Quality assessment and assurance in the vital statistic system in Thailand

1. SanchaiTechanimitvat CirawanMatuam Quality assessment and assurancein the vital statistic system inThailand Third Regional workshop on Production and Use of Vital Statistics May 26–30, 2014, Daejeon, Republic of Korea

2. Topic of presentation • Quality assessment and assurance in vital statistics system • Overview of vital statistics system and its relationship with civil registration and health institution in Thailand. • Procedures and processes for quality assessment, assurance and reporting in vital statistics system.

3. Civil Registration System • 1909: Monarchy (King Rama V); Western colonization period • the first registration law was enacted specified the preparation and maintenance of population registration and creation of birth and death registration. • 1917 : enforced births and deaths registration throughout the kingdom

4. Civil Registration System (Contd.) • 1936: The democratic revolution • creation of a network of local registry office, acting registrars, laid down clear guidelines for the registration of birth, death, fetal death (for the first time) • 1956 Comprehensive civil registration act • increased number of registration offices spreading over the entire country

5. Civil Registration System (Contd.) • 1972 Revise civil registration act (Military government) • appointment hierarchy of registration authorities • laid down clear procedures for vital registration • specified types of informants place and time for registration, forms, functions, responsibility of registrars, and other requirement for registration. • 1982 the Population Identification Number Project. Start of the computerized population database.

6. MOI Central Data Processing

7. Civil Registration System • National Authority: Bureau of Registration Administration Department of Local Administration, Ministry of Interior • Operates and maintains the data base for the entire population of the country, and issues identity cards and household booklets

8. Citizen Identification Number • getting free health care services • enrolling children to free education • asking for bank account. • Citizen ID issues at the birth registration (Call 13 Digits numbers) • The numbers is needed when transact with government and many non government agencies:

9. Citizen Identification Card 1969-1986 Typing machine ID card 1987 – 1996 Computer Printout ID card Current Smart card type ID card

10. Vital Statistic System in Thailand After 1996 - Present Compile, Code, Validate And Process Statistics Electronic Files Bureau of Registration Administration Ministry of Interior Central Registry Ministry of Public Health (MOPH) PrintedAnnual Vital Statistics Report Web Entry Birth Certificate (Start 2010) Web Entry Death Certificate (from 2006) Data Synchronize Report Statistics back to Province National Health Security Office (NHSO) Hospitals Provincial Health Offices

11. 1996, The Ministry of Public Health has signed an agreement with the Department of Local Administration, Ministry of Interior, regarding utilization of data in the central registration database of the administration, in order to reduce redundancy of birth, death data. • The Department of Local Administration, Ministry of Interior, will send the data relevant to death of all the persons who have been registered birth, dead from the central registration database to the Office of Permanent Secretary of the Ministry of Public Health.

12. Flow of vital even registration Electronic file transfer monthly ICD-10 coding at MOPH(BPS) Ministry of Interior On-line system Death registration at district office or municipality Death notification form (Non-hospital) with COD Medical death certificate form (In-hospital) with COD Death certificate by doctor Death notification by village head Death inside hospital Death outside hospital 60% 40%

14. The assessment of Thailand’s CRVS system was undertaken by The Thai Health Information Standards Development Center (THIS) in collaboration with other stakeholders including - The Bureau of Policy and Strategies of the MOPH, - The Bureau of Registration Administration of the MOI, - The National Statistical Office of Ministry of Information Communication and Technology, - The international Health Policy Program (IHPP), - The National Health Security Office (NHSO), - The Institute for Population and Social Research of Mahidol University, and - The Office of the National Economic and Social Development Board (NESDB).

15. An initial workshop to assess the CRVS using the Rapid Assessment (RA) too was held at the THIS office on 12 July 2012. The main focus of this workshop was to conduct an initial assessment using a Thai language version of the RA tool. A second workshop was held on 14 August 2012, this time also involving participants from the Institute for Population and Social Research of Mahidol University, and NESDB. Results from the first workshop were reviewed and participants recommended conducting a comprehensive assessment.

16. An inaugural national CRVS workshop was held at the Miracle hotel, Bangkok, on 6 November 2012. Presentations on the upcoming “ High-level Regional meeting on CRVS in Asia and Pacific ”, held in Bangkok on 7 December 2012, CRVS concepts, “ CRVS International Situation ” as well result of Thailand’s rapid assessment result were given and discussed. There were about 50 participants from stakeholder agencies ranging from health facilities at the local level to national level policymakers and international experts from UN agencies. Minor changes to the results were adjusted.

17. Thailand completed both a rapid and comprehensive assessment of its CRVS system in 2012. According to the results from the rapid assessment, Thailand’s system is “ Satisfactory ”, meaning “ Minor adjustments may be required in an otherwise well-functioning system ”. The main issue raised by the rapid assessment was the quality of cause of death data and the quality of coding. Amore detailed review of the CRVS system was recommended.

18. Following this workshop, further discussions and reviews were held between stakeholders to reach a final comprehensive assessment result that can be used to guide the development of improvement plans.

22. Thank you 감사합니다