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Vital Statistics Commission of Jamaica - Planning Institute of Jamaica

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Audit <strong>of</strong> <strong>Vital</strong> Registration and <strong>Vital</strong> <strong>Statistics</strong> Systems: <strong>Jamaica</strong><br />

EXHIBIT A<br />

Cross-Reference <strong>of</strong> Recommendations to Findings<br />

I.D. Recommendation<br />

1. Deaths reported to the coroner by the police should be reported to the<br />

RGD and registered within a reasonable time frame (72 hours)<br />

2. Develop and implement a PC-based electronic data collection,<br />

logging, tracking, and reporting system<br />

3. Develop and implement an island-wide network information system<br />

for data collection, logging, tracking, and reporting system<br />

4. The new JEMS system should be evaluated to determine if it can be<br />

used to support data tracking, case management, and backlogs as<br />

related to deaths<br />

5. Perform a feasibility study <strong>of</strong> the conversion to a medical examiner<br />

system<br />

6. There must be a strict enforcement <strong>of</strong> MOH policies concerning the<br />

reporting <strong>of</strong> births, fetal deaths, and neonatal deaths, including audits<br />

<strong>of</strong> such, and sanctions for non-compliance<br />

7. MOH policies concerning the reporting <strong>of</strong> births, fetal deaths, and<br />

deaths, including audits <strong>of</strong> births and peri-natal deaths and sanctions<br />

for non-compliance, should be applicable to both public and private<br />

providers<br />

8. Develop and implement an island-wide, electronic hospital<br />

information system interfaced with other agencies.<br />

9. All data collection forms should be evaluated as to meeting the needs<br />

<strong>of</strong> the stakeholders and redesigned as necessary (forced fields, prenumbered,<br />

etc.)<br />

10. MOJ policies concerning the reporting <strong>of</strong> births and peri-natal deaths,<br />

including audits <strong>of</strong> births and peri-natal deaths and sanctions for noncompliance,<br />

should be investigated to ensure they adequately support<br />

the collection <strong>of</strong> vital statistics<br />

11. RGD should continue its efforts to educate parents about the need to<br />

and benefits <strong>of</strong> registering their children<br />

12. Members <strong>of</strong> the hospital staff and medical staff should be oriented<br />

about key points in the MOH policies concerning births, fetal deaths,<br />

and deaths<br />

13. Medical record technicians should be properly trained through a<br />

standardized, structured system. They should either already have the<br />

qualifications or should be provided the structured training<br />

14. The MOH should develop and conduct training for midwifes<br />

concerning MOH birth reporting policies – make such a requirement<br />

Finding(s)<br />

1, 2, 3, 4, 5<br />

11, 12<br />

12, 14<br />

12, 14, 103,<br />

104<br />

80<br />

22, 23, 24,<br />

25, 26, 27,<br />

28, 29, 30,<br />

31, 32, 55,<br />

56, 84, 85,<br />

107, 108,<br />

109, 110<br />

33<br />

34, 35, 36,<br />

37, 57<br />

38, 39, 40<br />

22, 23, 24,<br />

25, 26, 27,<br />

28, 29, 30,<br />

31, 32, 56,<br />

109, 110<br />

32<br />

6, 72, 73, 88<br />

74, 75<br />

76<br />

38

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