A SAVVY Approach to  Improving Mortality Information Systems Fieldwork applications of the  SAVVY Resource Kit
SAVVY in the context of HIS <ul><li>$80 billion in overseas development aid in 2004 …“so what?” </li></ul><ul><li>“Scandal...
SAVVY in the context of HIS <ul><li>SA mple  V ital registration with  V erbal autops Y: </li></ul><ul><li>Collaboration b...
Collect representative cause-specific mortality information (Mozambique) <ul><li>No functional mortality HIS.  </li></ul><...
Improve coverage/quality of existing Mortality Information System (Brazil) <ul><li>Coverage of Brazilian MIS is 85-90% ove...
Harmonize mortality data collection instruments within a HIS (Kenya) <ul><li>Currently, 5 demographic surveillance sites (...
Collect child-specific mortality information at national level (Uganda) <ul><li>No functional mortality HIS.  Need for cau...
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A SAVVY Approach to Improving Mortality Information Systems

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Fieldwork applications of the SAVVY Resource Kit

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  • Accurate and reliable mortality statistics are needed to inform policy and decision-making processes, for evidence-based planning, and for monitoring and evaluation of intervention programs and their impact. These mortality data are sorely lacking in much of the world, especially sub-Saharan Africa.
  • A SAVVY Approach to Improving Mortality Information Systems

    1. 1. A SAVVY Approach to Improving Mortality Information Systems Fieldwork applications of the SAVVY Resource Kit
    2. 2. SAVVY in the context of HIS <ul><li>$80 billion in overseas development aid in 2004 …“so what?” </li></ul><ul><li>“Scandal of Invisibility” </li></ul><ul><li>Renewed international efforts to improve civil and vital registration systems </li></ul><ul><li>Need a short or medium term solution… </li></ul>
    3. 3. SAVVY in the context of HIS <ul><li>SA mple V ital registration with V erbal autops Y: </li></ul><ul><li>Collaboration between MEASURE Evaluation and US Census Bureau </li></ul><ul><ul><li>Resource Kit launched in 2007: </li></ul></ul><ul><ul><ul><li>Demographic surveillance system (DSS) </li></ul></ul></ul><ul><ul><ul><li>Mortality surveillance system (MSS) using international standard verbal autopsy (VA) instruments </li></ul></ul></ul><ul><ul><ul><li>Death certification and coding </li></ul></ul></ul><ul><ul><ul><li>Nested or rider surveys </li></ul></ul></ul>
    4. 4. Collect representative cause-specific mortality information (Mozambique) <ul><li>No functional mortality HIS. </li></ul><ul><li>Considering 2007 census, US Census Bureau and MEASURE Evaluation proposed idea of “Post-Census Mortality Survey”. </li></ul><ul><li>Sample design: 1000-1600 deaths in each of 11 provinces. </li></ul><ul><li>Direct cost: additional 5-6% of direct census cost (PEPFAR- and UNICEF-funded activity). </li></ul>
    5. 5. Improve coverage/quality of existing Mortality Information System (Brazil) <ul><li>Coverage of Brazilian MIS is 85-90% overall, but lower in poor, rural areas in north/northeast. </li></ul><ul><li>MoH is using VA and SAVVY Resource Kit to: </li></ul><ul><ul><li>Increase coverage of deaths captured in MIS. </li></ul></ul><ul><ul><li>Decrease proportion of captured deaths due to ‘ill-defined cause’. </li></ul></ul><ul><li>Pilot testing in late 2007, fieldwork launch in 17 provinces in March 2008. </li></ul>
    6. 6. Harmonize mortality data collection instruments within a HIS (Kenya) <ul><li>Currently, 5 demographic surveillance sites (DSS) collect basic demographic information on residents. </li></ul><ul><li>At present, mortality data collection is not comparable between sites. </li></ul><ul><li>MEASURE Evaluation training on VA and ICD-10 certification and coding </li></ul>
    7. 7. Collect child-specific mortality information at national level (Uganda) <ul><li>No functional mortality HIS. Need for cause-specific information on malaria-preventable child deaths. </li></ul><ul><li>“Post-DHS Child Mortality Survey” implemented in April 2007, using adapted SAVVY Resource Kit (PMI-funded activity). </li></ul><ul><li>721 child (<5) deaths; analysis in progress </li></ul><ul><li>Similar activities planned in Rwanda, Kenya, Ghana, and Madagascar </li></ul>
    8. 8. Questions?

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