Global Congress

1. Verbal Autopsy Americas Integration into National Health Information System Global Congress on Verbal Autopsy: State of the Science 15-17 February, 2011, Bali, Indonesia Fatima Marinho MD, MPH, PhD Information and Health Analysis (HSD/HA) Pan American Health Organization (PAHO/WHO) [email_address]

6. Countries Experience Improving Mortality Data

7. Quantifying the coverage problem Setting Priorities In Brazil, coverage and quality are very good in the Southeast and South where 60% of the population live. In the Central West Region the coverage is 90%. 10% of the country’s population live in this region. Mortality Information System (SIM) Brazil

8. Quantifying the Quality Problem in Brazil Proportion of Ill-Defined causes of death, SIM 1996 1997 1998 1999 2000 2001 2002 2003 2004 BR 15 15 15 15 14 14 14 13 12 NO 24 24 24 24 24 23 22 21 21 NE 32 31 30 30 28 28 27 26 24 SE 9 9 10 10 10 10 9 9 8 SO 9 8 8 7 6 6 6 7 6 C W 11 11 11 11 9 8 7 6 6 Source: CGIAE/DASIS/SVS/MS Feb 2009

9. National Goals Diagnosis of cause of death: - increase to 90% Death registration system coverage: - increase to 90% in the Northeast Region How? 4- Systematic Search of under-registered deaths at the municipality level – Verbal Autopsy 5- Investigation of 100% of Ill-Defined cause of Death – Verbal Autopsy

11. Ceará-Mirim – Municipality – rural area a very small piece of the problem 60,000 inhabitants – 21 cemetery – 19 illegal

12. Área de estudo State of Alagoas, Northern of Brazil-2004 Pop: 2,947,717 Mortality coverage: 66% Red and yellow areas are target areas A measure was developed to estimate the coverage in small cities

13. Fonte: Planilha de busca ativa Systematic Death Search Results, Alagoas, Brazil - 2005