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Comparative Definitions/Concepts in Vital Statistics System

This session discusses the clarification and comparison of concepts in vital statistics, such as fetal death, abortion, and early/late fetal death. It also explores the advancements of ICT in digitizing health data and the challenges of data confidentiality and quality.

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Comparative Definitions/Concepts in Vital Statistics System

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  1. Session 1.3 The Vital Statistics System 27 June 2011 United Nation North Lawn Building, New York City Boonchai Kijsanayotin MD., PhD. (Thailand)

  2. Tables compare definitions/concepts • For the clarification of concepts • Vital event • Vital statistics • Vital statistics system • Civil registration system • Population registration • Not all definitions/concepts appeal in the glossary

  3. Definitions (Cont.) • To clarify “Fetal Death” , “abortion”, “early fetal death”, “late fetal death”, and “ Fetal death with weight-specific measure” • The concepts/definitions should be compared. • The recommended measures should explicitly state.

  4. Advancement of ICT (computer, mobile phone), health/medical data are more and more digitized • With health data standards, health data/information can effectively exchanged and aggregated • Health data • Administrative data : billing, reimbursement • Clinical data : laboratories results, doctor notes

  5. Record matching between civil registration records and healthcare service records is effective if the country implement national identifier for citizens • Health data standardization and interoperability of different information systems are “Big Challenge” in Health domain

  6. Data confidentiality • Many countries have implemented and many are considering to implement citizen IDs. • Measures to ensure the confidentiality of individual data need to be in place especially when countries implement citizen ID

  7. Data Quality • Verbal autopsy (VA) questionnaire is another tool that can use to improve Cause of Death (COD) information. • Thailand is piloting a project: using a customized VA tool by rural health personal to interview the deceased’s relative before registering to civil registration system • Preliminary results: Ill-defined COD (ICD 10 code R00-R99) decrease from 41%(2007) to 27%(2008) and 25%(2009)

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