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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.


Action guide on implementing automated coding (Iris) thumbnail
Action guide on implementing automated coding (Iris)

Describes seven key steps countries should follow when implementing automated mortality coding.

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Publication date: January 2020 (update)

Resource type: CRVS technical guide (action guide)

Related resources: Course prospectus: Iris automated mortality coding training


Action guide on improving the quality of COD data in hospitals thumbnail
Action guide on improving the quality of COD data in hospitals

Provides eight key action areas to improve the quality of cause of death data in hospitals.

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Publication date: April 2018

Resource type: CRVS technical guide (action guide)

Related resources: Strategies for improving the quality of cause of death data in hospitals


Action guide on reducing barriers to medical certification
Action guide on reducing barriers to medical certification

Describes five actions that can be taken to reduce barriers to accurate medical certification of cause of death, from legislative review to training and support.

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Publication date: May 2018

Resource type: CRVS technical guide (action guide)

Related resources: Reducing barriers to the accurate medical certification of cause of death


Action guide on training and education on medical certification of cause of death thumbnail
Action guide on training and education on medical certification of cause of death

Outlines an approach to training and education on medical certification of cause of death based on three key stages in a physician's career: during medical school, as an intern or junior physician, and as senior practicing clinicians.

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Publication date: August 2018 (update)

Resource type: CRVS technical guide (action guide)

Related resources: Training and education on medical certification: Effective strategies and approaches


Assessing the quality of death certificates: Guidance for the rapid tool thumbnail
Assessing the quality of death certificates: Guidance for the rapid tool

This document provides guidance on how to use the rapid assessment tool. Information generated from the assessment would be helpful for ministry of health staff, hospital administrators, health information officers or medical record officers to determine the quality of death certificates. The tool can be used by a doctor who is trained in death certification practices and understands the ICD-10 death certification rules.

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Authors: Rampatige R, Gamage S, Richards N, Riley I, Wijesekera N.

Publication date: February 2019 (update)

Resource type: CRVS technical guide

Related resources: Assessing the quality of death certificates: Rapid tool


Assessing the quality of death certificates: Guidance for the rapid tool - Chinese version thumbnail (评估《死亡证》的质量:使用快速 工具的指南)
Assessing the quality of death certificates: Guidance for the rapid tool - Chinese version (评估《死亡证》的质量:使用快速 工具的指南)

This document provides guidance on how to use the rapid assessment tool. Information generated from the assessment would be helpful for ministry of health staff, hospital administrators, health information officers or medical record officers to determine the quality of death certificates. The tool can be used by a doctor who is trained in death certification practices and understands the ICD-10 death certification rules.

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Assessing the quality of death certificates: Guidance for the rapid tool - Portuguese version thumbnail (Availando a qualidade das declarações de óbito: Orientação para a ferramenta rápida)
Assessing the quality of death certificates: Guidance for the rapid tool - Portuguese version (Availando a qualidade das declarações de óbito: Orientação para a ferramenta rápida)

This document provides guidance on how to use the rapid assessment tool. Information generated from the assessment would be helpful for ministry of health staff, hospital administrators, health information officers or medical record officers to determine the quality of death certificates. The tool can be used by a doctor who is trained in death certification practices and understands the ICD-10 death certification rules.

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Assessing the quality of death certificates: Guidance for the rapid tool - Spanish version thumbnail (Evaluando la calidad de los certificados de defunción: Guía para la utilización del instrumento de evaluación rápida)
Assessing the quality of death certificates: Guidance for the rapid tool - Spanish version (Evaluando la calidad de los certificados de defunción: Guía para la utilización del instrumento de evaluación rápida)

This document provides guidance on how to use the rapid assessment tool. Information generated from the assessment would be helpful for ministry of health staff, hospital administrators, health information officers or medical record officers to determine the quality of death certificates. The tool can be used by a doctor who is trained in death certification practices and understands the ICD-10 death certification rules.

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Assessing the quality of death certificates: Rapid tool - Chinese version (评估《死亡证》的质量:快速工具) thumbnail
Assessing the quality of death certificates: Rapid tool - Chinese version (评估《死亡证》的质量:快速工具)

This tool is designed to assess the quality of death certification practices by checking for common errors in death certificates.

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Author: University of Melbourne

Publication date: February 2019 (update)

Resource type: CRVS resources and tools

Related resources: Assessing the quality of death certificates: Guidance for the rapid tool


Assessing the quality of death certificates: Rapid tool - Portuguese version (Avaliando a qualidade das declarações de óbito: Ferramenta rápida) thumbnail
Assessing the quality of death certificates: Rapid tool - Portuguese version (Avaliando a qualidade das declarações de óbito: Ferramenta rápida)

This tool is designed to assess the quality of death certification practices by checking for common errors in death certificates.

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Author: University of Melbourne

Publication date: February 2019 (update)

Resource type: CRVS resources and tools

Related resources: Assessing the quality of death certificates: Guidance for the rapid tool


RFQ00709-MSPGH-MCCOD_AssessmentTool_Russian_A4
Assessing the quality of death certificates: Rapid tool - Russian version (Оценка качества свидетельств о смерти: инструмент экспресс-оценки)

This tool is designed to assess the quality of death certification practices by checking for common errors in death certificates.

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Assessing the quality of death certificates: Rapid tool - Spanish version (Evaluación de la calidad de los certificados de defunción: Instrumento de evaluación rápida) thumbnail
Assessing the quality of death certificates: Rapid tool - Spanish version (Evaluación de la calidad de los certificados de defunción: Instrumento de evaluación rápida)

This tool is designed to assess the quality of death certification practices by checking for common errors in death certificates.

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Author: University of Melbourne

Publication date: February 2019 (update)

Resource type: CRVS resources and tools

Related resources: Assessing the quality of death certificates: Guidance for the rapid tool


Assessment of quality of medical certification practices: A quick reference guide thumbnail
Assessment of quality of medical certification practices: A quick reference guide

This guide contains guidelines on how to assess commonly recorded errors on Frame A of the WHO recommended International Form of Medical Certificate of Cause of Death.This tool can be used to monitor quality of certification practices as part of a routine assessment; assess the training needs of doctors, and; evaluate the effectiveness of death certification training.

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Authors: Medical Certification of Cause of Death Technical Working Group, the University of Melbourne

Publication date: December 2019 

Resource type: CRVS resources and tools


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Assessment of quality of medical certification practices: A quick reference guide - Chinese version (评价医学死亡证书的质量:快速参考指南)

Translated into Chinese, this guide contains guidelines on how to assess commonly recorded errors on Frame A of the WHO recommended International Form of Medical Certificate of Cause of Death. This tool can be used to monitor quality of certification practices as part of a routine assessment; assess the training needs of doctors, and; evaluate the effectiveness of death certification training.

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Thumbnail for correctly certifying deaths due to COVID-19 guidance for physicians
Correctly certifying deaths due to COVID-19: Guidance for physicians

This guidance document provides information for physicians on how to correctly certify deaths due to COVID-19.

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RFQ00708-MSPGH-MCCOD-TrainingCourse_Prospectus_A4
Course prospectus: Capacity development and medical certification of cause of death training

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Publication date: January 2018

Resource type: CRVS resources and tools

Related resources: Training and education on medical certification: Effective strategies and approaches


RFQ00708-MSPGH-MCCOD-TrainingCourse_Prospectus_A4
Course prospectus: Capacity development and medical certification of cause of death training - Russian version (Учебный курс по развитию кадрового потенциала и оформлению медицинских свидетельств о причине смерти)

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jQjg04byak1AyKw0OyCIoEBKPmxCjYih7YdlYqR1
Course prospectus: ICD-10 mortality coder training

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Publication date: October 2017 (V2 July 2019)

Resource type: CRVS resources and tools

Related resources: Intervention: Mortality coding​


Death Certificate Assessment Tool (Excel version) thumbnail
Death Certificate Assessment Tool (Excel version)

Excel template to assess the quality of death certificates.

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Author: MCCOD Technical Working Group, Bloomberg Philanthropies Data for Health Initiative, Civil Registration and Vital Statistics Improvement, the University of Melbourne

Publication Date: January 2020

Resource type: CRVS Resources and Tools

Related Resources: Assessment of quality of medical certification practices: A quick reference guide; Death Certificate Assessment Tool (Excel version): User guide


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Death Certificate Assessment Tool (Excel version) - Chinese Version

This is a Chinese translation of the Excel template to assess the quality of death certificates.

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Death Certificate Assessment Tool (Excel Version): User guide thumbnail
Death Certificate Assessment Tool (Excel Version): User guide

This user guide describes how to use the Death Certificate Assessment Tool (Excel version). This guide is intended to be used alongside the tool, which can be found on the CRVS Gateway.

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Author: MCCOD Technical Working Group, Bloomberg Philanthropies Data for Health  Initiative, Civil Registration and Vital Statistics Improvement, the University of Melbourne

Publication date: January 2020

Resource type: CRVS resources and tools

Related resources: Death Certificate Assessment Tool (Excel Version); Assessment of quality of medical certification practices: A quick reference guide


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Death Certificate Assessment Tool (Excel Version): User guide - Chinese version (死亡证书评价工具(Excel版本): 用户指南)

This is a Chinese translation of the user guide describing how to use the Death Certificate Assessment Tool (Excel version). This guide is intended to be used alongside the tool, which can be found on the CRVS Gateway.

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


Investigating garbage codes
to improve mortality statistics
in Brazil thumbnail
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: Raquel de Lima

Publication date: May 2018

Resource type: CRVS Fellowship reports and profiles

Related resources: CRVS country overview: Brazil

Raquel English

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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 Fellowship reports and profiles

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

CRVS technical guide - Guidance for assessing and
interpreting the quality of
mortality data using ANACONDA thumnbail
Guidance for assessing and interpreting the quality of mortality data using ANACONDA

For users of ANACONDA (statisticians and/or analysts in health and statistics departments, researchers, or other experts working with mortality data).

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Authors: Mikkelsen L, Lopez AD

Publication date: October 2017

Resource type: CRVS technical guide

Related resources: Course prospectus: ANACONDA


Handbook for doctors on cause of death certification thumbnail
Handbook for doctors on cause of death certification

These are generic guidelines about how to certify the cause of death, written for physicians and medical students, particularly in developing countries.

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Author: University of Melbourne

Publication date: September 2019 (update)

Resource type: CRVS technical guides

Related resources: Medical certification of cause of death: Quick reference guide


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Handbook for doctors on cause of death certification - Chinese version (提高死因信息质量: 医用死因证明手册)

These are generic guidelines about how to certify the cause of death, written for physicians and medical students, particularly in developing countries.

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Author: University of Melbourne

Publication date: February 2017

Resource type: CRVS resources and tools

Related resources: Medical certification of cause of death: Quick reference guide


Fench_COD_Handbook
Handbook for doctors on cause of death certification - French version (Manuel sur la certification de la cause de décès à l’intention des médecins)

Le présent manuel sert de guide aux médecins devant remplir des certificats de décès. Les formulaires de certification de la cause de décès sont un aspect important du travail de médecin étant donné que l’information que contiennent les certificats de décès aide les décideurs à déterminer les priorités en santé, de façon à prévenir les décès semblables dans l’avenir.

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Handbook for doctors on cause of death certification
Handbook for doctors on cause of death certification - Portuguese version (Manual para médicos sobre a certificação da causa de morte)

These are generic guidelines about how to certify the cause of death, written for physicians and medical students, particularly in developing countries.

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Author: University of Melbourne

Publication date: February 2017

Resource type: CRVS resources and tools

Related resources: Medical certification of cause of death: Quick reference guide


Handbook for doctors on cause of death certification - Russian version
Handbook for doctors on cause of death certification - Russian version

These are generic guidelines about how to certify the cause of death, written for physicians and medical students, particularly in developing countries.

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Author: University of Melbourne

Publication date: March 2019

Resource type: CRVS resources and tools

Related resources: Medical certification of cause of death: Quick reference guide


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Handbook for doctors on cause of death certification - Spanish version (Manual para médicos sobre la certificación de las causas de muerte))

These are generic guidelines about how to certify the cause of death, written for physicians and medical students, particularly in developing countries.

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Author: University of Melbourne

Publication date: February 2017

Resource type: CRVS resources and tools

Related resources: Medical certification of cause of death: Quick reference guide


Improving medical certification of cause of death: effective strategies and approaches based on experiences from the Data for Health Initiative thumbnail
Improving medical certification of cause of death: effective strategies and approaches based on experiences from the Data for Health Initiative

Accurate completion of the medical certificate of cause of death should be a relatively straightforward procedure for physicians, but mistakes are common. This paper presents three training strategies implemented in five countries supported by the Bloomberg Philanthropies Data for Health (D4H) Initiative at the University of Melbourne (UoM) and evaluate the impact on the quality of certification.

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Authors: Hart, J, Sorchik, R, Bo, K S, Chowdhury, H R, Gamage, S, Joshi, R, Kwa, V, Li, H, Mahesh, B, McLaughlin, D, Mikkelsen, L, Miki, J, Napulan, R, Rampatige, R, Reeve, M, Sarmiento, C, War, N S, Richards, N, Riley, I D, Lopez, A D

Publication date: March 2020

Resource type: CRVS peer-reviewed publications

Source: BMC Medicine


Improving the quality of cause of death data for public health policy: are all 'garbage' codes equally problematic? thumbnail
Improving the quality of cause of death data for public health policy: are all 'garbage' codes equally problematic?

Commentary on a classification of garbage codes that helps to identify codes unhelpful for public health policy and which are used frequently by physicians to certify deaths. This typology can be used by countries to identify the pattern and extent of garbage coding in their cause of death data.

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Authors: Neghavi, M, Richards, N, Chowdhury, H, Eynstone-Hinkins, J, Franca, E, Hegnauer, M, Khosravi, A, Moran, L, Mikkelsen, L, Lopez, A D

Publication date: March 2020

Resource type: CRVS peer-reviewed publications

Source: BMC Medicine


Medical certification of cause of death
Intervention: Medical certification of cause of death

Activities to improve certification include introducing the international form of medical certificate of cause of death and training courses.

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Publication date: November 2016

Resource type: CRVS resources and tools

Related resources: Action guide on training and education on medical certification of cause of death


Mortality coding
Intervention: Mortality coding

Transformation of information on death certificates into alpha-numeric codes, for easier analysis of the patterns of mortality in a population.

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Publication date: November 2016

Resource type: CRVS resources and tools

Related resources: Course prospectus: Iris automated mortality coding training


CRVS country report
Introduction of Iris Automated
Mortality Coding System in
the Philippines thumbnail
Introduction of Iris automated mortality coding system in the Philippines

This CRVS Country Perspectives paper outlines the activities involved in the introduction of the Iris automated mortality coding system in the Philippines.

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Investigation of garbage code deaths to improve the quality of cause of death in Brazil thumbnail
Investigation of garbage code deaths to improve the quality of cause-of-death in Brazil: results from a pilot study

Reliable cause-of-death statistics are an important source of information on trends and differentials in population health. In Brazil, the Mortality Information System is responsible for compiling cause of death data. Despite the success in reducing R-codes ill-defined causes of death, other garbage codes, classified as causes that cannot be the underlying cause of death, according to the Global Burden of Disease study, remain a challenge. The Ministry of Health aims to decrease the proportion of all garbage codes, and a pilot study tested a comprehensive strategy to investigate garbage code deaths that occurred in 2015. This paper, a CRVS Fellowship project, presents the results of this pilot study.

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Authors: Barbosa de Lima, R, Frederes, A, Marinho, M, Candida de Cunha, C, Adair, T, Barboza Franca, E

Publication date: November 2019

Resource type: CRVS Technical Outcome Series

Source: Rev. bras. epidemiol. [online]. 2019, vol.22, suppl.3


Manual ICD-10 mortality coding quality assessment tool (Excel) thumbnail
Manual ICD-10 mortality coding quality assessment tool

This Excel tool is intended to assist in the evaluation of the quality of ICD coding, through assessment of the quality of a defined sample of death certificates. Periodic evaluation of coding is recommended to ensure that quality is maintained and to determine the need for retraining of coders.

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Manual ICD-10 mortality coding quality assessment tool thumbnail
Manual ICD-10 mortality coding quality assessment tool: User guide

This user guide describes how to conduct an evaluation of the quality of ICD coding using the Manual ICD-10 mortality coding quality assessment tool, developed by the Bloomberg Philanthropies Data for Health Initiative at the University of Melbourne

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Medical certification of cause of death (MCCOD): Rapid assessment tool thumbnail
Medical certification of cause of death (MCCOD): Rapid assessment tool

This tool contains a set of simple questions for checking common errors to assess cause of death certification practices.

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Author: University of Melbourne

Publication date: February 2020 (update)

Resource type: CRVS tools

Related resources: Assessing the quality of death certificates: Guidance for the rapid tool


Medical certification of cause of death: Facilitator's guide thumbnail
Medical certification of cause of death: Facilitator's guide

This course has been developed to help physicians and medical students to correctly certify COD using standard death certification practices that comply with the international statistical classification of diseases and related health problems. It forms part of a package of resources that includes case studies and references for self-directed learning, a number of practical resources (including guidance on how to assess the quality of death certificates), and this facilitator’s manual for running workshops.

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Author: University of Melbourne

Publication date: January 2020 (update)

Resource type: CRVS resources and tools

Related resources: Handbook for doctors on cause of death certification

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Medical certification of cause of death: Facilitator's guide - Chinese version (医学死因证明:导师指南)

This course has been developed to help physicians and medical students to correctly certify COD using standard death certification practices that comply with the international statistical classification of diseases and related health problems. It forms part of a package of resources that includes case studies and references for self-directed learning, a number of practical resources (including guidance on how to assess the quality of death certificates), and this facilitator’s manual for running workshops.

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Author: University of Melbourne

Publication date: February 2019

Resource type: CRVS resources and tools

Related resources: Handbook for doctors on cause of death certification

Note: The English version of the Medical certification of cause of death: Facilitator's guide has been updated, and these updates are not reflected in this translation. Please see the updated English version on the CRVS Gateway, or contact the University of Melbourne, Civil Registration and Vital Statistics Improvement, to request an editable version of the English document for translation.


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Medical certification of cause of death: Facilitator's guide - Portuguese version (Certificação médica da causa de morte: Guia do facilitador)

This course has been developed to help physicians and medical students to correctly certify COD using standard death certification practices that comply with the international statistical classification of diseases and related health problems. It forms part of a package of resources that includes case studies and references for self-directed learning, a number of practical resources (including guidance on how to assess the quality of death certificates), and this facilitator’s manual for running workshops.

Download resource (1.05MB)
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Author: University of Melbourne

Publication date: December 2018

Resource type: CRVS resources and tools

Related resources: Handbook for doctors on cause of death certification

Note: The English version of the Medical certification of cause of death: Facilitator's guide has been updated, and these updates are not reflected in this translation. Please see the updated English version on the CRVS Gateway, or contact the University of Melbourne, Civil Registration and Vital Statistics Improvement, to request an editable version of the English document for translation.


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Medical certification of cause of death: Facilitator's guide - Spanish version (Certificación médica de la causa de muerte: Guía del facilitador)

This course has been developed to help physicians and medical students to correctly certify COD using standard death certification practices that comply with the international statistical classification of diseases and related health problems. It forms part of a package of resources that includes case studies and references for self-directed learning, a number of practical resources (including guidance on how to assess the quality of death certificates), and this facilitator’s manual for running workshops.

Download resource (1.00MB)
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Author: University of Melbourne

Publication date: December 2018

Resource type: CRVS resources and tools

Related resources: Handbook for doctors on cause of death certification

Note: The English version of the Medical certification of cause of death: Facilitator's guide has been updated, and these updates are not reflected in this translation. Please see the updated English version on the CRVS Gateway, or contact the University of Melbourne, Civil Registration and Vital Statistics Improvement, to request an editable version of the English document for translation.


Medical certification of cause of death: Quick reference guide
Medical certification of cause of death: Quick reference guide

This guide contains basic information about how to correctly complete the International Form of medical certificate of COD, as recommended by the WHO.

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Publication date: September 2019

Resource type: CRVS resources and tools

Related resources: Intervention: Medical certification of cause of death


Thumbnail: Medical certification of cause of death undergraduate curriculum
Medical certification of cause of death: Undergraduate curriculum

This resource was developed to help medical schools incorporate medical certification of cause of death into their undergraduate medical curriculum. The content can be further adapted and included in relevant postgraduate curricula as well. It is intended to be delivered as a module with nine learning areas and 10 to 12 hours of student contact time.

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Author: Rampatige R, Gamage S

Publication date: November 2018

Resource type: CRVS technical guides

Related resources: Handbook for doctors on cause of death certification


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Medical certification of cause of death: Undergraduate curriculum - Chinese version (医学死因证明: 本科课程)

This resource was developed to help medical schools incorporate medical certification of cause of death into their undergraduate medical curriculum.

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Author: Rampatige R, Gamage S

Publication date: February 2019

Resource type: CRVS resources and tools

Related resources: Handbook for doctors on cause of death certification


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Medical certification of cause of death: Undergraduate curriculum - Portuguese version (Certificação médica da causa da morte: currículo de graduação)

This resource was developed to help medical schools incorporate medical certification of cause of death into their undergraduate medical curriculum.

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Author: Rampatige R, Gamage S

Publication date: November 2018

Resource type: CRVS resources and tools

Related resources: Handbook for doctors on cause of death certification


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Medical certification of cause of death: Undergraduate curriculum - Spanish version (Certificación médica de las causas de muerte: Plan de estudio de grado)

This resource was developed to help medical schools incorporate medical certification of cause of death into their undergraduate medical curriculum.

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Author: Rampatige R, Gamage S

Publication date: November 2018

Resource type: CRVS resources and tools

Related resources: Handbook for doctors on cause of death certification


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


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


Reducing barriers to the accurate medical certification of cause of death thumbnail
Reducing barriers to the accurate medical certification of cause of death

This document identifies barriers to accurate COD reporting by physicians and provides recommendations on how various actors can respond.

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Author: University of Melbourne

Publication date: May 2018 (update)

Resource type: CRVS best-practice and advocacy

Related resources: Action guide on reducing barriers to medical certification


Resultados preliminares del fortalecimiento del Sistema Informatico Nacional de Defunciones thumbnail
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


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


Strategies for improving the quality of cause of death data in hospitals
Strategies for improving the quality of cause of death data in hospitals

This paper outlines the importance of accurate medical certification of cause of death, and provides eight strategies that hospitals can implement to improve the accuracy and consistency of cause of death data drawn from medical records.

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Author: University of Melbourne

Publication date: April 2018 (update)

Resource type: CRVS best-practice and advocacy

Related resources: Action guide on improving the quality of cause of death data in hospitals


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

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


Summary: Improving the quality of mortality statistics in Sri Lanka thumbnail
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 country report

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

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

Related resources: CRVS country profile: Brazil


Summary: Strengthening Peru's national death registry information system thumbnail
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 country reports

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


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Training and education on medical certification: Effective strategies and approaches

This document outlines a best-practice plan for the timing and content of education and training on medical certification for physicians at three career stages.

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Author: University of Melbourne

Publication date: July 2018 (updated)

Resource type: CRVS best-practice and advocacy

Related resources: Summary: Effective strategies and approaches to training in medical certification

Godfrey M Semu MCCOD3
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