Vital Statistics in Afghanistan

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Presentation transcript:

Vital Statistics in Afghanistan Ministry of Public Health General Directorate of EHIS Vital Statistics Department Vital Statistics in Afghanistan

Outline Background Results & Achievement Challenges Way forward

Background Leading Ministries and Sections: A Comprehensive Assessment of Civil Registration and Vital statistics System initiated by the MOPH on 15-18 Sep 2013 Leading Ministries and Sections: Ministry of Interior Ministry of Public Health Central Statistics Organization Participants (Development Partners): WHO, UNICEF, UNFPA and Others

Result of Comprehensive baseline Assessment of CRVS in 2013

Aim Of the Assessment To develop a Detailed Strategic Plan for improving CRVS, with cost estimation, a time schedule and clear responsibilities assigned to each stakeholder for implementing the action

Results strategic plan developed Areas of action identified in the SP for stakeholders Ministry of Public Health got the responsibility of collecting Death Reports Based (ICD10) & Birth Registration 10 Master Trainers trained by support of WHO

Results … An access based database developed considering the standard Death Certification Report according to ICD10 22 Hospitals (including District, Provincial & National Hospitals) selected for piloting the reporting in 9 Provinces of The country Training conducted for Around 200 participants 19 Hospitals are reporting Death Certification Reports Badakhshan, Bamyan, Ghazni, Herat, Kabul, Nangarhar, Parwan, Takhar & Wardak

Achievements Totally 4259 Death Certificates Reported Among which 942 DC excluded from analysis due to (632 DC did not show any specific UCD and “Other” & 310 DC was left blank) Total Number of DC with specific UCD 3317

Death Certificate vs. HMIS

% of Death Cases By Gender

Distribution of Death Cases by Age Category

Underlying Cause of Deaths

Challenges Capacity in identification of UCD still exist at Hospitals Ignorance in death reports Coordination issues Staff turnover at different level (hospitals & MOPH) Shortages of IT equipment (Computers & Internet) Lack of technical staff (official vs. focal points)

Way Forward Expansion of data collection to 10 More Hospitals Provision of capacity building to new hospital staff provision of refresher trainings Efforts will be made on strengthening of coordination among other stakeholders Replacement of Data entry in SMOL through DHIS2 instead of Previous Ms. Access database

Way Forward… Piloting Verbal Autopsy in few provinces A pilot project of VA implemented in Bamyan Provinces (2017)

Thank you