census logo

A critical assessment of mortality statistics in Thailand: potential for improvements

Quality of the system and assessment
This study evaluates the collection and flow of mortality and cause-of-death (COD) data in Thailand, identifying areas of weakness and presenting potential approaches to improve these statistics. Methods include systems analysis, literature review, and the application of the Health Metrics Network (HMN) self-assessment tool by key stakeholders. We identified two weaknesses underlying incompleteness of death registration and inaccuracy of COD attribution: problems in recording events or certifying deaths, and problems in transferring information from death certificates to death registers. Deaths occurring outside health facilities, representing 65% of all deaths in Thailand, contribute to the inaccuracy of cause-of-death data because they must be certified by village heads with limited knowledge and expertise in cause-of-death attribution. However, problems also exist with in-hospital cause-of-death certification by physicians. Priority should be given to training medical personnel in death certification, review of medical records by health personnel in district hospitals, and use of verbal autopsy techniques for assessing internal consistency. This should be coupled with stronger collaboration with district registrars for the 65% of deaths that occur outside hospitals. Training of physicians and data coders and harmonization of death certificates and registries would improve COD data for the 35% of deaths that take place in hospital. Public awareness of the importance of registering all deaths and the application of registration requirements prior to funerals would also improve coverage, though enforcement would be difficult.


Assessement of mortality stat.pdf Assessement of mortality stat.pdf (495.00 KB, 334 views)

Also In This Category

On a scale of 1-5, please rate the helpfulness of this article

Not Helpful
Very Helpful
Optionally provide your comments to help us improve this article...

Thank you for your feedback!

Add Your Comments
Email Address:
RadEditor - HTML WYSIWYG Editor. MS Word-like content editing experience thanks to a rich set of formatting tools, dropdowns, dialogs, system modules and built-in spell-check.
RadEditor's components - toolbar, content area, modes and modules
Toolbar's wrapper  
Content area wrapper
RadEditor's bottom area: Design, Html and Preview modes, Statistics module and resize handle.
It contains RadEditor's Modes/views (HTML, Design and Preview), Statistics and Resizer
Editor Mode buttonsStatistics moduleEditor resizer
RadEditor's Modules - special tools used to provide extra information such as Tag Inspector, Real Time HTML Viewer, Tag Properties and other.
Verification Code:
Last Modified: 8 Years Ago
Last Modified By: admin
Article not rated yet.
Article has been viewed 1.2K times.
Customer Support Software By InstantKB 2015-2
Execution: 0.000. 11 queries. Compression Disabled.