Improving the collection and dissemination of vital statistics at international level United Nations Expert Group Meeting on International Standards for Civil Registration and Vital Statistics Systems. United Nations, New York, June 2011 Dr Fatima Marinho, MD, PhD Coordinator of Health Information and Analysis

2011 Pan American Health Organization Content General aspects about the document for discussion Collection of Vital Statistics Dissemination of Vital Statistics Recommendations

2011 Pan American Health Organization Content General aspects about the document for discussion Collection of Vital Statistics Dissemination of Vital Statistics Recommendations

2011 Pan American Health Organization General aspects about the document for discussion It would be good if an evaluation of the progress of Vital Registration at national level overtime is included. –Tables 1 to 6 do not show progress on data collection and data quality over time. It is expected that the quantity and quality of data is improved over time. Is that happening? The improvement on data collection and dissemination processes in UNSD should not be isolated from what is occurring on the Vital Registration & rest of NSO’s information systems –It is not presented in the document this interaction and vision

2011 Pan American Health Organization General aspects about the document for discussion It is not included in the document if exist any continuous feedback mechanism to know about: –the impact of the UNSD’s efforts regarding data collection and dissemination in countries –What is the NSO perception about the added value of UNDS data collection and dissemination processes –What is the value of UNSD’s products – let say reports and data, to countries

2011 Pan American Health Organization Content General aspects about the document for discussion Collection of Vital Statistics Dissemination of Vital Statistics Recommendations

2011 Pan American Health Organization Collection of Vital Statistics Current practice is mainly based on questionnaires (Excel format) –This is a common practice in many international institutions. It is acceptable but could be improved –Some drawbacks of this practice: Introduction of errors while entering data manually from one source to other Generate an extra work burden at national level (NSO) because of data should be entered in an questionnaire out of National VS system. Low level of harmonization (high fragmentation) of the dimensions per measure and/or indicator. e.g Live births Lost of valuable data and information as they are collected at a high level of aggregation.

2011 Pan American Health Organization Collection of Vital Statistics Suggestions for improving the data collection process 1.Implementation of web-based applications for data collection from NSO 2.Implementation of Data Exchange Services in UNSD and NSO Information systems using data & metadata exchange standards

2011 Pan American Health Organization 1.- Implementation of web-based applications for data collection from NSO Intermediate solution It does not solve drawbacks of current practice (mentioned earlier) It improves the data collection, transformation and loading processes at international (global) level 1.Data can be checked & validated while being entered to the system 2.Almost instant data availability in a central data repository

2011 Pan American Health Organization 2.- Implementation of Data Exchange Services as part of VS Information Systems A most better solution that allow data exchange among heterogeneous information systems (IS). Use of data and metadata exchange standards e.g SDMX National data from a NSO IS can be extracted (pulled) from the UNSD IS and vice-versa Most of the drawbacks of the current practice can be solved with this solution as data is collected through automated processes

2011 Pan American Health Organization 2.- Implementation of Data Exchange Services as part of VS Information Systems This solution requires: –an intermediate and/or advance level of development of the VS Information System –investment to improve information system at national level –improve the Human Resource capacity –envision a high level of harmonization among levels of the Vital Statistic Information Systems, including interoperability and data exchange mechanisms among heterogeneous information systems.

2011 Pan American Health Organization Content General aspects about the document for discussion Collection of Vital Statistics Dissemination of Vital Statistics Recommendations

2011 Pan American Health Organization Dissemination of Vital Statistics It is important to recognize the tremendous progress in data and information dissemination reached by UNSD and UN

2011 Pan American Health Organization Some differences between Vital Statistics and Civil Registration for the same year Why don’t conciliate the data between two different sources? Is the difference between the date of registration and date of death an issue here?

2011 Pan American Health Organization Mortality Pneumonia and Influenza Seasonality - Brazil P&I Deaths For some countries VS is more complete than CR VS in Brazil has the mortality by day and CR doesn’t

2011 Pan American Health Organization Source: PAHO Health Indicators, 2010 Mortality Data Under- registration % English Speaking Caribbean Countries

2011 Pan American Health Organization Terms and definitions: in this specific case, the definition refers to Maternal mortality ratio but the title to Maternal Mortality rate

2011 Pan American Health Organization Dissemination of Vital Statistics UNSD is disseminating and giving access to: –Data and statistics: UNdata portal –Publications and products: UN Demographic Yearbook, Population Vital Statistics Report It is recommended to disseminates also information products as Data Visualizations Data and Statistics should be interpreted PAHO’s current practice on Data & Statistics dissemination is illustrated in next slide

2011 Pan American Health Organization Data & Data Visualizations Available online at PAHO Health Observatory:

2011 Pan American Health Organization Data Visualizations from PAHO Indicators From : - data to Information - information to knowledge - knowledge to actions More effective and innovative ways to communicate data and statistics. Available at PAHO Health Observatory:

2011 Pan American Health Organization Content General aspects about the document for discussion Collection of Vital Statistics Dissemination of Vital Statistics Recommendations

2011 Pan American Health Organization Recommendations Work together with NSO to conciliate and improve Vital Statistics and Civil Registration Information systems at both international and national level Implement a feedback mechanisms from countries Implement more effective processes for data collection, including the implementation of data exchange services and adoption of open data exchange standards e.g. SDMX Besides data and publications, disseminate data visualizations and analytic briefs and key messages oriented to diverse audiences Implements web sites for dissemination with capacity for more than one language.