Additional Information on CRVS Improvement
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The Lancet Series: Who Counts?
These articles comprise a series of four articles published by the Lancet on the importance of collecting data on birth, death, and cause of death for health development and public health decision making; the role of civil registration in providing vital statistics; the challenges experienced during the past 30 to 40 years that have led to inadequate civil registration systems; and potential solutions for improving the availability and quality of vital statistics.
- Who Counts? 1: A Scandal of Invisibility: Making Everyone Count by Counting Everyone
- Who Counts? 2: Civil Registration Systems and Vital Statistics: Successes and Missed Opportunities
- Who Counts? 3: Interim Measures for Meeting Needs for Health Sector Data: Births, Deaths, and Causes of Death
- Who Counts? 4: The Way Forward
Regional CRVS Resources
Asia and the Pacific
The Global Summit on Civil Registration and Vital Statistics
The ‘Make Every Life Count’ Global Summit on Civil Registration and Vital Statistics that took place in Bangkok, Thailand in April, 2013. The website contains a variety of resources, including presentations from the summit, links to CRVS tools, and other CRVS reports. Visit website
International Institute for Vital Registration and Statistics (IIVRS) Reports
Technical papers from the International Institute for Vital Registration and Statistics (IIVRS ) comprise a series of reports that provide a historical perspective on the vital statistics systems of various countries and on methods for their improvement. Read papers
CRVS Handbooks, Guidelines, and Training Manuals
The United Nations Statistics Division has published a series of handbooks on various aspects of CRVS. The division also has published a guiding manual for vital statistics in, "Principles and Recommendations for a Vital Statistics System."
- Handbooks on Civil Registration and Vital Statistics
- Statistics and Statistical Methods Publications.
The University of Queensland's Health Information Systems Knowledge Hub and WHO have established a collaboration that has produced multiple guidance documents on improving CRVS systems.
- Improving the Quality and Use of Birth, Death and Cause-of-death Information: Guidance for a Standards-based Review of Country Practices [PDF - 1.78MB]
- Rapid Assessment of National Civil Registration and Vital Statistics Systems [PDF - 962KB] .
- Strengthening Practice and Systems in Civil Registration and Vital Statistics: A Resource Kit [PDF - 5.42MB] .
Resources for Identifying Cause of Death
Software for automated cause of death
Medical certification of cause of death e-training tools— The following electronic training tools are available for instruction on medical certification of cause of death:
- ICD–10 Interactive Self Learning Tool
- New York City Department of Health and Mental Hygiene, Improving Cause of Death Reporting.
- Hawaii State Department of Health, Improving Cause of Death Reporting.
- WHO Verbal Autopsy Standards: Ascertaining and Attributing Causes of Death
InterVA is a suite of computer models to facilitate interpretation of verbal autopsies. Research for the development of InterVA is based at the Umeå Centre for Global Health Research, in northern Sweden.
- The Institute for Health Metrics and Evaluation (IHME)
IHME is an independent academic research center created at the University of Washington that conducts work in the areas of research, education and training, communications, and policy. Their work targets measurement of population health status and disease burden, identification of factors that determine health outcomes, and rigorous evaluation of health policies and interventions. IHME has published a series of research articles on verbal autopsy.
- Measure Evaluation/SAVVY: Sample Vital Registration with Verbal Autopsy
SAVVY is a method to strengthen monitoring and measurement of vital events, including information on cause of death. Through verbal autopsy, this system yields nationally representative mortality information. The Measure Evaluation SAVVY resource library contains manuals, training guides, and related materials for best practices.
New Approaches to Collecting Vital Events Information
The Health Metrics Network developed the Monitoring of Vital Events through the use of Information Technology (MOVE-IT) initiative to use mobile technology to improve the reporting of vital events, principally births and deaths, and the collection of causes of death in low and middle-income countries. MOVE-IT made use of information technology to promote the capture of data on vital events at the source, in particular home-based events that often go unreported in developing countries.
The International Network for the Demographic Evaluation of Populations and Their Health (INDEPTH Network) is an international platform of sentinel demographic sites that provides health and demographic data and research to enable developing countries to set health priorities and policies based on longitudinal evidence. INDEPTH’s extensive research and experience collecting demographic data has yielded useful tools and guidance for monitoring vital events. More information about the INDEPTH Network can be found at the following website:
- The Mortality Assessment for Health Programs (MAP) System
Available on the CORE Group website, this manual serves as a guide for assessing under-five mortality rates by establishing a Mortality Assessment for Health Programs (MAP). This methodology enables organizations to collect accurate vital events information and to detect changes in under-five mortality.
- International Statistics Program
National Center for Health Statistics
Francis (Sam) Notzon, Ph.D
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Hyattsville, MD 20782
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