Projects

CHALLENGE

“To make people count, we first need to be able to count people” - Jong-Wook LEE, WHO Director General
Millions of births and deaths are unseen and unaccounted for in developing countries every year.

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CHALLENGE

“To make people count, we first need to be able to count people” – Jong-Wook LEE, WHO Director General Millions of births and deaths are unseen and unaccounted for in developing countries every year. This scandal of invisibility plagues countless lives and renders policy makers helpless since their existence is never registered and no resources can be allocated to help save and improve their lives. For 97% of children dying, scientists are forced to make sophisticated guesses for cause. Without any real accountability, there is no ‘denominator’ for measuring progress of health and development programs.

INNOVATION

A holistic Civil Registration and Vital Statistics system is a keystone of any country’s infrastructure. With support from the World Health Organisation, IHS has developed an electronic Cause of Death Integrated Reporting System, (eCODIRS).

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INNOVATION

A holistic Civil Registration and Vital Statistics system is a keystone of any country’s infrastructure. With support from the World Health Organisation, IHS has developed an electronic Cause of Death Integrated Reporting System, (eCODIRS). eCODIRS generates consolidated, real-time vital statistics at a national level. The application is built upon OpenMRS and systematically captures data on birth, death and the cause of death (COD) via mobile and tablet application through the efforts of community health workers.

In order to mobilize organized COD at the grass root level through health workers, eCODIRS examines data through an integrated InterVA – verbal autopsy instrument. InterVA calculates the probability of a set of COD given the presence of circumstances, signs, and symptoms reported during VA interviews. Additionally the COD is calculated using IRIS – a tool to calculate COD with corresponding WHO ICD-10 code whereby the data entered through Medical Death Certificate is examined. This not only helps accurate and consistent reporting throughout the system but also ensures standardization, coverage and quality of data.

eCODIRS empowers community health workers as it is a user-friendly and simply to implement on ground. Moreover, it significantly improves access to previously unreached areas. The mobile application is customizable to specific country settings and is easily integrable with existing standard technology.

Impact

The robust registry system enables calculated policy level decision-making, and efficiency of resource allocation – thereby supporting effective planning, implementation and evaluation of public services and development policies across sectors in the economy. It allows a country to capture disease trends, and compile fundamental demographic statistics that benefit all sectors.

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