Workshop on Civil Registration and Vital Statistics in East Asian Countries
The workshop in Hanoi, Vietnam focused on the operation of civil registration, vital statistics, and identity management systems for East Asian countries. Dr. Noriza Abdullah from the Health Informatics Center in Malaysia highlighted the role of health institutions in CRVS, emphasizing the importance of accurate data collection in generating vital statistics and improving public health. Malaysia's governance structure and the roles of key stakeholders like the Ministry of Health were discussed, emphasizing the critical functions carried out by health institutions in the certification of causes of death and data collection processes. The workshop aimed to enhance CRVS systems for better health outcomes and population monitoring.
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WORKSHOP ON THE OPERATION OF CIVIL REGISTRATION, VITAL STATISTICS AND IDENTITY MANAGEMENT SYSTEMS FOR EAST ASIAN COUNTRIES HANOI, VIETNAM | 13-17 NOVEMBER 2017 THE ROLE OF HEALTH INSTITUTIONS DR. NORIZA ABDULLAH HEALTH INFORMATICS CENTER, PLANNING DIVISION MINISTRY OF HEALTH MALAYSIA 1
Outlines Background Governance of CRVS in Malaysia Roles of Ministry of Health o Flow of Birth/Death Information Generating COD Statistics Improvements on CRVS (COD) o CRVS Digitization Output o o o o o o WORKSHOP ON THE OPERATION OF CIVIL REGISTRATION, VITAL STATISTICS AND IDENTITY MANAGEMENT SYSTEMS FOR EAST ASIAN COUNTRIES | HANOI, VIETNAM | 13-17 NOVEMBER 2017 2
Background Ministry of Health (MOH) was one of the main national CRVS stakeholders in Malaysia alongside with Ministry of Home Affairs (MOHA), National Registration Department (NRD) and Department of Statistics Malaysia (DOSM). o Malaysia has adopted the resolutions proposed in the Ministerial Conference in a Ministerial Declaration to Get Everyone in The Picture and Regional Action Framework (RAF) for the 2015-2024 CRVS Decade. o Ministerial Conference on CRVS in Asia and The Pacific held in Bangkok on 24-28 November 2014. o Malaysian delegation was led by the Deputy Minister of MOHA and consists of Senior Gov. Officer from MOHA, MOH, NRD, DOSM, Economic Planning Unit (EPU) and Attorney General's Chambers of Malaysia (AGC). o WORKSHOP ON THE OPERATION OF CIVIL REGISTRATION, VITAL STATISTICS AND IDENTITY MANAGEMENT SYSTEMS FOR EAST ASIAN COUNTRIES | HANOI, VIETNAM | 13-17 NOVEMBER 2017 3
Governance of CRVS in Malaysia Tier 1 Tier 2 Steering Committee (chaired by Sec. Gen. of MOHA) Technical Committee (chaired by Director Gen. of NRD) Consist representative from various related gov. agencies including NRD, MOHA, MOH, DOSM, Royal Police, Immigration, Social Welfare, Dept. of Islamic Development, Sabah and Sarawak State Secretary Consist representative from various related gov. agencies including MOHA, MOH, NRD, DOSM, Foreign Affairs, Women & Family, Education, AGC, EPU, MAMPU and Dept. of Islamic Development To suggest and preparing proposal, planning and execute the enhancement of CRVS To evaluate and endorse the proposal, planning or enhancement activities on CRVS WORKSHOP ON THE OPERATION OF CIVIL REGISTRATION, VITAL STATISTICS AND IDENTITY MANAGEMENT SYSTEMS FOR EAST ASIAN COUNTRIES | HANOI, VIETNAM | 13-17 NOVEMBER 2017 4
Roles of Ministry of Health in CRVS Malaysia Two critical roles including: o As informants of the occurrence of births, fetal deaths and death o Only occured in health facilities. o Certification of causes of death (COD) o Can be performed only by physicians attached to health institutions. Information collected by health institutions is crucial in generating: o Health statistics o Overall health of the population, planning and the needs in public health system. o Vital statistics o Informed on vital events of the population, monitoring programs towards improving health of the population. o o WORKSHOP ON THE OPERATION OF CIVIL REGISTRATION, VITAL STATISTICS AND IDENTITY MANAGEMENT SYSTEMS FOR EAST ASIAN COUNTRIES | HANOI, VIETNAM | 13-17 NOVEMBER 2017 5
Flow of Birth/Death Information to Civil Registration Systems and Vital Statistics Data collected will be processing in Medical Care Information System (MOH) Birth/Death occurred in health facilities is recorded Data integration (selected variables) with NRD Database in NRD (National Registration Department) Parents/Relatives register the vital events (birth/death) to NRD Parents/Relatives will be issued a birth/death certification by NRD Preliminary official VS will be reviewed by Inter- Agency Planning Group (IAPG) before release. Vital statistics released by DOSM. Vital Statistics (VS) compiled by DOSM based on NRD s database (CR) WORKSHOP ON THE OPERATION OF CIVIL REGISTRATION, VITAL STATISTICS AND IDENTITY MANAGEMENT SYSTEMS FOR EAST ASIAN COUNTRIES | HANOI, VIETNAM | 13-17 NOVEMBER 2017 6
Generating COD Statistics (in health facilities) Death ICD-10 coding by DOSM based on underlying COD information in NRD s database Preliminary COD statistics will be reviewed by Inter-Agency Planning Group (IAPG) before release. COD statistics released by DOSM. COD statistics compiled by DOSM Database in NRD Data harmonization between MOH-DOSM (in health facilities) Data collected will be processing in Medical Care Information System (MOH) Data integration with NRD (selected variables) Medically Certified Death (information on underlying COD) Notified by Medical Officer Registration in NRD Death certified to relatives Death certificate and burial WORKSHOP ON THE OPERATION OF CIVIL REGISTRATION, VITAL STATISTICS AND IDENTITY MANAGEMENT SYSTEMS FOR EAST ASIAN COUNTRIES | HANOI, VIETNAM | 13-17 NOVEMBER 2017 7
Generating COD Statistics (outside health facilities) Verification of underlying COD by MOH to relative Medical practitioner issued medically certified death with underlying COD ICD-10 coding by MOH Preliminary COD statistics will be reviewed by Inter-Agency Planning Group (IAPG) before release. COD statistics released by DOSM. ICD-10 coding by DOSM based on underlying COD information in NRD s database COD statistics compiled by DOSM Database in NRD Death Data harmonization between MOH-DOSM (outside health facilities) Data collected will be processing in Medical Care Information System (Forensic Medicine) (MOH) Forensic procedure (medically certified death) Data integration with NRD (selected variables) Notified by Police Without forensic procedure (non-medically certified death) Death certified to relative by police Registration in NRD Death certificate and burial WORKSHOP ON THE OPERATION OF CIVIL REGISTRATION, VITAL STATISTICS AND IDENTITY MANAGEMENT SYSTEMS FOR EAST ASIAN COUNTRIES | HANOI, VIETNAM | 13-17 NOVEMBER 2017 8
Improvements on CRVS (COD) (in Ministry of Health) o Further investigation is conducted for maternal and under five death to improve information on underlying cause of death. o Investigation is conducted at District Health Office/Hospital/Health Clinic level. o Implementation on verification of non-medically COD information for death outside health facilities or without medical practitioner (certified by police) to improve medically certified death. o Regular workshop/training on diagnostic documentation specifically to Medical Officer to improve in disease/related health problem diagnosis writing and documentation. o To cater issues on illegible writing, improper placement and incomplete information in medical record. o Centralized coding (data on inpatient death) is done by trained Medical Record Officer (MRO) to improve ICD-10 coding on underlying COD. The MROs is under going continuous training to improve their capabilities and also ICD-10 re-certification. o Data harmonization (data and ICD-10 codes) as well as engagement and collaboration between agencies for compiling national vital statistics and cause of death statistics. WORKSHOP ON THE OPERATION OF CIVIL REGISTRATION, VITAL STATISTICS AND IDENTITY MANAGEMENT SYSTEMS FOR EAST ASIAN COUNTRIES | HANOI, VIETNAM | 13-17 NOVEMBER 2017 9
CRVS Digitization (in Ministry of Health) Malaysian Health Data Warehouse (MyHDW) o Medical Care Information System (SMRP) o Source of visit data on inpatient, daycare, outpatient and clinical support o No. of death in health facilities o Patient Registry Information System (PRIS) o MyHarmony o Business Intelligence Tools o Geographical Information System (GIS) o Dashboard o Fixed Format Report o Adhoc Query Analysis o Statistical & Predictive Analytics o Malaysian Mortality Information System (MyMIS) for maternal and child mortality data. o WORKSHOP ON THE OPERATION OF CIVIL REGISTRATION, VITAL STATISTICS AND IDENTITY MANAGEMENT SYSTEMS FOR EAST ASIAN COUNTRIES | HANOI, VIETNAM | 13-17 NOVEMBER 2017 10
Output of CRVS (Statistics and Publication) Vital Statistics o Publication: o Vital Statistics Malaysia and Cause of Death Statistics Malaysia. o Released by DOSM via DOSM Portal. o Agreed by Inter-Agency Planning Group (IAPG) before release the statistics. o Official statistics on no. of birth, death and fetal death as well as indicator of Crude Birth Rate (CBR), Total Fertility Rate (TFR), Crude Death Rate (CDR), Maternal Mortality Ratio (MMR) and Natural Increase. o Health Statistics Publication: Health Facts and Health Indicator. Released by MOH via MOH Portal. Top Ten Principal Causes of Death in MOH Hospital/ Private Hospitals as well as Mortality Rate by Selected Disease. o o o o WORKSHOP ON THE OPERATION OF CIVIL REGISTRATION, VITAL STATISTICS AND IDENTITY MANAGEMENT SYSTEMS FOR EAST ASIAN COUNTRIES | HANOI, VIETNAM | 13-17 NOVEMBER 2017 11
jdrnoriza@moh.gov.my | +60388833162 WORKSHOP ON THE OPERATION OF CIVIL REGISTRATION, VITAL STATISTICS AND IDENTITY MANAGEMENT SYSTEMS FOR EAST ASIAN COUNTRIES | HANOI, VIETNAM | 13-17 NOVEMBER 2017 12
