SDGs: The Need for Vital Registration and Accurate Record Keeping

Feyi-Waboso, P

doi:10.29063/ajrh2016/v20i3.8

Cited by 3 publications

(4 citation statements)

References 11 publications

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“…Of the 42 papers that were reviewed, seven identified the different institutions responsible for managing the CRVS including death registration [32][33][34][35][36][37][38], 10 discussed the performance of death registration in Nigeria [9,[39][40][41][42][43][44][45][46][47], 16 identified the challenges with cause of death certification [48][49][50][51][52][53][54][55][56][57][58][59][60][61][62][63], and 10 discussed issues with the CRVS in general [2,18,31,36,[64][65][66][67][68][69].…”

Section: Resultsmentioning

confidence: 99%

“…To date, Nigeria has relied on estimations for the determination of maternal mortality ratios which have varied across different studies thereby resulting in confusion [ 18 ]. Given the underperformance of Nigeria’s CRVS, the objective of this paper is to utilize insights from a systematic literature review of death registration in Nigeria to identify and describe factors associated with realizing completeness in death registration.…”

Section: Introductionmentioning

confidence: 99%

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Death registration in Nigeria: a systematic literature review of its performance and challenges

Makinde¹,

Odimegwu

Udoh

et al. 2020

Global Health Action

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Background: Death registration provides an opportunity for the legal documentation of death of persons. Documentation of deaths has several implications including its use in the recovery of inheritance and insurance benefits. It is also an important input for construction of life tables which are crucial for national planning. However, the registration of deaths is poor in several countries including Nigeria. Objective: This paper describes the performance of death registration in Nigeria and factors that may affect its performance. Methods: We conducted a systematic literature review of death registration completeness in Nigeria to identify, characterize issues as well as challenges associated with realizing completeness in death registration. Results: Only 13.5% of deaths in Nigeria were registered in 2007 which regressed to 10% in 2017. There was no data reported for Nigeria in the World Health Organization database between 2008 and 2017. The country scored less than 0.1 (out of a maximum of 1) on the Vital Statistics Performance Index. There are multiple institutions with parallel constitutional and legal responsibilities for death registration in Nigeria including the National Population Commission, National Identity Management Commission and Local Government Authorities, which may be contributing to its overall poor performance. Conclusions: We offer proposals to substantially improve death registration completeness in Nigeria including the streamlining and merger of the National Population Commission and the National Identity Management Commission into one commission, the revision of the legal mandate of the new agency to mainly coordination and establishment of standards. We recommend that Local Government authorities maintain the local registries given their proximity to households. This arrangement will be enhanced by increased utilization of information and communications technology in Civil Registration and Vital Statistics processes that ensure records are properly archived.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Death registration in Nigeria: a systematic literature review of its performance and challenges

Makinde¹,

Odimegwu

Udoh

et al. 2020

Global Health Action

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“…But it would also mean, and this is not a simple task, investing in improving the completeness of the data, and in reviewing –or adding a few indicators. Medical records have long been used to monitor progress in terms of maternal health ( 47 ). However, to date, population-based data initiatives on vBI are missing in most countries.…”

Section: Discussionmentioning

confidence: 99%

Potential of Standard Perinatal Data for Measuring Violation of Birth Integrity

Miani¹,

Batram‐Zantvoort²,

Wandschneider³

et al. 2021

Front. Glob. Womens Health

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Background: Measuring the phenomenon of violation of birth integrity (vBI) (e.g., obstetric violence) relies in part on the availability and content of maternity care providers' data. The population coverage and linkage possibilities that these data provide make for a yet untapped potential. Although vBI is a complex phenomenon best measured with dedicated instruments, we argue that maternity care providers' data could contribute to enhance our knowledge of the manifestations and frequency of vBI, and allow for analyses across different sub-groups of the population. Looking into the German standardized perinatal data, we investigate which variables are relevant to vBI-related research, and how complete their reporting is.Methods: First, we analyse state-of-the-art frameworks and recommendations, and, for each vBI-related domain, we search for and list corresponding variables in the perinatal data which could contribute to a better understanding of vBI issues. Second, we use an example and analyse the content of perinatal data obtained between 2013 and 2016 in the context of the BaBi birth cohort study set in Bielefeld, Germany. We use descriptive statistics to assess the completeness of the data.Results: The vBI-related variables can be classified in three main categories: discrimination based on specific patient socio-demographic attributes (e.g., height and weight to calculate BMI before pregnancy, foreign origin), indication for medical interventions (i.e., medicalization-related variables: indication for cesarean sections and induction), and supportive care, in particular the mobilization dimension (e.g., continuous fetal heartbeat monitoring). The data analyses included 876 births, of which 601 were vaginal birth. We found poor reporting on demographic variables in terms of completeness. Medicalization and mobilization variables are better documented, although limited in scope.Conclusions: Putting more emphasis on the completeness of standardized data could increase their potential for vBI-related research. Perinatal data alone are insufficient to assess vBI, but a broader, theory-informed discussion of indicators to be included in standardized datasets would contribute to capturing the different aspects of integrity violation in a more systematic way and expand the evidence-base on different types of vBI.

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“…Each year, of the roughly 25 million deaths that are reported by vital registration systems in countries, about 7 million are assigned causes which are of limited use for guiding public health policy and planning, collectively known as "garbage codes" (6)(7)(8). Global initiatives such as the Bloomberg Philanthropies Data for Health Initiative (BD4H) have been established to strengthen CRVS systems in lower-and-middleincome countries (LMICs), focussing in particular on improving data collection practices and critical data analysis skills (9,10). In order to more reliably diagnose the causes of community deaths, an automated diagnostic tool known as "SmartVA Automated Verbal Autopsy" has been trialed in several countries, including Sri Lanka (11).…”

Section: Introductionmentioning

confidence: 99%

Improving the Policy Utility of Cause of Death Statistics in Sri Lanka: An Empirical Investigation of Causes of Out-of-Hospital Deaths Using Automated Verbal Autopsy Methods

Mikkelsen

Alwis

Sridharan

et al. 2021

Front. Public Health

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Background: Setting public health policies and effectively monitoring the impact of health interventions requires accurate, timely and complete cause of death (CoD) data for populations. In Sri Lanka, almost half of all deaths occur outside hospitals, with questionable diagnostic accuracy, thus limiting their information content for policy.Objectives: To ascertain whether SmartVA is applicable in improving the specificity of cause of death data for out-of-hospital deaths in Sri Lanka, and hence enhance the value of these routinely collected data for informing public policy debates.Methods: SmartVA was applied to 2610 VAs collected between January 2017 and March 2019 in 22 health-unit-areas clustered in six districts. Around 350 community-health-workers and 50 supervisory-staffs were trained. The resulting distribution of Cause-Specific-Mortality-Fractions (CSMFs) was compared to data from the Registrar-General's-Department (RGD) for out-of-hospital deaths for the same areas, and to the Global-Burden-of-Disease (GBD) estimates for Sri Lanka.Results: Using SmartVA, for only 15% of deaths could a specific-cause not be assigned, compared with around 40% of out-of-hospital deaths currently assigned garbage codes with “very high” or “high” severity. Stroke (M: 31.6%, F: 35.4%), Ischaemic Heart Disease (M: 13.5%, F: 13.0%) and Chronic Respiratory Diseases (M: 15.4%, F: 10.8%) were identified as the three leading causes of home deaths, consistent with the ranking of GBD-Study for Sri Lanka for all deaths, but with a notably higher CSMF for stroke.Conclusions: SmartVA showed greater diagnostic specificity, applicability, acceptability in the Sri Lankan context. Policy formulation in Sri Lanka would benefit substantially with national-wide implementation of VAs.

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SDGs: The Need for Vital Registration and Accurate Record Keeping

Cited by 3 publications

References 11 publications

Death registration in Nigeria: a systematic literature review of its performance and challenges

Death registration in Nigeria: a systematic literature review of its performance and challenges

Potential of Standard Perinatal Data for Measuring Violation of Birth Integrity

Improving the Policy Utility of Cause of Death Statistics in Sri Lanka: An Empirical Investigation of Causes of Out-of-Hospital Deaths Using Automated Verbal Autopsy Methods

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