The Sustainable Development Goal (SDG) agenda offers a major impetus to consolidate and accelerate development in civil registration and vital statistics (CRVS) systems. Strengthening CRVS systems is an SDG outcome in itself. Moreover, CRVS systems are the best - if not essential - source of data to monitor and guide health policy debates and to assess progress towards numerous SDG targets and indicators. They also provide the necessary documentation and proof of identity for service access and are critical for disaster preparedness and response. While there has been impressive global momentum to improve CRVS systems over the past decade, several challenges remain. This article collection provides an overview of recent innovations, progress, viewpoints and key areas in which action is still required - notably around the need for better systems and procedures to notify the fact of death and to reliably diagnose its cause, both for deaths in hospital and elsewhere.
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| http://dx.doi.org/10.1186/s12916-020-01526-9 | DOI Listing |
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Exploring the potential of introducing an electronic death registration system in South Africa.
Health Res Policy Syst
December 2024
South African Medical Research Council, Cape Town, South Africa.
Background: Despite South Africa's well-established Civil Registration and Vital Statistics system (CRVS) and good completeness of death registration, challenges persist in terms of the quality of cause of death information and the delayed availability of mortality statistics. The introduction of an electronic medical certification of cause of death (eMCCD) system may offer opportunities to improve both the quality and timeliness of this information.
Methods: This study used an exploratory mixed methods design to investigate perceptions surrounding an electronic solution for registering deaths in South Africa.
Strengthening Cause of Death Statistics in Selected Districts of 3 States in India: Protocol for an Uncontrolled, Before-After, Mixed Method Study.
JMIR Res Protoc
December 2024
Community Health Center, Haripur, Kangra, India.
Background: Mortality statistics are vital for health policy development, epidemiological research, and health care service planning. A robust surveillance system is essential for obtaining vital information such as cause of death (CoD) information.
Objective: This study aims to develop a comprehensive model to strengthen the CoD information in the selected study sites.
A Retrospective Analysis of Lessons Learned and Perspectives on Expansion of Verbal Autopsy Implementation in Zambia, 2023.
Am J Trop Med Hyg
January 2025
Director General, Zambia National Public Health Institute, Lusaka, Zambia.
Accurate cause-of-death statistics are vital for public health policy, but less than one-third of deaths globally are assigned a cause. Verbal autopsy (VA) methods are crucial in low- and middle-income countries lacking complete civil registration and vital statistics (CRVS) systems. We explored VA implementation in Zambia by using a previously developed framework.
View Article and Find Full Text PDFIncompleteness and Misclassification of Maternal Deaths in Zimbabwe: Data from Two Reproductive Age Mortality Surveys, 2007-2008 and 2018-2019.
J Epidemiol Glob Health
December 2024
Unit of Obstetrics and Gynaecology, Faculty of Medical and Health Sciences, University of Zimbabwe, Harare, Zimbabwe.
Introduction: We implemented two cross-sectional reproductive age mortality surveys in 2007-2008 and 2018-2019 to assess changes in the MMR and causes of death in Zimbabwe. We collected data from health institutions, civil registration and vital statistics, the community, and surveillance. This paper analyses missingness and misclassification of deaths in the two surveys.
View Article and Find Full Text PDFAre multiple coders needed for cause of death assignment: results from telephonic verbal autopsy interviews conducted in 2021 in South Africa.
Digit Health
October 2024
Burden of Disease Research Unit, South African Medical Research Council, Cape Town, South Africa.
Article Synopsis
- Verbal autopsy (VA) helps find out causes of death where birth and death records are not kept well, but it's costly. Telephonic VAs can save money. Sometimes, doctors need to agree on the cause, which can take a lot of time and effort.
- The study looked at how often two doctors agreed on the cause of death using telephonic VAs in South Africa, checking if their agreement was very high (over 0.8).
- Results showed that doctors agreed on causes like COVID-19 and heart disease most of the time, but not as much on diabetes. This means they might still need more than one doctor to be sure about the causes
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