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Costing different strategies to improve the vital statistics system in Andhra Pradesh, India

Date: Poster sessions
Source: Forum 11
Authors: Kenji Shibuya, Coordinator, Measurement and Health Information Systems, Evidence and Information for Policy, World Health Organization, Geneva
with Prasanta Mahapatra, CK George and Subodh Kandamuthan


There is limited information available on the costs of different strategies to generate vital statistics in countries without complete civil registration systems. Most often, there is an urban civil registration system with very low coverage and/or a limited number of demographic surveillance sites (DSS), which are not representative and have varying quality.

Andhra Pradesh, India is in a unique situation in that there are various types of systems in place to generate vital statistics: household surveys, urban civil registration, a sample registration system with verbal autopsy, and rural surveys on causes of death, which is similar to a DSS system. The objectives of this study are to assess costs and effectiveness (in terms of vital statistics generated, adjusted for quality) of the different options, and to propose an optimal strategy to improve both quality and quantity of vital statistics.

The Institute for Health Systems (IHS) is carrying out an in-depth assessment using the assessment tools developed by the Health Metrics Network (HMN) and through additional detailed analysis. IHS has developed a template for costing analysis of vital statistics systems. Estimation of unit and programme costs, as well as resource use, is done through literature review, analysis of administrative records, and key informant surveys. Both quantity and quality of vital statistics is assessed through a review of the coverage and completeness of each strategy, the quality of coding in death certificates and verbal autopsies, and the amount of information being compiled and used at both state and district levels. Final results on cost, quality and quantity of information will be presented along with the implications for optimal storage to be implemented in developing countries without complete civil registration systems.