Sanchai Techanimitvat

Cirawan Matuam

Third Regional workshop on Production andUse of Vital Statistics May 26–30, 2014, Daejeon, Republic of

Korea

Quality assessment and assurance in vital statistics system

Topic of presentation

Overview of vital statistics system and its relationship with civil registration and health institution in Thailand.

Procedures and processes for quality assessment, assurance and reporting in vital statistics system.

1909: Monarchy (King Rama V); Western colonization period

Civil Registration System

the first registration law was enacted specified the preparation and maintenance of population registration and creation of birth and death registration.

1917 : enforced births and deaths registration throughout the kingdom

1936: The democratic revolution

Civil Registration System (Contd.)

1956 Comprehensive civil registration act

creation of a network of local registry office, acting registrars, laid down clear guidelines for the registration of birth, death, fetal death (for the first time)

increased number of registration offices spreading over the entire country

1972 Revise civil registration act (Military government)

Civil Registration System (Contd.)

1982 the Population Identification Number Project. Start of the computerized population database.

appointment hierarchy of registration authorities laid down clear procedures for vital registrationspecified types of informants place and time for

registration, forms, functions, responsibility of registrars, and other requirement for registration.

MOI Central Data Processing

National Authority: Bureau of Registration Administration Department of Local Administration, Ministry of Interior

Civil Registration System

Operates and maintains the data base for the entire population of the country, and issues identity cards and household booklets

getting free health care services enrolling children to free education asking for bank account.

Citizen Identification Number

Citizen ID issues at the birth registration (Call 13 Digits numbers)

The numbers is needed when transact with government and many non government agencies:

1969-1986 Typing machineID card

1987 – 1996 ComputerPrintout ID card

Current Smart card type

ID card

Citizen Identification Card

Vital Statistic System in ThailandAfter 1996 - Present

Bureau of Registration

AdministrationMinistry of Interior

Central Registry

Ministry of Public Health

(MOPH)

Printed Annual Vital Statistics

Report

National HealthSecurity Office

(NHSO) Hospitals

Web EntryBirth Certificate(Start 2010)

Report Statisticsback to Province

Electronic Files

DataSynchronize

Provincial Health Offices

Compile, Code, Validate

And Process Statistics

Web EntryDeath Certificate(from 2006)

1996, The Ministry of Public Health has signed an agreement with the Department of Local Administration, Ministry of Interior, regarding utilization of data in the central registration database of the administration, in order to reduce redundancy of birth, death data.

The Department of Local Administration, Ministry of Interior, will send the data relevant to death of all the persons who have been registered birth, dead from the central registration database to the Office of Permanent Secretary of the Ministry of Public Health.

Death notification form(Non-hospital) with COD

Death inside hospital

Death outside hospital

Death certificate by doctor

Death notification by village head

Death registration at district office or municipality

Ministry of Interior ICD-10 coding at MOPH (BPS)

40% 60%

Medical death certificate form(In-hospital) with COD

On-line system

Electronic file transfer monthly

Use birth data Name of users

The adoption and disseminate and reference Statistical data warehouseand health statistics for search .

• Ministry of Public Health ,• National Statistical Office (NSO)

To develop and analysis of surveillance reports and pregnancy and birth in adolescent.

Bureau of Reproductive Health

Tracking health screening newborns.

Department of Medical Sciences

Surveillance and monitoring project implementation. Impact of the economic crisis on health and health systems.

International Health Policy Program, Thailand (IHPP)

Development of statistics and indicators.Violence against women and children.

Office of Women’s And Family Development

Statistics on teen pregnancy , Infants weight less than 2,500 grams.

Health and Socials

The assessment of Thailand’s CRVS system was undertaken

by The Thai Health Information Standards Development

Center (THIS) in collaboration with other stakeholders

including

- The Bureau of Policy and Strategies of the MOPH,

- The Bureau of Registration Administration of the MOI,

- The National Statistical Office of Ministry of Information

Communication and Technology,

- The international Health Policy Program (IHPP),

- The National Health Security Office (NHSO),

- The Institute for Population and Social Research of

Mahidol University, and

- The Office of the National Economic and Social

Development

Board (NESDB).

An initial workshop to assess the CRVS using the Rapid

Assessment (RA) too was held at the THIS office on 12

July 2012.

The main focus of this workshop was to conduct an initial

assessment using a Thai language version of the RA

tool. A second workshop was held on 14 August 2012,

this time also involving participants from the Institute for

Population and Social Research of Mahidol University,

and NESDB. Results from the first workshop were

reviewed and participants recommended conducting a

comprehensive assessment.

An inaugural national CRVS workshop was held at the

Miracle hotel, Bangkok, on 6 November 2012.

Presentations on the upcoming “ High-level Regional

meeting on CRVS in Asia and Pacific ”, held in Bangkok

on 7 December 2012, CRVS concepts, “ CRVS

International Situation ” as well result of Thailand’s rapid

assessment result were given and discussed. There were

about 50 participants from stakeholder agencies ranging

from health facilities at the local level to national level

policymakers and international experts from UN

agencies. Minor changes to the results were adjusted.

Thailand completed both a rapid and comprehensive

assessment of its CRVS system in 2012. According to the

results from the rapid assessment, Thailand’s system is “

Satisfactory ”, meaning “ Minor adjustments may be

required in an otherwise well-functioning system ”. The

main issue raised by the rapid assessment was the

quality of cause of death data and the quality of coding.

Amore detailed review of the CRVS system was

recommended.

Following this workshop, further discussions and reviews

were held between stakeholders to reach a final

comprehensive assessment result that can be used to

guide the development of improvement plans.

Rapid assessment grouping areaAverage Scores

Legal framework for civil registration and vital statistics

2.67

Registration infrastructure and resources 3

Organization and functioning of the vital statistics system

2.5

Completeness of registration of births and deaths

3

Data storage and transmission 3

ICD-compliant practices and certification within and outside hospitals

2

Rapid assessment grouping area Average Scores

Practices affecting the quality of cause- of-death data

1.5

ICD coding practices 3

Coder qualification and training, and quality of coding

2.5

Data quality and plausibility checks 2

Data access, dissemination and use 3

Total Score (From 75) : 65

Average Scores : 2.56

Score (%) 86.67

Thank you감사합니다