IJCRR - 7(24), December, 2015
ASSESMENT OF MEDICAL CERTIFICATE OF CAUSE OF DEATH (MCCD) IN VADODARA MUNICIPAL CORPORATION, GUJARAT, INDIA
Author: A.S. Ganasva, B.R. Bariya, K. Shringarpure, J.R. Damor
Background: Death certificates are an important source of population-based mortality statistics . This information derived
from death certificates has many important uses right from development of public health programs to allocation of health care resources. There is no adequate training received by the physicians for filling up of death certificates correctly. The resulting inaccuracies in completion of this information undermines the quality of the data derived from death certificates.
Aim and Objective: To assess the completeness of Medical Certificate of Cause of Death (MCCD) and the knowledge, attitude and practices (KAP) of health personnel involved in registration system. Methods: A total of 1947 consecutive death certificates issued by community physicians were collected from 12 administrative wards of 4 zones of Vadodara Municipal Corporation (VMC) during June 2012 to November 2013. Different variables like personal action of deceased, information regarding sequence of the death event (medical part) and medico-legal portion were assessed for its completeness. Simultaneously, knowledge, attitude and practices of Registration of birth and death (RBD) staff related to filling up of the MCCD forms was assessed in different wards of VMC. Results: Out of 1947 MCCD forms only 21 (1.1%) MCCD certificates in the study were completely filled, while 1877 (97%) were notably incomplete, 4 (0.2%) slightly incomplete and 45 (2.3%) grossly incomplete. On assessing KAP of RBD staff, none of them had been imparted the training related to registration system. Almost 87% of them were dissatisfied with the completeness of MCCD-form 4A filled up by private practitioners. Majority of them (68.8%) felt that they were overburdened due to paucity of staff. Conclusion: In conclusion, the combined effort of physicians and RBD staff is required to improve the quality of diagnostic information in death certificates. Thus, more accurate cause-of-death statistics derived from death certificates will lead to better health planning.
Keywords: Death Certificate, KAP, VMC
A.S. Ganasva, B.R. Bariya, K. Shringarpure, J.R. Damor. ASSESMENT OF MEDICAL CERTIFICATE OF CAUSE OF DEATH (MCCD) IN VADODARA MUNICIPAL CORPORATION, GUJARAT, INDIA International Journal of Current Research and Review. 7(24), December, 18-23
1. Smith Sehdev AE, Hutchins GM. Problems with proper completion and accuracy of the cause-of-death statement.Archives of Internal Medicine 2001; 161: 277-284.
2. Kircher T, Anderson RE. Cause of death: proper completion of the death certificate. The Journal of American Medical Association 1987; 258:349–352.
3. Crowcroft N,Majeed A. Improving the certification of death and the usefulness of routine mortality statistics. Clinical Medicine 2001;1:122-125.
4. Messite J, Stellman SD.Accuracy of death certificate completion: the need for formalized physician training. The Journal of American Medical Association 1996; 275:794-796.
5. Armour A,Bharucha H.Nosological inaccuracies in death certification in Northern Ireland. The Ulster Medical Journal 1997; 66: 13-17.
6. Jordan JM, Bass MJ. Errors in death certificate completion in a teaching hospital. Clinical and Investigative Medicine 1993;16:249-255.
7. Peach HG, Brumley DJ. Death certification by doctors in non-metropolitan Victoria. Australia Family Physician 1998; 27: 178-182.
8. Lionis C, Sasarolis S, Kasotakis GI, Lapidakis GM, Stathopoulos AI. Investigation of accuracy of death certificate completion and implications on mortality statistics in Greece. European Journal of Epidemiology 2000;16:1081.
9. Slater DN. Certifying the cause of death: an audit of wording inaccuracies. Journal of Clinical Pathology 1993; 46:232-234.
10. Myers KA, Farquhar DRE. Improving the accuracy of death certification. Canadian Medical Association Journal1998; 158:1317-1323.
11. To cite Epi in publications use: Bendix Carstensen, Martyn Plummer, Esa Laara, Michael Hills (2014). Epi: A Package for Statistical Analysis in Epidemiology. R package version 1.1.67. URL http://CRAN.Rproject.org/package=Epi 1
2. Pritt BS, Hardin NJ, Richmond JA, Shapiro SL. Death certification errors at an academic institution. Archives of pathology and laboratory medicine. 2005;129(11):1476-9.
13. Maudsley G, Williams EM. Death certification by house officers and general practitioners--practice and performan
14. El-Nour AAM, Ibrahim YAH, Ali MM. Evaluation of death certificates in the pediatric hospitals in Khartoum state during 2004, Sudanese Journal of Public Health: Jan. 2007, Vol.2(1).
15. Venu r shah*1, bala d. v2 evaluation of medical certification of cause of death in one of the teaching hospitals of ahmedabad.
16. Hanzlick R: Protocol for writing cause-of-death statements for death due to natural causes. Arch Intern Med 1996;156:25–26
17. Swift B, West K. Death certification: an audit of practice entering the 21st century