Rapid assessment of the civil registration and vital statistics performance of health facilities in the five districts of Zambia: A cross-sectional study

Background: Civil registration and vital statistics (CRVS) are essential administrative tools for accurate statistical data on vital events. However, civil registration coverage is particularly poor in low- and middle-income countries. Currently, CRVS are attracting global attention, as their improv...

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Autores principales:	Yuta Yokobori, Jun Matsuura, Hiromi Obara, Yasuo Sugiura, Tomomi Kitamura, Crispin Moyo, Chomba Mwango, Motoyuki Yuasa
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	CRVS Death registration Birth registration Africa Science (General) Q1-390 Social sciences (General) H1-99
Acceso en línea:	https://doaj.org/article/9854b8620aa246dcb99dc0cabbe4bcf5
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spelling	oai:doaj.org-article:9854b8620aa246dcb99dc0cabbe4bcf52021-12-02T05:02:52ZRapid assessment of the civil registration and vital statistics performance of health facilities in the five districts of Zambia: A cross-sectional study2405-844010.1016/j.heliyon.2021.e08367https://doaj.org/article/9854b8620aa246dcb99dc0cabbe4bcf52021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2405844021024701https://doaj.org/toc/2405-8440Background: Civil registration and vital statistics (CRVS) are essential administrative tools for accurate statistical data on vital events. However, civil registration coverage is particularly poor in low- and middle-income countries. Currently, CRVS are attracting global attention, as their improvement is considered a priority. While health facility is one of the important actors involved in the management of quality CRVS, its function in CRVS remains unclear. Therefore, this work aims to investigate the CRVS performance of the health facility in Zambia, a low-income country, and identify the gaps for effective policy-making. Methods: To assess the health facilities’ CRVS performance, a questionnaire was developed based on existing assessment tools for the whole CRVS; this comprised 21 multiple-choice questions in 10 areas with four choices awarded between 0 and 3 points according to performance. These questionnaire-based interviews were conducted by information officers in all health facilities per first, secondary, and tertiary-level in five target districts of Zambia, selected via socioeconomic and geographic features. The average points were calculated in each area by each level of healthcare system and summarized in a single chart. Results: The results indicated low scores in the following areas: staff compliance with standard reporting procedures, infrastructure, capacity of coding based on International Classification of Diseases among health personnel, documentation of the cause of death in medical records, and absence of a system to identify the cause of death of brought-in-dead cases. Conclusion: The tool developed in this work to evaluate the CRVS performance of health facilities was useful for identifying the gaps that need to be overcome to ensure the quality of CRVS in Zambia. However, its validity should be further investigated in other areas in Zambia as well as in other countries.Yuta YokoboriJun MatsuuraHiromi ObaraYasuo SugiuraTomomi KitamuraCrispin MoyoChomba MwangoMotoyuki YuasaElsevierarticleCRVSDeath registrationBirth registrationAfricaScience (General)Q1-390Social sciences (General)H1-99ENHeliyon, Vol 7, Iss 11, Pp e08367- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	CRVS Death registration Birth registration Africa Science (General) Q1-390 Social sciences (General) H1-99
spellingShingle	CRVS Death registration Birth registration Africa Science (General) Q1-390 Social sciences (General) H1-99 Yuta Yokobori Jun Matsuura Hiromi Obara Yasuo Sugiura Tomomi Kitamura Crispin Moyo Chomba Mwango Motoyuki Yuasa Rapid assessment of the civil registration and vital statistics performance of health facilities in the five districts of Zambia: A cross-sectional study
description	Background: Civil registration and vital statistics (CRVS) are essential administrative tools for accurate statistical data on vital events. However, civil registration coverage is particularly poor in low- and middle-income countries. Currently, CRVS are attracting global attention, as their improvement is considered a priority. While health facility is one of the important actors involved in the management of quality CRVS, its function in CRVS remains unclear. Therefore, this work aims to investigate the CRVS performance of the health facility in Zambia, a low-income country, and identify the gaps for effective policy-making. Methods: To assess the health facilities’ CRVS performance, a questionnaire was developed based on existing assessment tools for the whole CRVS; this comprised 21 multiple-choice questions in 10 areas with four choices awarded between 0 and 3 points according to performance. These questionnaire-based interviews were conducted by information officers in all health facilities per first, secondary, and tertiary-level in five target districts of Zambia, selected via socioeconomic and geographic features. The average points were calculated in each area by each level of healthcare system and summarized in a single chart. Results: The results indicated low scores in the following areas: staff compliance with standard reporting procedures, infrastructure, capacity of coding based on International Classification of Diseases among health personnel, documentation of the cause of death in medical records, and absence of a system to identify the cause of death of brought-in-dead cases. Conclusion: The tool developed in this work to evaluate the CRVS performance of health facilities was useful for identifying the gaps that need to be overcome to ensure the quality of CRVS in Zambia. However, its validity should be further investigated in other areas in Zambia as well as in other countries.
format	article
author	Yuta Yokobori Jun Matsuura Hiromi Obara Yasuo Sugiura Tomomi Kitamura Crispin Moyo Chomba Mwango Motoyuki Yuasa
author_facet	Yuta Yokobori Jun Matsuura Hiromi Obara Yasuo Sugiura Tomomi Kitamura Crispin Moyo Chomba Mwango Motoyuki Yuasa
author_sort	Yuta Yokobori
title	Rapid assessment of the civil registration and vital statistics performance of health facilities in the five districts of Zambia: A cross-sectional study
title_short	Rapid assessment of the civil registration and vital statistics performance of health facilities in the five districts of Zambia: A cross-sectional study
title_full	Rapid assessment of the civil registration and vital statistics performance of health facilities in the five districts of Zambia: A cross-sectional study
title_fullStr	Rapid assessment of the civil registration and vital statistics performance of health facilities in the five districts of Zambia: A cross-sectional study
title_full_unstemmed	Rapid assessment of the civil registration and vital statistics performance of health facilities in the five districts of Zambia: A cross-sectional study
title_sort	rapid assessment of the civil registration and vital statistics performance of health facilities in the five districts of zambia: a cross-sectional study
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/9854b8620aa246dcb99dc0cabbe4bcf5
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Rapid assessment of the civil registration and vital statistics performance of health facilities in the five districts of Zambia: A cross-sectional study

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