United Nations Expert Group Meeting on International Standards

United Nations Expert Group Meeting on International Standards for Civil Registration and Vital Statistics Systems Session 1. 3 The Vital Statistics System 27 June 2011 United Nation North Lawn Building, New York City Boonchai Kijsanayotin MD. , Ph. D. (Thailand)

Definitions § Tables compare definitions/concepts § For the clarification of concepts § Vital event § Vital statistics system § Civil registration system § Population registration § Not all definitions/concepts appeal in the glossary

Definitions (Cont. ) § To clarify “Fetal Death” , “abortion”, “early fetal death”, “late fetal death”, and “ Fetal death with weight-specific measure” § The concepts/definitions should be compared. § The recommended measures should explicitly state.

Data sources for Vital statistics

Vital records from the Civil registration system Specific questions in Population Censuses The Vital Statistics Specific questions in Sample Surveys Vital records from Sample Registration Area Records from Health services Others Administrative records e. g. court records From administrative data e. g. reimbursement From clinical data: Medical records

Data from Health Records Advancement of ICT (computer, mobile phone), health/medical data are more and more digitized § With health data standards, health data/information can effectively exchanged and aggregated § Health data § Administrative data : billing, reimbursement § Clinical data : laboratories results, doctor notes §

Data from Health Records (Cont. ) § § Record matching between civil registration records and healthcare service records is effective if the country implement national identifier for citizens Health data standardization and interoperability of different information systems are “Big Challenge” in Health domain

Data confidentiality § Many countries have implemented and many are considering to implement citizen IDs. § Measures to ensure the confidentiality of individual data need to be in place especially when countries implement citizen ID

Data Quality § Verbal autopsy (VA) questionnaire is another tool that can use to improve Cause of Death (COD) information. § Thailand is piloting a project: using a customized VA tool by rural health personal to interview the deceased’s relative before registering to civil registration system § Preliminary results: Ill-defined COD (ICD 10 code R 00 -R 99) decrease from 41%(2007) to 27%(2008) and 25%(2009)