1. By Dr. Abd el shakour Mahmoud Health Officer responsible, Egypt 5 th December 2014, Addis Ababa, Ethopia HOME DEATHS IN EGYPT

2. Registration of deaths is governed by the law 143/1994 (Civil Status – Ministry of Interior) Notification of deaths within 24 hours from its occurrence to the health office in the area. Notification of death by relatives or neighbors of the dead taking with him ID of the dead and his ID (2 copies) The health register will fill two notification forms of death and the notifier will sign on them.

3. The health office doctor then go to see the case at home. A) if the death is natural give the burial permit. B) if suspect that the death isn’t natural he will notify the police. The doctor will confirm the 2 notification forms (in which the death is natural or not natural) one of them are kept at the health office and the other sent weekly to the civil status.

4. The doctor will fill a 3 rd notification form belongs to the ministry of health which determine the direct and indirect cause of death in addition to parts about smoking, accidents, tumors, female deaths at the age of 15 to 49 years (this from is sent to the information system in the ministry of health. The certificate of death is given to the 1 st degree relative and if not, given to the 2 nd degree. NB: in automated health offices a computerized copy is printed from the system and signed by the notifier and the doctor and sent together with the ordinary copy to the civil status unit weekly, for comparing between them till accuracy and completeness occur we will depend on the computerized copy only and in advanced stage when connection occur between health offices and civil status this copy will be deleted.

5. The health information system analyses the data and gives it as a soft material to the CAPMAS ( Central Agency for Public Mobilization And Statistics) every 3 months. For statistical studies and surveys.

6. The Major Bottlenecks in the Current Business Process

7. Incompleteness and inaccuracy of the direct and indirect causes of death. Incompleteness of automization through Egypt (only 8 governorate from 27)

8. The Desired Business Process

9. As the current business process in addition to overcome the major bottlenecks by complete automation of all health offices and regular continuous training for health offices, doctors also training of the health offices register.

10. 5 Strategies to Address the Identified Bottlenecks

11. 1. Automization of all governorates. 2. Connection between health offices and civil status. 3. Continuous training for health offices, doctors on ICD 10 and verbal autopsy. Also training of health offices registers. 4. Teaching medical students the ICD 10. 5. Assessment and follow-up: In egypt there is a good follow-up system from the preventive sector on the governorates, districts and health units on the manual system of registration and the automated system as we designed a guideline for automated governorate descriping the job of each member in the system including the follow-up team also it contains the major problems and how to deal with it either software or hardware problems also we can follow-up the registration process centrally through USB modem.