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Civil registration and vital statistics systems in the Region

Between November 2012 and January 2013, countries of the Eastern Mediterranean Region conducted a civil registration and vital statistics system rapid assessment. The results show that around 40% of countries have either inadequate or weak systems, and only a quarter have a satisfactory system.

The area that scored the lowest average across the Region was coder qualification (used to code death certificates to ensure reliability of data), and training and quality of coding, followed by practices affecting the quality of cause of death data, then International Classification of Diseases (ICD 10)-compliant practices and certification within and outside hospitals. Collaboration between government departments responsible for collecting, coding and publishing vital statistics is evidently lacking, and the quality and plausibility of vital statistics are not routinely checked or evaluated before being released.

Among countries with “satisfactory” civil registration and vital statistics systems, the quality of cause of death data and qualification and training of coders and quality of coding are the main concerns. Countries with inadequate or weak systems scored below average in all domains, and countries with a functional system, scored averages below 2 (mean value) in areas related to ICD-compliant practices and certification, quality of cause of death data and coder qualification and training, including quality of coding.


Regional Health Observatory

The WHO Regional Office's portal to the Regional Health Observatory provides access to data and analysis to monitor the regional health situation.


Mortality

Life expectancy
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Perinatal mortality rate per 1000 total births
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Infant mortality rate per 1000 live births
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Under five mortality rate per 1000 live births
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Maternal mortality ratio per 100 000 live births
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Selected morbidity

Cholera
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Meningococcal meningitis
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Poliomyelitis
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Noncommunicable diseases

(%) - cholesterol level ≥ 5.2mmoL/dl
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Overweight and obesity (%) - Body Mass Index ≥ 25
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Smoking (%) - current daily smokers
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Alcohol consumption/current drinkers - drinking alcohol in the last 30 days
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Health workforce

Physicians
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Nursing and midwifery
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Dentists
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Pharmacists
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Coverage with primary health care services

Population with access to local health services
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Contraceptive prevalence
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Births attended by skilled health personnel
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Health expenditure

Gross domestic product per capita
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Per capita total expenditure on health
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Per capita government expenditure on health
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General government expenditure on health as % of total health expenditure
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