scholarly journals Underreporting of the 5-year tetanus, diphtheria, pertussis and polio booster vaccination in the Danish Vaccination Register

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Sidsel Skou Voss ◽  
Ida Glode Helmuth ◽  
Camilla Hiul Suppli ◽  
Palle Valentiner-Branth
Keyword(s):  
Vaccination Coverage ◽  
Booster Vaccination ◽  
Vaccination Schedule ◽  
Civil Registration System ◽  
Current Estimate ◽  
Registration System ◽  
Only Children ◽  
Civil Registration ◽  
Tailored Communication ◽  
Low Coverage

Abstract Background In Denmark, vaccination coverage is measured using the Danish Vaccination Register (DDV). In general, the vaccination coverage is high, but for some vaccinations, the coverage is suboptimal with geographical variation. This study aims to validate the vaccination coverage of the 5-year booster and identify overall reasons for non-vaccination in Copenhagen. Methods We validated the coverage of the 5-year tetanus, diphtheria, pertussis and polio booster for children born in 2010 and living in Copenhagen municipality in 2018, an area with low coverage (current estimate: 89%). We identified all children born in 2010 in the Civil Registration System and sent an electronic questionnaire to parents of children without a record of the 5-year booster in the DDV. Results Parents of 692 children were contacted and 49% participated. Of those, 186 (55%) reported that the child was vaccinated: 61% by their general practitioner and 34% abroad. The most common reason for non-vaccination was forgetfulness (31%), 26% did not want their child vaccinated and 17% had migrated from abroad and were not aware of the vaccination schedule. Considering only children with documentation for the vaccination, the corrected vaccination coverage was 91%. Conclusions We conclude that the coverage of the 5-year booster in Copenhagen is currently underestimated and should be adjusted by 2%. We recommend increased awareness from general practitioners and tailored communication about the vaccination programme targeting immigrants in Denmark.

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 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.

scholarly journals Strengthening Civil Registration System in AP, India: Lessons from a 4 Year Study

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Jayaram Madala ◽  
Srikrishna Sulgodu Ramachandra
Keyword(s):  
Civil Registration System ◽  
Registration System ◽  
Civil Registration ◽  
Factors Influencing ◽  
Inter State

Civil Registration System (CRS) in India has been in vogue for more than 100 years now. Even after 4 decades of the enactment of the Act, there are wide inter-state and intra-state variations.  Objectives 1.  To assess the district wise reporting and registrations of births and deaths in AP from 2007 - 2010. 2.    To make an urban vs. rural comparison of proportions of these registrations. 3. To identify factors influencing civil registration in AP and steps for strengthening CRS. The article discusses, determinants of civil registration in India & strategies for strengthening reporting & registrations.

scholarly journals The scale of Gujarat’s mortality crisis

2021 ◽  
Author(s):  
Aashish Gupta ◽  
Murad Banaji
Keyword(s):  
Civil Registration System ◽  
Registration System ◽  
Civil Registration ◽  
Excess Deaths

Analysis of excess deaths from the civil registration system spotlights the systematic obfuscation in official statements

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

The Danish Civil Registration System as a tool in epidemiology

2014 ◽  
Vol 29 (8) ◽  
pp. 541-549 ◽  
Author(s):  
Morten Schmidt ◽  
Lars Pedersen ◽  
Henrik Toft Sørensen
Keyword(s):  
Civil Registration System ◽  
Registration System ◽  
Civil Registration ◽  
Danish Civil Registration System

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.

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