pratim Gogoi ◽  
Bivash Gogoi
Keyword(s):  
Rapid Assessment ◽  
Death Registration ◽  
Civil Registration System ◽  
Registration System ◽  
Civil Registration

Employment, disability pension and income for children with parental multiple sclerosis

2016 ◽  
Vol 23 (8) ◽  
pp. 1148-1156 ◽  
Author(s):  
Julie Yoon Moberg ◽  
Bjarne Laursen ◽  
Nils Koch-Henriksen ◽  
Lau Caspar Thygesen ◽  
Anne Brødsgaard ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Low Income ◽  
Disability Pension ◽  
Adult Life ◽  
Offspring Cohort ◽  
Civil Registration System ◽  
Registration System ◽  
Civil Registration ◽  
Employment Disability ◽  
The Mean

Background: Little is known about the consequences of parental multiple sclerosis (MS) on offspring’s socioeconomic circumstances. Objective: To investigate employment, disability pension and income in offspring of parents with MS compared with matched reference persons in a nationwide register-based cohort study. Methods: All Danish-born persons with onset of MS during 1950–1986 were retrieved from the Danish Multiple Sclerosis Registry. Their offspring were identified using the Civil Registration System. One random offspring from each sibship was matched by sex and year of birth with eight random reference persons. Results: We included 2456 MS offspring and 19,648 reference persons. At age 30, employment was lower among MS offspring than reference children (odds ratio (OR): 0.89; 95% confidence interval (CI): 0.84–0.95; p = 0.0003), and they more often received disability pension (OR: 1.31; 95% CI: 1.15–1.50; p < 0.0001) at ages 30 and 40 but not at age 50. Although the mean income was not significantly lower for the MS offspring cohort, most of them attained an annual personal income below 250,000 DKK (Danish krone), that is, ~33,650 EUR (OR: 0.91; 95% CI: 0.84–0.99; p = 0.04). Conclusion: Having had a parent with MS may affect employment and increase the risk of disability pension and low income in adult life.

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