1. GROUP D: BOTSWANA Institutional Deaths

2. Strategies to address the identified bottlenecks Decentralise coding to major health centres Simplification/ domestication of the ICD Intensify training of relevant staff on the ICD Strengthen partnership with development partners to provide technical assistance Increase staffing for coding

3. Process of Death Registration Death in health facility or attended by a medical personnel Death medical report accompanied by medical certified cause of death Death registration at local civil registration office or service point Death registration service s Coding and data entry Analysis and report production

4. Bottlenecks in the current process Limited understanding of the ICD by doctors and coders Staffing constraints _ use of temporary staff.... Which delays production of reports Centralised coding

5. Desired business process The current process is the desired... But there is need to address the above bottle necks to make it wprk

6. Reports Botswana Causes of Death Report Vital Statistics Report Marriage Statistics Report

7. Thank you