Strengthening Mortality Statistics for Health Programs in Malaysia: Lessons from the Field

Reliable information on causes of death is essential for an evidence-based health policy. There is a challenge in ascertaining the cause for deaths occurring without medical attention. This has been a persistent problem for Malaysia, where 50% of deaths are registered as “nonmedically certified” dea...

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Main Authors: Chalapati Rao, Mohammad Azahadi Omar, Shubash Shander Ganapathy, Nor Saleha Ibrahim Tamin
Format: Article
Language:English
Published: Springer 2019-12-01
Series:Dr. Sulaiman Al Habib Medical Journal
Subjects:
Online Access:https://www.atlantis-press.com/article/125928192/view
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author Chalapati Rao
Mohammad Azahadi Omar
Shubash Shander Ganapathy
Nor Saleha Ibrahim Tamin
author_facet Chalapati Rao
Mohammad Azahadi Omar
Shubash Shander Ganapathy
Nor Saleha Ibrahim Tamin
author_sort Chalapati Rao
collection DOAJ
description Reliable information on causes of death is essential for an evidence-based health policy. There is a challenge in ascertaining the cause for deaths occurring without medical attention. This has been a persistent problem for Malaysia, where 50% of deaths are registered as “nonmedically certified” deaths mostly with ill-defined causes. During 2014–2016, a research study was conducted in a nationally representative sample of 15,000 deaths in Malaysia, to verify their registered causes and develop cause-specific mortality estimates. Standard Verbal Autopsy (VA) methods were used to ascertain causes for the nonmedically certified deaths in the sample. VA methods were successful in assigning specific causes for most cases with ill-defined causes of death, resulting in plausible mortality patterns. The Malaysian government issued official instructions for routine implementation of VA methods for nonmedically certified deaths. Nationwide capacity development was implemented to improve data quality. These activities provide several lessons for strengthening the national mortality statistics programs.
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spelling doaj.art-4a6668ca112b41fea98731d243387de52022-12-22T02:47:48ZengSpringerDr. Sulaiman Al Habib Medical Journal2590-33492019-12-011310.2991/dsahmj.k.191214.003Strengthening Mortality Statistics for Health Programs in Malaysia: Lessons from the FieldChalapati RaoMohammad Azahadi OmarShubash Shander GanapathyNor Saleha Ibrahim TaminReliable information on causes of death is essential for an evidence-based health policy. There is a challenge in ascertaining the cause for deaths occurring without medical attention. This has been a persistent problem for Malaysia, where 50% of deaths are registered as “nonmedically certified” deaths mostly with ill-defined causes. During 2014–2016, a research study was conducted in a nationally representative sample of 15,000 deaths in Malaysia, to verify their registered causes and develop cause-specific mortality estimates. Standard Verbal Autopsy (VA) methods were used to ascertain causes for the nonmedically certified deaths in the sample. VA methods were successful in assigning specific causes for most cases with ill-defined causes of death, resulting in plausible mortality patterns. The Malaysian government issued official instructions for routine implementation of VA methods for nonmedically certified deaths. Nationwide capacity development was implemented to improve data quality. These activities provide several lessons for strengthening the national mortality statistics programs.https://www.atlantis-press.com/article/125928192/viewCauses of deathcivil registration and vital statistics (CRVS) systemsMalaysiamortalityverbal autopsy
spellingShingle Chalapati Rao
Mohammad Azahadi Omar
Shubash Shander Ganapathy
Nor Saleha Ibrahim Tamin
Strengthening Mortality Statistics for Health Programs in Malaysia: Lessons from the Field
Dr. Sulaiman Al Habib Medical Journal
Causes of death
civil registration and vital statistics (CRVS) systems
Malaysia
mortality
verbal autopsy
title Strengthening Mortality Statistics for Health Programs in Malaysia: Lessons from the Field
title_full Strengthening Mortality Statistics for Health Programs in Malaysia: Lessons from the Field
title_fullStr Strengthening Mortality Statistics for Health Programs in Malaysia: Lessons from the Field
title_full_unstemmed Strengthening Mortality Statistics for Health Programs in Malaysia: Lessons from the Field
title_short Strengthening Mortality Statistics for Health Programs in Malaysia: Lessons from the Field
title_sort strengthening mortality statistics for health programs in malaysia lessons from the field
topic Causes of death
civil registration and vital statistics (CRVS) systems
Malaysia
mortality
verbal autopsy
url https://www.atlantis-press.com/article/125928192/view
work_keys_str_mv AT chalapatirao strengtheningmortalitystatisticsforhealthprogramsinmalaysialessonsfromthefield
AT mohammadazahadiomar strengtheningmortalitystatisticsforhealthprogramsinmalaysialessonsfromthefield
AT shubashshanderganapathy strengtheningmortalitystatisticsforhealthprogramsinmalaysialessonsfromthefield
AT norsalehaibrahimtamin strengtheningmortalitystatisticsforhealthprogramsinmalaysialessonsfromthefield