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Data Analysis Gujarat 2010. K.K.PANCHAL Additional Director(VS). Demographic Profile. Registration Units - Urban Units: 162 & Rural Units: 18131. Vital Events Trends. Trend in receipt of returns. Trend in Registration of vital events. Trends in Vital Registrations.
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Data Analysis Gujarat 2010 K.K.PANCHAL Additional Director(VS)
Percent Birth Registration by Time, Sex and Residence - 2010
%age Distribution of Birth Registered by type of Medical Attention – CRS 2010
Birth Registration by Birth order- CRS, 2010 Rural Urban
Children by level of Mother’s Education 2+ Children 3+ Children
Importance of Mortality data Impact of health services in community – Deciding priorities Access the effectiveness of health programme Detect changes in mortality pattern Scientific base for Medical Research Evaluation of Health Indicators
Based on provision of Registration of Birth and Death Act 1969 Part of Civil Registration System, operational in many states in the beginning of 70s. Based on ICD 10 of WHO National List of Mortality 21 Major Groups (chapter), 3 volumes and structure of coding pattern is alphanumeric of ICD 10. MEDICAL CERTIFICATION OF CAUSE OF DEATH
However, the implementation and coverage of MCCD scheme is not uniform at all levels. The office of the Registrar General, India is reviewing proper implementation of MCCD scheme along with the implementation of RBD Act. Medical Certification of Cause of Death (Cont..)
The Registration of Births and Deaths Act, 1969 came into force in the state of Gujarat from 01-04-1970. With the introduction of Gujarat Registration of Births and Deaths Rules, 1973 from 18-04-1973, all civil surgeons and medical officers of referral hospitals were intimated to introduce the certification of death as per prescribed Performa under the rule. Medical Certification of Cause of Death In Gujarat
Medical Certification of Cause of Death under Civil Registration System has got statutory backing under sections 10(2) and 10(3) of the Registration of Births & Deaths Act, 1969. The Act also incorporates a clause (section 17(1)(b)) about the confidentiality of the information on cause of death, forbidding to disclose this in any extract provided from the registration records. Legal Provisions
Legal Provisions Section 10(2): In any area, the state Govt. having regard to the facilities available therein in this behalf, may require that a certificate as to the cause of death shall be obtained by the Registrar from such person and in such form as may be prescribed.
Section 10(3): Where the state Govt. has required under subsection 10(2) that a certificate as to the cause of death shall be obtained, in the event of the death of any person who during his last illness, was attended by a medical practitioner, the medical practitioner shall, after the death of that person, forthwith, issue cause of death certificate according to best of his/her knowledge and experience, without charging any fee, to the person required under thisAct to give information concerning the death. Legal Provisions
Legal Provisions Section 17(1)(b): Subject to any rules made in this behalf by the State Govt. including rules relating to the payment of fees and postal charges, any person may obtain an extract from such registrar relating to any birth or death; provided that no extract relating to any person, shall disclose the particulars regarding the cause of death as entered in the register.
Legal Provisions Under Section 23(3) of the RBD Act,any Medical Practitioner who neglects or refuses to issue a certificate under section 10(3) and any person who neglects or refuses to deliver such certificate shall be punishable with fine, which may extend to fifty rupees.
Status of MCCD in Gujarat The MCCD scheme has initially been implemented at four teaching hospitals- Ahmedabad, Vadodara, Surat and Jamnagar. Later Rajkot and Bhavnagar included in the scheme. Currently apart from above all six medical college, all municipal corporation reports MCCD data. And From 2009 all 27 district hospitals are going to report MCCD data. Presently we are in phase III of the training schedule. Means training of CHC’s doctors and coders with sub district hospitals. Then letter on PHC’s doctors and some of remaining private doctors will train.
Leading cause of deaths according to Major categories MCCD, 2010