The Swiss Tropical and Public Health Institute at the University of Basel is the University of Melbourne’s collaborator for the BD4H Initiative, developing CRVS tools and filling knowledge and methods gaps in order to provide technical assistance to countries.
Here's what Professor Don de Savigny from Health Systems and Policy Research at the Swiss Tropical and Public Health Institute had to say at the beginning of the BD4H Initiative about the hard work of changing systems and finding their 'tipping points':
Some of the innovations being developed as part of the BD4H Initiative include:
CRVS Systems Architecture & Analysis (Enterprise Architecture Business Process Mapping)
- These tools help to better describe, understand, analyse and compare national CRVS organization, processes, work flows and system functionality for all stakeholders participating D4H countries/cities and beyond. They stimulate creative and collective thinking on how systems can be re-engineered for higher performance.
CRVS Data Quality Assessment Tools (ANACONDA)
- a practical and robust data review tool that monitors the quality of cause of death data and provides guidance on how quality can be improved.
Integrating Mortality Surveillance into CRVS Systems
- a suite of guidance approaches for sentinel and sample mortality surveillance systems to encourage integration, collaboration, technical exchange and data sharing between longitudinal health and demographic surveillance systems (HDSS) or sentinel registration systems (SAVVY) sites and routine CRVS systems.
Automated Verbal Autopsy in CRVS Systems
- The rise of VA using tablets to determine the cause of death based on computerized diagnostic algorithms now makes VA for routine use a potentially transformative innovation for CRVS systems. Innovations include defining the systems considerations for this new technology including developing the digital pipeline of VA information from the household, through the health sector, to the CRVS systems.
Verbal Autopsy and CRVS Costing Tools
- The costs per VA conducted and the costs per birth or death registered and certified are largely unknown in all countries. The CRVS Costing Tools will allow national managers to budget, assess costs and model future scenario costs of their systems and to address inefficiencies.
- The future of CRVS is 100% digital. Core generic, open-source software will enable countries to achieve a digital CRVS future sooner. The CRVS requirements determined by the Systems Architecture work will inform the development of OpenCRVS.