Africa, Asia and Eastern Mediterranean 2012 and 2013
Africa, Asia and Eastern Mediterranean 2012 and 2013
Africa, Asia and Eastern Mediterranean 2012 and 2013
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14. In 43 per cent of countries, there is an agreed schedule for reporting to the central office, with<br />
reporting deadlines taken seriously <strong>and</strong> closely monitored – it is rarely necessary to send out reminders. In the<br />
remaining 20 countries, the schedule is not strictly adhered to <strong>and</strong> there is little effort by the central office to<br />
encourage more timely <strong>and</strong> regular reporting.<br />
Practices affecting the quality of cause of death data; ICD compliance, practices <strong>and</strong> training<br />
15. 60 per cent of countries state that the cause of death must be indicated on the death certificate<br />
according to the International Classification of Diseases (ICD), <strong>and</strong> can only be certified by a medical doctor.<br />
Whilst, 10 countries, state that cause of death must be indicated, but only under broad categories, <strong>and</strong> may be<br />
certified by non-medical officials.<br />
16. Only in 23 per cent of countries, are all medical students are introduced to the ICD during their<br />
studies, <strong>and</strong> are taught how to certify cause of death <strong>and</strong> correctly complete the medical death certificate.<br />
Data quality <strong>and</strong> plausibility checks<br />
17. In 46 per cent of countries, checks on overall levels of fertility <strong>and</strong> mortality derived from the vital<br />
statistics data are made routinely by calculating rates <strong>and</strong> comparing these over time; rates are also compared<br />
to data derived from other sources, such as censuses <strong>and</strong> surveys. However, in 9 countries, no specific checks<br />
are routinely carried out for data quality <strong>and</strong> plausibility of birth <strong>and</strong> death statistics.<br />
18. In addition to checking the stability of patterns in cause of death over time, the proportion of illdefined<br />
<strong>and</strong> unknown deaths is routinely monitored, <strong>and</strong> the age <strong>and</strong> sex patterns for major causes of death<br />
are checked for plausibility in 34 per cent of countries. However, 10 countries do not carry out consistency<br />
<strong>and</strong> plausibility checks routinely on data for cause of death.<br />
Data access, dissemination <strong>and</strong> use<br />
19. 69 per cent of the 35 countries publish annual data on births <strong>and</strong> 71 per cent publish annual data on<br />
deaths by all three disaggregations (sex, age <strong>and</strong> geographical or administrative region). 5 countries are not<br />
able to publish annual statistics on birth, <strong>and</strong> 7 countries do not publish annual statistics on death.<br />
20. The delay between the reference year <strong>and</strong> the time when detailed national statistics on cause of<br />
death, classified by sex <strong>and</strong> age, are made available to the public is less than two years for 71 per cent of<br />
countries. In 2 countries, it was reported that the delay is five years or more.<br />
21. Data on births, deaths, <strong>and</strong> causes of death are utilized in 66 per cent of countries for socioeconomic<br />
planning <strong>and</strong> for monitoring the health status of the population, including the use of data on cause of death<br />
for public health purposes. In 2 countries, data from the civil registration <strong>and</strong> vital statistics systems are not<br />
routinely used for policy <strong>and</strong> programme purposes.<br />
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