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Meeting of the Regional Advisory
Committee on Health Statistics–
         CRAES 2012

                                  Dr. Fatima Marinho, HA Coordinator




         Havana, Cuba – 26 to 28 March 2012
Content

1. Synthesis of the 2009 CRAES Meeting
    – Topics addressed
    – Key recommendations

2. 2012 CRAES Meeting
   – Objectives
   – Expected results
   – Main topics
CRAES Meeting– 2009
                        Background

Main topics addressed
2.   The current status of vital and health statistics in the Region
3.   Regional Core Health Data Initiative and Health Profiles
     (RCHDI&HP)
4.   Underreporting of mortality and ill define causes of death
5.   The Millennium Development Goals (MDG) 4 and 5
6.   WHO Family of International Classifications (WHO-FIC)


    The previous CRAES meeting took place at PAHO
Headquarters, in Washington D.C. from 11 to 13 August 2009
CRAES 2009: Key recommendations

      Data Correction Methods                 Millennium Development Goals
•   Training in providing correct         •   Propose strategies for analyzing and
    information on death certificates         revising the indicators used by the
                                              various international agencies
•   Promote use of official statistics,
    considering how they are              •   Use of official statistics as they are
    generated and not replacing them          generated rather than substituting
                                              estimates at the PAHO level
    with estimates
                                          •   Estimate production within MDG,
•   Create an analytical working              consider the administrative division of
    group for the purpose of                  the country and size of the population
    proposing estimating or
    adjustment methods and criteria       •   Create a working group tasked with
    for recommending their use                proposing estimating or adjustment
                                              methods and criteria for
                                              recommending their use
•   Support research on the
    development of estimating             •   Promote the deliberate search for
    methods and the improvement of            deaths (child, maternal) in all the
    data quality in reporting the cause       countries to improve coverage and
    of death                                  records on the cause of death
CRAES 2009: Key recommendations

             Family of International Classification (FIC)

•   CRAES will support the design, review, and implementation of a
    regional training plan

•   PAHO will consuls with the countries to ascertain the possibility
    of arranging for the rights to print ICD-10 and other
    classifications, as well as actually printing the volumes there.
    This initiative would result in reduced cost to publish the ICD-10
    and other classifications

•   PAHO supports the idea of translating the WHO-FIC materials
    being developed
CRAES Meeting – 2012
Objectives and Expected Results
CRAES 2012: Objectives

•   To know the current situation of the PAHO mortality system

•   To discuss strategies in order to diminish the underreporting and
    improve the certification, coding and classification; the garbage
    code and groups and list of proposed causes


•   To discuss garbage codes denomination in Spanish and English

•   To know the regional results and the analysis of the garbage codes
    for every country
CRAES 2012: Expected Results
    Indicators that PAHO should use to evaluate the mortality
    information

 Proposal of denomination of the term garbage code

 Discuss the garbage code

 Discuss a List for report of death causes
 Discuss a List for presentation of leading causes of death
 Strategies to diminish the poor registry and the poor
  certification, coding and classification of death causes

 Agreed about a group of discussion
CRAES 2012: Main topics

 Maternal Mortality (MM):
    Current situation in the Region of the Americas
    Estimates
    Propose guide to improve the MM information

 Basic Indicators (BI):
    Current situation
    Proposal for changes of some indicators

 Regional Health Observatory (RHO):
    Progress
    Recommendations
Thank You

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Objectives and expected results craes 2012

  • 1. Meeting of the Regional Advisory Committee on Health Statistics– CRAES 2012 Dr. Fatima Marinho, HA Coordinator Havana, Cuba – 26 to 28 March 2012
  • 2. Content 1. Synthesis of the 2009 CRAES Meeting – Topics addressed – Key recommendations 2. 2012 CRAES Meeting – Objectives – Expected results – Main topics
  • 3. CRAES Meeting– 2009 Background Main topics addressed 2. The current status of vital and health statistics in the Region 3. Regional Core Health Data Initiative and Health Profiles (RCHDI&HP) 4. Underreporting of mortality and ill define causes of death 5. The Millennium Development Goals (MDG) 4 and 5 6. WHO Family of International Classifications (WHO-FIC) The previous CRAES meeting took place at PAHO Headquarters, in Washington D.C. from 11 to 13 August 2009
  • 4. CRAES 2009: Key recommendations Data Correction Methods Millennium Development Goals • Training in providing correct • Propose strategies for analyzing and information on death certificates revising the indicators used by the various international agencies • Promote use of official statistics, considering how they are • Use of official statistics as they are generated and not replacing them generated rather than substituting estimates at the PAHO level with estimates • Estimate production within MDG, • Create an analytical working consider the administrative division of group for the purpose of the country and size of the population proposing estimating or adjustment methods and criteria • Create a working group tasked with for recommending their use proposing estimating or adjustment methods and criteria for recommending their use • Support research on the development of estimating • Promote the deliberate search for methods and the improvement of deaths (child, maternal) in all the data quality in reporting the cause countries to improve coverage and of death records on the cause of death
  • 5. CRAES 2009: Key recommendations Family of International Classification (FIC) • CRAES will support the design, review, and implementation of a regional training plan • PAHO will consuls with the countries to ascertain the possibility of arranging for the rights to print ICD-10 and other classifications, as well as actually printing the volumes there. This initiative would result in reduced cost to publish the ICD-10 and other classifications • PAHO supports the idea of translating the WHO-FIC materials being developed
  • 6. CRAES Meeting – 2012 Objectives and Expected Results
  • 7. CRAES 2012: Objectives • To know the current situation of the PAHO mortality system • To discuss strategies in order to diminish the underreporting and improve the certification, coding and classification; the garbage code and groups and list of proposed causes • To discuss garbage codes denomination in Spanish and English • To know the regional results and the analysis of the garbage codes for every country
  • 8. CRAES 2012: Expected Results  Indicators that PAHO should use to evaluate the mortality information  Proposal of denomination of the term garbage code  Discuss the garbage code  Discuss a List for report of death causes  Discuss a List for presentation of leading causes of death  Strategies to diminish the poor registry and the poor certification, coding and classification of death causes  Agreed about a group of discussion
  • 9. CRAES 2012: Main topics  Maternal Mortality (MM):  Current situation in the Region of the Americas  Estimates  Propose guide to improve the MM information  Basic Indicators (BI):  Current situation  Proposal for changes of some indicators  Regional Health Observatory (RHO):  Progress  Recommendations