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Whether you're a CRVS expert of just starting to learn about CRVS systems, you will enjoy exploring the range of resources available here in our library. Discover more about strengthening and innovating CRVS systems, plus learn from other countries challenges and experiences.


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Avaliação da qualidade dos dados sobre mortalidade no 18 Brasil de 2000 a 2016

Chapter 18 of 'SAÚDE BRASIL 2018 - Uma análise da situação de saúde e das doenças e agravos crônicos: desafios e perspectivas'.

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Bangladesh: a successful journey toward CRVS system improvement
Bangladesh: A successful journey towards CRVS system improvement

This CRVS country perspective highlights three successful technical interventions implemented by the Government of Bangladesh and its civil registration and vital statistics (CRVS) stakeholders to strengthen the country’s CRVS system

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Author: Bangladesh Implementation Working Group
Publication date: March 2018 (update)
Resource type: CRVS development series
Related resources: CRVS country overview: Bangladesh

Mukut

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Colombia: A strategy to improve the registration and certification of vital events in rural and ethnic communities

This paper details Colombia’s strategy to increase the registration and certification of vital events in rural municipalities and ethnic communities. Key parts of this intervention involve developing a proactive search system to improve capture of vital events through mobile notification, and subsequently applying automated verbal autopsy to determine probable cause of community-based deaths.

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Authors: Colombia Implementation Working Group

Publication date: September 2018

Resource type: CRVS country perspectives

Related resources: CRVS country overview: Colombia


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End of the project evaluation of Data for Health Initiative (Myanmar)

End of program evaluation of the Bloomberg Data for Health Initiative implemented in Myanmar from January 2016 to March 2019.

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Authors: Dr Naing, Empower Consultancy Limited

Publication date: July 2019

Resource type: CRVS country perspectives

Related resources: CRVS country overview: Myanmar


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Fellowship profile: Assessing the impact of death certification interventions in Peru

Between November 2017 and January 2018, Janet Miki from the Ministry of Health in Perú, came to the University of Melbourne to receive support in conducting a study assessing the impact of two death certification interventions to improve cause of death data in Perú. This fellowship profile documents Janet’s experiences whilst at Melbourne, including what she worked on, what she learned, and what impact this might have on improving the quality of mortality data in Perú.

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Author: Miki J

Publication date: December 2018

Resource type: CRVS fellowship profile

Related resources: CRVS country overview: Perú


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Fellowship profile: Assessing the quality of mortality statistics in Shanghai

In 2017, Dr Tan Ziwen came to the University to learn about how to routinely assess the quality of vital statistics data using ANACONDA.

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Author: Ziwen, T

Publication date: April 2018

Resource type: CRVS development series - fellowship profile

Related resources: CRVS country overview: China (Shanghai)


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Fellowship profile: Assessing the quality of vital statistics in the Philippines

Between July and October 2018, Majorie “Joy” Villaver, a supervising statistical specialist of the Philippine Statistics Authority, came to the University of Melbourne to assess the quality and completeness of birth and death registration, as well as the quality of cause of death data using the ANACONDA tool. This fellowship profile documents Joy’s experiences while at Melbourne, including what she worked on, what she found, and what impacts this might have on improving the civil registration and vital statistics system in the Philippines.

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Author: Villaver M

Publication date: December 2018

Resource type: CRVS fellowship profile

Related resources: CRVS country overview: Philippines

Marjorie

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Fellowship profile: Country-specific adaptation of a SmartVA DHIS2 integration module for Sri Lanka

Between July and September 2018, Chamika Senanayake, from the Ministry of Health, Nutrition and Indigenous Medicine came to the University of Melbourne to receive support in developing a SmartVA DHIS2 integration platform that would streamline all manual CRVS data flow processes into a single automated process in Sri Lanka.

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Author: Senanayake CH

Publication date: February 2019

Resource type: CRVS fellowship profile

Related resources: CRVS country overview: Sri Lanka

Chamika

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Fellowship profile: Customising ANACONDA and strengthening the quality of mortality data in Brazil

Between August and September 2017, Ana Cláudia Medeiros de Souza, from the Ministry of Health, Brazil, spent time at the Swiss Tropical and Public Health (Swiss TPH) Institute, University of Basel, to translate into Portuguese the mortality and cause of death assessment tool, ANACONDA. She then came to the University of Melbourne in September 2018 to translate the newly-developed ANACONDA Mortality Data Quality Assessment Report template and adapt it for use at the sub-national level in Brazil.

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Author: Medeiros de Souza AC

Publication date: February 2019

Resource type: CRVS country perspectives - fellowship profile

Related resources: CRVS country overview: Brazil

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Fellowship profile: Developing a qualitative study protocol on VA interviewer experiences in Myanmar

This CRVS fellowship profile documents Zin’s experiences while at Melbourne, including how she developed the protocol, how she intends to apply it, and what impact her fellowship might have on improving mortality statistics as generated through the CRVS system in Myanmar.

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Author: Mar TZ

Publication date: October 2018

Resource type: CRVS fellowship profile

Related resources: CRVS country overview: Myanmar


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Fellowship profile: Estimating the completeness of birth and death registration in Ecuador

Between August and October 2018, José Andrade, from the Vital Statistics Department of the National Institute of Statistics and Census (INEC) in Ecuador, came to the University of Melbourne to receive support in calculating the completeness of birth and death registration in Ecuador. His fellowship involved using surveys, censuses, and population projections to do so, and these methods are described here, along with implications for the CRVS system of Ecuador.

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Author: Andrade J

Publication date: December 2018

Resource type: CRVS development series - fellowship profile

Related resources: CRVS country overview: Ecuador

Jose Andrade

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Fellowship profile: Improving the quality of birth and death data in Brazil

Between September and November 2018, Luiz Fernando, from the Brazil Institute of Geography and Statistics (IBGE), came to the University of Melbourne to work on completeness of births and deaths as well as record linkage. This fellowship profile documents Luiz’s experiences whilst at Melbourne, including what he worked on, what he learned, and what impact this might have on improving the quality of vital statistics in Brazil.

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Author: Fernando L

Publication date: January 2019

Resource type: CRVS country perspectives - fellowship profile

Related resources: CRVS country overview: Brazil

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Fellowship profile: Investigating garbage codes to improve mortality statistics in Brazil

Between January and February 2018, Raquel Barbosa de Lima, from the Department of Health Situation Analysis, Ministry of Health, Brazil, came to the University of Melbourne to receive support in analysing data from a pilot study that investigated key attributes of deaths with ‘garbage codes’.

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Author: de Lima R

Publication date: May 2018

Resource type: CRVS country perspectives - fellowship profile

Related resources: CRVS country overview: Brazil

Raquel English

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Fellowship profile: Strengthening civil registration processes and improving vital statistics in Rwanda

Between February and May 2018, Xavier Ngomituje, a statistician from the National Institute of Statistics Rwanda, came to the University of Melbourne to learn about measuring the completeness of death registration, in order to improve national mortality statistics. He then spent time at the Swiss Tropical and Health Institute, University of Basel, to analyse and strengthen the organisation, processes, work flows and functionality of the civil registration and vital statistics (CRVS) system of Rwanda.

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Author: Ngomituge X.

Publication date: August 2018

Resource type: CRVS country perspectives (fellowship profile)

Related resources: CRVS country overview: Rwanda

Xavier Rwanda

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Fellowship profile: Understanding patterns and trends in mortality in Shanghai

From January to March 2019, Dr Chen Lei from Shanghai Municipal Center for Disease Control and Prevention (SCDC) came to the University of Melbourne to receive support in analysing medical records reviews and analysis of verbal autopsy (VA) data. This fellowship profile documents Chen Lei’s experiences whilst at Melbourne, including what she worked on, what she learned, and what impact this might have on improving the quality of mortality data in Shanghai.

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Fellowship report: An analysis of cause of death data from Papua New Guinea

Between October and December 2017, Ila Rouka and Elizabeth Mathias from the National Department of Health, Papua New Guinea (PNG), came to the University of Melbourne to analyse medical certificates of cause of death. As well as investigating the patterns and trends in mortality for the country between 2016 and 2017, the fellows were interested in assessing the quality of the certificates themselves. This CRVS fellowship report outlines key findings from their work.

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Author: Rouka I, Mathias E

Publication date: November 2018

Resource type: CRVS development series (fellowship report)

Related resources: PNG: Targeted interventions for sustainable change

PNG_Ila Rouka Charlotte Polly2

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Fellowship report: Assessing the quality of medical certification in Bangladesh

Dr Mohammad Adnan Khan, from the Directorate General of Health Services, Bangladesh came to the University of Melbourne to analyse the quality of medical certification from four pilot hospitals who had implemented the International Form of Medical Certificate of Cause of Death in 2017 as part of D4H. This report provides an overview of his findings, including the cost common errors in the certificates and recommendations to improve the quality of mortality data.

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Filling the gaps?in Bangladesh's ?mortality data

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Fellowship report: Evaluation of the 'Kaliganj Model' for proactive birth and death notification and registration

As a part of establishing a functional CRVS system in Bangladesh, the Kaliganj Model for birth and death registration was implemented from April 2016 to December 2017 in the Kaliganj sub-district. In this model, health and family planning field staff notified local registries at union council of births and deaths using a standard operating procedure. This document reports on research that aimed to understand if and how the Kaliganj Model improved birth and death notification and registration. This report provides policy-makers in the Government of Bangladesh with research findings, insights and recommendations, so they can begin solidifying CRVS in the country

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Mukut

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Fellowship report: Implementing verbal autopsy in Ghana

Between January and March 2018, Mr Francis Yeji, from the Policy, Monitoring and Evaluation Division of the Ghana Health Service, spent time at the Universities of Basel and Melbourne to analyse results from the verbal autopsy pre-test conducted in Ghana in 2017. This CRVS fellowship report describes the approach to verbal autopsy implementation used by Ghana, results from the pre-test in the Bongo District and implications this has for future phases, and how the results were used to inform the sampling strategy for Ghana, as part of national scale-up.

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Author: Yeji F

Publication date: February 2019

Resource type: CRVS development series (fellowship report)

Related resources: Ghana: Developing a CRVS-VA management dashboard

Barriers to death notification in Ghana

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Fellowship report: Integrating verbal autopsy in routine mortality surveillance in Bangladesh

In 2018, Dr Mir Saiful Islam, from the Ministry of Health and Family Welfare, Bangladesh, came to the University of Melbourne as part of the D4H Fellowship program. This fellowship report describes the patterns of cause of death in Bangladesh, as derived through the process of verbal autopsy (VA). It also assesses the plausibility of the VA data by comparing it with other sources of mortality data available in the country. Finally, the report provides an overview of the experiences of VA interviewers and supervisors.

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Author: Islam S

Publication date: March 2019

Resource type: CRVS development series (fellowship report)

Related resources: Bangladesh: A successful journey towards CRVS improvement

Analysis of Bangladesh's verbal autopsy pilot in Kaligang

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Fellowship report: Introducing routine verbal autopsy as part of the CRVS system in Rwanda

Between February and May 2018, Marc Hagenimana from the Rwanda Biomedical Centre came to the University of Melbourne to review and document experiences in introducing routine VA as part of CRVS system-strengthening in Rwanda. His study aimed to generate valuable evidence on the lessons learned, and inform stakeholders on the sustainability and scalability of the program. This report describes changes in the notification and registration of deaths after the introduction of VA, and assesses the plausibility of mortality data provided through VA.

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Author: Hagenimana M

Publication date: March 2019

Resource type: CRVS development series (fellowship report)

Related resources: Strengthening civil registration processes and improving vital statistics in Rwanda

What are the preliminary findings of using HBCPs as verbal autopsy interviewers in Rwanda?1

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Fellowship report: Patterns and trends in Rwandan hospital mortality data, 2017-2018

Between May and August 2018, Patrick Nshimiyimana from the National Institute of Statistics of Rwanda came to the University of Melbourne to analyse cause of death data collected over 12 months from a selected number of hospitals and health facilities. This report highlights key findings from his research, including patterns and trends in causes of death, as well as how the data compare with other sources of mortality data.

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Author: Nshimiyimana P

Publication date: November 2018

Resource type: CRVS development series (fellowship report)

Related resources: Strengthening civil registration processes and improving vital statistics in Rwanda


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Fellowship report: SmartVA and DHIS2 integration in Sri Lanka

Between July and September 2018, Chamika Senanayake, from the Ministry of Health, Nutrition and Indigenous Medicine came to the University of Melbourne to receive support in developing a SmartVA DHIS2 integration platform that would streamline all manual CRVS data flow processes into a single automated process in Sri Lanka. This report describes the technical process Chamika developed, which includes five main steps: setting up a DHIS2 instance and testing; analysing org-unit hierarchies; importing VA metadata; configuring the script; and localising the ODK Collect form.

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Author: Senanayake CH

Publication date: March 2019

Resource type: CRVS fellowship report

Related resources: CRVS country overview: Sri Lanka

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Ghana: Developing a CRVS-VA management dashboard

This fellowship report highlights key features of the CRVS-VA management dashboard that was developed by Patrick Larbi-Debrah from the Policy, Planning, Monitoring and Evaluation department of Ghana Health Service, as part of his time at the Universities of Melbourne and Basel. The dashboard is a user-friendly tool that provides real-time monitoring of summary statistics from VA interviews.

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Author: Larbi-Debrah, P

Publication date: July 2018

Resource type: CRVS fellowship report

Related resources: Ghana: CRVS country profile

Patrick

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Improving coverage of civil registration and vital statistics, Bangladesh

In 2016, the government of Bangladesh introduced a pilot project to strengthen the civil registration and vital statistics system and generate cause of death data in Kaliganj Upazila. This paper presents the relevant changes and lessons learnt resulting from this intervention.

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Author: Moyeen Uddin, Shah Ali Akbar Ashrafi, Abul Kalam Azad, Anir Chowdhury, Hafizur Rahman Chowdhury, Ian Douglas Riley, Andres Montes, Martin Bratschi, Carla AbouZahr & Zeaul Alam
Publication date: September 2019
Resource type: CRVS country perspectives
Related resources: CRVS country overview: Bangladesh


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Mapping sources and silos of mortality data: Case studies in Peru and Ghana

The purpose of this technical report is to present an overview and analysis of all the contrasting and disparate information systems that capture information about mortality in a country, regardless if they currently contribute to the standard CRVS system.

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Brazil
Meeting on strengthening the quality of information on causes of death in Brazil

The objective of the meeting was to discuss the improvement of the quality of the information on causes of death in Brazil, with the participation of the three spheres of Government, Civil Society, Universities, and International Institutions. This report summarises the main outcomes of the meeting, including each of the main sessions, comments from participants, and links to additional resources.

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Publication date: October 2017

Resource type: Meeting report

Related resources: Fellowship profile: Investigating garbage codes to improve mortality statistics in Brazil

Source: Secretariat of Health Surveillance, Ministry of Health, Brazil


Papua New Guinea: Targeted interventions for sustainable change
Papua New Guinea: Targeted interventions for sustainable change

Outlines the strategy for strengthening the CRVS system, which is based on three pillars: leadership, integration, and capacity-building.

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Authors: Papua New Guinea Implementation Working Group

Publication date: March 2018 (updated)

Resource type: CRVS development series

Related resources: CRVS country overview: Papua New Guina


Peru: An exceptional example of CRVS system advancement
Peru: An exceptional example of CRVS system advancement

This document highlights the major interventions being implemented in Peru as part of the country's CRVS systems-strengthening agenda.

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Authors: Peru Implementation Working Group

Publication date: March 2018 (updated)

Resource type: CRVS development series

Related resources: CRVS country overview: Peru


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Preliminary results of strengthening the national death registry information system of Peru

Peru has low coverage of deaths with a cause (54%) and about 30% of causes of death are classified as poorly-defined or not very useful for the formulation of public policies. In response to these problems, the Ministry of Health together with other government agencies, with the support of D4H, is implementing the National Death Registry Information System (SINADEF). The objective of this article is to describe the process of strengthening the mortality information system in Peru, focused on the implementation of SINADEF. Since the implementation of SINADEF in August 2016 until July 2018, 28,407 users of the SINADEF application have been created and a total of 122,411 deaths have been registered. The quality of data recording, including the cause of death, has been improved, while low coverage of deaths with a cause of death still persists.

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Authors: Vargas-Herrera J, Ruiz KP, Nunez GG, Ohno JM, Perez-Lu, JE, Huarcaya WV, Clapham B, Cortez-Escalante J

Publication date: October 2018

Resource type: CRVS technical outcome series

Related resources: Peru: An exceptional example of CRVS system advancement

Source: Rev Peru Med Exp Salud Publica. 2018; 35(3):505-14


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Resultados preliminares del fortalecimiento del Sistema Informatico Nacional de Defunciones

El Perú tiene una baja cobertura de defunciones con causa de defunción (54 %) y una mala calidad del registro de las causas de defunción, mas de 45 % de las causas de muerte se clasifican como mal definidas o poco útiles para la formulación de políticas públicas. En respuesta a estos problemas, el Ministerio de Salud, junto a otras agencias gubernamentales, con el apoyo de la Iniciativa Bloomberg «Información para la Salud» está implementando el Sistema Informático Nacional de Defunciones (SINADEF). El objetivo de este artículo es describir el proceso de fortalecimiento del sistema de información de la mortalidad en Perú, centrado en la implementación del SINADEF.

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Authors: Vargas-Herrera J, Ruiz KP, Nunez GG, Ohno JM, Perez-Lu, JE, Huarcaya WV, Clapham B, Cortez-Escalante J

Publication date: October 2018

Resource type: CRVS technical outcome series

Related resources: Peru: An exceptional example of CRVS system advancement

Source: Rev Peru Med Exp Salud Publica. 2018; 35(3):505-14


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Saving lives through certifying deaths: assessing the impact of two interventions to improve cause of death data in Perú

Mortality statistics derived from cause of death data are an important source of information for population health monitoring, priority setting and planning. However, the quality of cause of death data is poor. In August 2016, the Ministry of Health of Perú decided to make two specific interventions to improve cause of death data: to introduce an online death certification system and to train doctors in standard death certification practices. This study demonstrates how the two interventions improved the correctness of death certificates. The study also provides evidence on necessary changes to the training program to address the poor certification practices that have remained after implementation of the online system.

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Authors: Miki J, Rampatige R, Richards N, Adair T, Cortez-Escalante J, Vargas-Herrera J

Publication date: December 2018

Resource type: Academic journal article

Related resources: Fellowship profile: Assessing the impact of death certification interventions in Peru

Source: BMC Public Health https://doi.org/10.1186/s12889-018-6264-1 


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Sri Lanka: Strengthening the quality and availability of mortality statistics

This paper outlines the strategy for improving the quality and availability of mortality statistics in Sri Lanka, which is built on two main pillars: improving the quality of medical certification of cause of death for facility deaths; and implementing automated verbal autopsy to ascertain probable cause of death for community deaths.

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Author: Sri Lanka Implementation Working Group

Publication date: July 2018

Resource type: CRVS country perspectives

Related resources: CRVS country overview: Sri Lanka

Alan SL2

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Strengthening small area demographic estimates in Latin America

Accurate mortality, fertility and population information are fundamental for program and policy development and monitoring in health and other sectors. The most suitable data source for local death and birth data is a well-functioning CRVS system, but these are underdeveloped in Latin America, with varying levels of incompleteness between and within countries. The Small Area Demographic Estimation in Latin America Workshop was held in Rio de Janeiro, Brazil from 19-20 March 2018. The workshop brought together regional and international demographic experts to discuss methods and approaches to improve the evidence base for mortality, fertility and population at the small area level in Latin America.

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Summary: Developing a mobile app for doctors to improve the recording of cause of death in Sri Lanka

Describes the development, testing, and potential impact of a mobile application for doctors to improve the recording of cause of death in Sri Lanka.

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Publication date: September 2018

Resource type: CRVS summary

Related resources: Summary: Improving the quality of mortality statistics in Sri Lanka


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Summary: Improving the quality of mortality statistics in Sri Lanka

Describes the two innovative approaches Sri Lanka is taking to improve the quality of mortality data: introducing automated verbal autopsy, and up-skilling doctors in correct medical certification practices.

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Authors: Jayasuriya R, Kumarapeli V, Mikkelsen L.

Publication date: June 2018

Resource type: CRVS summary

Related resources: Sri Lanka: Strengthening the quality and availability of mortality statistics

Source: SLMA, The Official Newsletter of the Sri Lanka Medical Association

Alan SL2

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Summary: Innovative approaches to strengthen the capture and quality of mortality data in Brazil

Brazil has implemented several measures to improve the registration of vital events including: developing a new 'garbage code' study protocol to evaluate death certificates; training doctors on how to correctly complete death certificates, and assessing the accuracy of mortality data from forensic institutes

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Publication date: February 2019

Resource type: CRVS summary

Related resources: CRVS country profile: Brazil


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Summary: Strengthening Peru's national death registry information system

In Perú, only 54 per cent of deaths have a COD recorded, and about 30 per cent of these causes are classified as poorly-defined or not useful for the formulation of public policy. In response to this, key CRVS partners developed the National Death Registry Information System (SINADEF), which is an application allowing doctors to complete death certificates in real-time immediately after verifying that a death has occurred.

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Publication date: March 2019

Resource type: CRVS summary

Related resources: Preliminary results of strengthening the national death registry information system


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The past, present and future of three sample registration systems in Asia

This paper outlines three sample registration systems from China, India, and Indonesia. The history and principles behind the systems, their operational aspects, vital statistical output and quality of data, along with their strengths and weaknesses and intended future direction, are presented. This is followed by a summary overview highlighting key aspects of each system and their similarities and differences.

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Authors: Sorchik R, Kosen S, Mahapatra P, Yin P, Zhou M

Publication date: February 2019

Resource type: CRVS technical outcome series

Related resources: 

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