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This presentation discusses the current state of the Vital Statistics System (VSS) in Bangladesh and proposes possible strategies for improvement. It highlights the challenges faced, such as the lack of universal coverage and the need for better coordination with health institutions. The presentation also emphasizes the importance of confidentiality, regular data dissemination, and quality assessment in the VSS.
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Possible National Strategies For Improving VSS Shahidul Islam Khan Statistical Officer Bangladesh Bureau of Statistics Ministry of Planning
Is vital statistics produced from civil registration? • No. Bangladesh produce vital statistics from sample vital registration system; • Due to century long unsatisfactory birth and death registration system and • Organization responsible for birth and death registration does not produce VS.
Does the vital statistics system ensures • Universal coverage? • Bangladesh is not in line with universal coverage since it has been maintaining SVRS due to • Lack of fund, lack of available HR, lack of infrastructure etc. • Continuity? • VSS is a continuous process. • Confidentiality? • Confidentiality of the respondent is maintained; • Field in questionnaires from sample area is sent to BBS head office and are preserved under the supervision of a responsible officer; • Individual information is not published. Report is published at national level with urban rural break-up and also at sub-national level.
Role of health institutions in the system: • In case of VSS, information is collected from concern person/household head/ any reliable persons; • Health institutions should be in line with VSS; • Coordination body for VSS of BBS includes personnel from Ministry of Health. • Regular dissemination? • Data is published once a year with regular National Steering Committee meeting, workshop, seminar etc. • Since 1980 BBS has been publishing yearly report regularly.
Definitions of Vital Events • BBS has been maintaining international standard in term of definitions of vital events and items included in the questionnaire; • Some definitions are changed according to country setting; • Core Topics • BBS has been following internationally recommended topics in VSS; • Data might not be possible to provide according to tabulation plan in some cases. • For example, we do not collect data on timing of fetal death, we just collect whether the birth is foetal or live might not
Quality Assessment • BBS has been maintaining quality following Chandra-Shekhar and Demming Dual Recording system; • Matching is performed between system-1(schedule filled by registrar) and system-2(scheduled filled by supervisor, same schedule like registrar); • If there is anomalyexperienced staff member from head office is sent to sample area to verify the event; • Necessary steps taken as per his/her report.
Possible Strategies/Future Plan • Online data entry at field level; • Ensuring the use of ICD-10 code to identify the causes of death properly; • Development of HR for VSS; • Timely dissemination of data; • Dissemination seminar at sub national level; • Increase awareness and utilization of VS; • Better coordination with in line agencies.
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