Vital Statistics Commission of Jamaica - Planning Institute of Jamaica
Vital Statistics Commission of Jamaica - Planning Institute of Jamaica
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 />
I.D. Finding<br />
1. For Coroner’s cases, it is <strong>of</strong>ten difficult to obtain post mortem cooperation from<br />
families for registration information because there is no penalty for non-compliance.<br />
If there is an estate in question or a will to be probated, then the family is inclined to<br />
ensure registration procedures are completed<br />
2. Form D, Certificate <strong>of</strong> Coroner, is obtained by the family to register a death. The<br />
form is manually logged but there is no reconciliation to registrations reported at the<br />
RGD<br />
3. Parish Officers present to the CC to obtain all Form Ds not picked up by family<br />
members but there is no written policy or expectation.<br />
4. CC claims that approximately 3-4 Forms D are lost per month by the RGD<br />
5. RGD does make an effort to collect From D<br />
6. Cause <strong>of</strong> death is not always reported correctly<br />
7. Lack <strong>of</strong> distinction between registration data and occurrence data<br />
8. Efforts are being made by the RGD to collect violent death information from the CC<br />
9. Violent deaths – Form D was usually attached to the certificate but Form E was<br />
<strong>of</strong>ten missing<br />
10. Law says a delayed registration is 12 months. RGD uses a three month definition<br />
11. The MOJ’s current tracking and reporting system provides aggregate volume<br />
numbers, not the details around the causes, locations, etc. <strong>of</strong> deaths<br />
12. MOJ systems are all manual. There are limited capabilities for evaluating backlogs<br />
and systemic problems (Data analysis is not being performed to identify systemic<br />
problems for solutions)<br />
13. In some cases investigations <strong>of</strong> deaths have taken up to five years to be completed<br />
and the findings sent to the Coroner<br />
14. The MOJ is in the process <strong>of</strong> installing and implementing a new information system<br />
(JEMS) to be used to track all cases in courts<br />
15. Coders do call physicians for clarification <strong>of</strong> coding issues, but they do not use a<br />
standard set <strong>of</strong> parameters<br />
16. Coding at the RGD is manually performed<br />
17. The RGD database is organized according to registrations, not occurrences, but vital<br />
statistics data can be extracted from this type <strong>of</strong> database<br />
18. LDR<br />
19. Open air facility<br />
20. No computerization, only paper registrations<br />
21. Parish <strong>of</strong>ficers pick up the paper forms for transport to the RGD<br />
22. Anecdotal evidence suggests that there apparently are problems in tracking peri-natal<br />
deaths, particularly neonatal deaths occurring within seven days <strong>of</strong> delivery in<br />
hospitals<br />
23. Areas when/were births were being missed<br />
24. C-sections<br />
25. Weekend staffing (no ward secretary to complete a notification form)<br />
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