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Estimating mortality using data from civil registration: a cross-sectional study in India.
Mamta Gupta1, Chalapati Rao2, P V M Lakshmi1
1School of Public Health, Post Graduate Institute of Medical Education & Research, Chandigarh 160012, India .
Bulletin of the World Health Organization
|January 16, 2016
Summary
India's civil registration and vital statistics system has appropriate design but poor data quality, hindering accurate mortality estimates. Improvements in coordination, capacity, and computerization are recommended for reliable death registration and cause recording.
Area of Science:
- Public Health
- Demography
- Health Information Systems
Background:
- India's Civil Registration and Vital Statistics (CRVS) system is crucial for public health.
- Accurate mortality data is essential for evidence-based policy and resource allocation.
Purpose of the Study:
- To analyze the design and operational status of India's CRVS system.
- To identify areas for improvement to ensure accurate and reliable mortality data.
Main Methods:
- Document review of the legal framework, administrative structure, and system design.
- Cross-sectional study in 2013 at national and Punjab state levels.
- Analysis of life tables, death registration completeness, and assigned causes of death.
- Interviews with registrars, medical officers, and coders in Punjab.
Main Results:
- The legal framework and system design were found appropriate.
- Data collection involved complex intersectoral collaborations, resulting in poor data quality.
- Registration data was inadequate for robust national mortality estimation.
- Medically certified causes of death were recorded for only 16.8% of registered deaths.
Conclusions:
- The CRVS system data for 2011 were incomplete.
- Improvements in political support, intersectoral coordination, capacity building, and computerization are needed.
- Recommendations include state-level initiatives for universal death registration and reliable cause-of-death recording.
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