Role of Mortality data in
Public Health
Uses of mortality statistics - These include
a. Health planning and administration
- Prioritize investments in control and research
- Evaluate control programmes
- Improve health care delivery and quality
- Investigate role of risk factors
- Investigate impact of interventions
b. Health Research -Monitor trends in mortality and diseases
Users of mortality statistics include
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Clinicians
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Community health physicians
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Epidemiologists
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Social scientists
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Biostatisticians/Demographers/ Medical records personnel
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Programme managers
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Policy-makers
Reporting of Cause of death
Only about 1 in 5 deaths in India have a cause of death identified for them
Sources of CoD data
CoD data is obtained through -
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Civil Registration systems (CRS)
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Sample Registration systems (SRS)
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Medical Certification of Cause of Death (MCCD)
1. Civil Registration systems (CRS)
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It is a passive system comprising of registration of all births and deaths by the government
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Data is collected by non-medical personnel
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Aim: mainly for statistical purposes by registering the fact of death (and not the cause of death)
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Status report in India –
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Sample is incomplete and non-representative since only ~5.5 out of 10 lakh estimated deaths are reported per year
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2. Sample Registration systems (SRS)
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This is a subset of CRS wherein from ~7500 small representative geographic areas of the country the fact of death and the cause of death data are collected for a sample size of ~0.5 lakhs/year
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It comprises of enumeration of deaths in sample villages / urban areas
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It includes investigation of causes of mortality through verbal autopsy by trained non-medical personnel
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Aim: for statistical purposes to assign a cause-of-death
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Status report in India –
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This system generates reliable community-based information on death rates as well as the causes of death by age-and-sex groups for the country as a whole and for different regions of India
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3. Medical Certification of Cause of Death (MCCD)
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This is hospital-based certification of deaths by physicians
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Aim: It is used both for patient-oriented quality improvement and for statistical purposes
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Status report in India –
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It is non-representative since only ~1.5 out of 10 lakh deaths are certified per year; suffers from incomplete and inaccurate reporting of causes of death in hospital certificates
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e-MCCD M3U1LA2
By drkavya1
e-MCCD M3U1LA2
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