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.
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