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Mortality in Central Java: results from the indonesian mortality registration system strengthening project
Chalapati Rao1, Soeharsono Soemantri, Sarimawar Djaja
1School of Population Health, University of Queensland, 288, Herston Road, Herston, QLD 4006 Australia. c.rao@sph.uq.edu.au.
BMC Research Notes
|December 3, 2010
Summary
Indonesia
Area of Science:
- Public Health
- Epidemiology
- Demography
Background:
- Indonesia mandated compulsory death registration in December 2006.
- This study piloted cause of death ascertainment in Central Java.
- International standards were adapted for local implementation.
Purpose of the Study:
- To describe methods and results of cause of death ascertainment in pilot areas.
- To assess the feasibility of cause of death reporting alongside death registration.
- To generate local mortality indicators for health policy.
Main Methods:
- Adapted international standards for cause of death reporting.
- Physician certification for hospital deaths; verbal autopsies for home deaths.
- Used International Classification of Diseases, 10th Revision (ICD-10) for coding.
Main Results:
- 10,038 deaths registered in Surakarta (urban) and Pekalongan (rural) during 2006-2007.
- Data completeness higher in rural (72.5%) than urban (52%) areas.
- Leading causes: stroke, ischemic heart disease, chronic respiratory disease; with variations by area (e.g., diabetes/cancer urban, TB/diarrhea rural).
Conclusions:
- Non-communicable diseases are major causes of premature mortality in Central Java.
- Implementing cause of death reporting with death registration is feasible in Indonesia.
- Improved health and registration sector collaboration is vital for data quality.
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