Abstract
INTRODUCTION: Mortality indicators are essential for monitoring population health. However, close to half the deaths in Malaysia in 2017 (47.2%) occured outside a health facility and are unable to classify the cause of death (COD) into a medically certified death. To overcome the issues Ministry of Health Malaysia has implemented the Verbal Autopsy (VA) questionnaire as a system to increase the percentage of medically certified deaths. In Labuan, for 2017, 39.7% deaths are non-medically certified. Review data from January to June 2018 done to show how verbal autopsy can help in improving Labuan death registry. METHODS: Review data from non-medically certified death using VA questionnaire. Sample were all non medically certified deaths from January to June 2018. RESULTS: Out of 45 total deaths recorded in first 6 months of 2018, 7 (15.6%) were unable to reclassify due to failure to conduct VA interviews, undetermined and losses to follow up. The symptoms and ill-defined COD initially classifieds as old age 21 (46.6%) and others 17 (37.8%) were able to reclassify into the International Statistical Classification of Diseases and Related Health Problem, 10th Revision (ICD-10) category. Common COD after reclassifying, were ischemic heart diseases (17.8%), cerebrovascular diseases (13.3%), different type of cancer (13.3%) and pulmonary diseases (13.3%). DISCUSSIONS: The use of VA was able to reclassify most of the ill-defined deaths to a specific cause. The use of VA in Malaysia is feasible and would help increase the accuracy of the vital mortality statistics in the country.
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@proceedings{APCPH-2019-222, title = {Non-Medically Certified Causes of Death from January to June 2018 in Labuan}, author = {Fatin Athira Tahir and MBBCh and Mohd Zaki AB Hamid and Ismuni Bohari}, year = {2019}, date = {2019-07-22}, urldate = {2019-07-22}, journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings}, issue = {6}, abstract = {INTRODUCTION: Mortality indicators are essential for monitoring population health. However, close to half the deaths in Malaysia in 2017 (47.2%) occured outside a health facility and are unable to classify the cause of death (COD) into a medically certified death. To overcome the issues Ministry of Health Malaysia has implemented the Verbal Autopsy (VA) questionnaire as a system to increase the percentage of medically certified deaths. In Labuan, for 2017, 39.7% deaths are non-medically certified. Review data from January to June 2018 done to show how verbal autopsy can help in improving Labuan death registry. METHODS: Review data from non-medically certified death using VA questionnaire. Sample were all non medically certified deaths from January to June 2018. RESULTS: Out of 45 total deaths recorded in first 6 months of 2018, 7 (15.6%) were unable to reclassify due to failure to conduct VA interviews, undetermined and losses to follow up. The symptoms and ill-defined COD initially classifieds as old age 21 (46.6%) and others 17 (37.8%) were able to reclassify into the International Statistical Classification of Diseases and Related Health Problem, 10th Revision (ICD-10) category. Common COD after reclassifying, were ischemic heart diseases (17.8%), cerebrovascular diseases (13.3%), different type of cancer (13.3%) and pulmonary diseases (13.3%). DISCUSSIONS: The use of VA was able to reclassify most of the ill-defined deaths to a specific cause. The use of VA in Malaysia is feasible and would help increase the accuracy of the vital mortality statistics in the country.}, note = {Type: POSTER PRESENTATION; Organisation: Jabatan Kesihatan WP Labuan}, keywords = {labuan, non-medically certified death, Verbal Autopsy}, pubstate = {published}, tppubtype = {proceedings} }