Village registers for vital registration in rural Malawi

Hdl Handle:
http://hdl.handle.net/10144/303534
Title:
Village registers for vital registration in rural Malawi
Authors:
Singogo, E; Kanike, E; van Lettow, M; Cataldo, F; Zachariah, R; Bissell, K; Harries, A D
Journal:
Tropical Medicine & International Health : TM & IH
Abstract:
Paper-based village registers were introduced 5 years ago in Malawi as a tool to measure vital statistics of births and deaths at the population level. However, usage, completeness and accuracy of their content have never been formally evaluated. In Traditional Authority Mwambo, Zomba district, Malawi, we assessed 280 of the 325 village registers with respect to (i) characteristics of village headmen who used village registers, (ii) use and content of village registers, and (iii) whether village registers provided accurate information on births and deaths. All village headpersons used registers. There were 185 (66%) registers that were regarded as 95% completed, and according to the registers, there were 115 840 people living in the villages in the catchment area. In 2011, there were 1753 births recorded in village registers, while 6397 births were recorded in health centre registers in the same catchment area. For the same year, 199 deaths were recorded in village registers, giving crude death rates per 100 000 population of 189 for males and 153 for females. These could not be compared with death rates in health centre registers due to poor and inconsistent recording in these registers, but they were compared with death rates obtained from the 2010 Malawi Demographic Health Survey that reported 880 and 840 per 100 000 for males and females, respectively. In conclusion, this study shows that village registers are a potential source for vital statistics. However, considerable inputs are needed to improve accuracy of births and deaths, and there are no functional systems for the collation and analysis of data at the traditional authority level. Innovative ways to address these challenges are discussed, including the use of solar-powered electronic village registers and mobile phones, connected with each other and the health facilities and the District Commissioner's office through the cellular network and wireless coverage.
Affiliation:
Dignitas International, Zomba, Malawi.
Publisher:
John Wiley & Sons Ltd
Issue Date:
Aug-2013
URI:
http://hdl.handle.net/10144/303534
DOI:
10.1111/tmi.12132
PubMed ID:
23718633
Language:
en
ISSN:
1365-3156
Appears in Collections:
Research Methods

Full metadata record

DC FieldValue Language
dc.contributor.authorSingogo, Een_GB
dc.contributor.authorKanike, Een_GB
dc.contributor.authorvan Lettow, Men_GB
dc.contributor.authorCataldo, Fen_GB
dc.contributor.authorZachariah, Ren_GB
dc.contributor.authorBissell, Ken_GB
dc.contributor.authorHarries, A Den_GB
dc.date.accessioned2013-10-16T22:39:47Z-
dc.date.available2013-10-16T22:39:47Z-
dc.date.issued2013-08-
dc.identifier.citationVillage registers for vital registration in rural Malawi. 2013, 18 (8):1021-4 Trop. Med. Int. Healthen_GB
dc.identifier.issn1365-3156-
dc.identifier.pmid23718633-
dc.identifier.doi10.1111/tmi.12132-
dc.identifier.urihttp://hdl.handle.net/10144/303534-
dc.description.abstractPaper-based village registers were introduced 5 years ago in Malawi as a tool to measure vital statistics of births and deaths at the population level. However, usage, completeness and accuracy of their content have never been formally evaluated. In Traditional Authority Mwambo, Zomba district, Malawi, we assessed 280 of the 325 village registers with respect to (i) characteristics of village headmen who used village registers, (ii) use and content of village registers, and (iii) whether village registers provided accurate information on births and deaths. All village headpersons used registers. There were 185 (66%) registers that were regarded as 95% completed, and according to the registers, there were 115 840 people living in the villages in the catchment area. In 2011, there were 1753 births recorded in village registers, while 6397 births were recorded in health centre registers in the same catchment area. For the same year, 199 deaths were recorded in village registers, giving crude death rates per 100 000 population of 189 for males and 153 for females. These could not be compared with death rates in health centre registers due to poor and inconsistent recording in these registers, but they were compared with death rates obtained from the 2010 Malawi Demographic Health Survey that reported 880 and 840 per 100 000 for males and females, respectively. In conclusion, this study shows that village registers are a potential source for vital statistics. However, considerable inputs are needed to improve accuracy of births and deaths, and there are no functional systems for the collation and analysis of data at the traditional authority level. Innovative ways to address these challenges are discussed, including the use of solar-powered electronic village registers and mobile phones, connected with each other and the health facilities and the District Commissioner's office through the cellular network and wireless coverage.en_GB
dc.language.isoenen
dc.publisherJohn Wiley & Sons Ltden_GB
dc.rightsArchived on this site with the kind permission of Wiley-Blackwell, [url]http://www.blackwell-synergy.com/loi/tmi[/url]en_GB
dc.subjectCourse on Operational Researchen_GB
dc.subjectOperational Researchen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshAged, 80 and overen_GB
dc.subject.meshChilden_GB
dc.subject.meshChild, Preschoolen_GB
dc.subject.meshCross-Sectional Studiesen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshInfanten_GB
dc.subject.meshMalawien_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshOperations Researchen_GB
dc.subject.meshRegistriesen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshRural Populationen_GB
dc.subject.meshVital Statisticsen_GB
dc.subject.meshYoung Adulten_GB
dc.titleVillage registers for vital registration in rural Malawien
dc.contributor.departmentDignitas International, Zomba, Malawi.en_GB
dc.identifier.journalTropical Medicine & International Health : TM & IHen_GB

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