Third Regional workshop on Production and
Use of Vital Statistics
May 26–30, 2014, Daejeon, Republic of Korea
Sanchai Techanimitvat
Cirawan Matuam
Topic of presentation
 Quality assessment and assurance in vital
statistics system

Overview of vital statistics system and its
relationship with civil registration and
health institution in Thailand.

Procedures and processes for quality
assessment, assurance and reporting in vital
statistics system.
Civil Registration System
 1909: Monarchy (King Rama V); Western
colonization period

the first registration law was enacted
specified the preparation and maintenance
of population registration and creation of
birth and death registration.
 1917 : enforced births and deaths registration
throughout the kingdom
Civil Registration System (Contd.)
 1936: The democratic revolution
 creation of a network of local registry office,
acting registrars, laid down clear guidelines for the
registration of birth, death, fetal death (for the first
time)
 1956 Comprehensive civil registration act
 increased number of registration offices
spreading over the entire country
Civil Registration System (Contd.)

1972 Revise civil registration act (Military government)
 appointment hierarchy of registration authorities
 laid down clear procedures for vital registration
 specified types of informants place and time for
registration, forms, functions, responsibility of registrars,
and other requirement for registration.
 1982 the Population Identification Number Project.
Start of the computerized population database.
MOI Central Data Processing
Civil Registration System

National Authority: Bureau of Registration
Administration Department of Local
Administration, Ministry of Interior

Operates and maintains the data base for the
entire population of the country, and issues
identity cards and household booklets
Citizen Identification Number

Citizen ID issues at the birth registration
(Call 13 Digits numbers)

The numbers is needed when transact with
government and many non government agencies:
 getting free health care services
 enrolling children to free education
 asking for bank account.
Citizen Identification Card
1969-1986 Typing machine
ID card
1987 – 1996 Computer
Printout ID card
Current Smart card type
ID card
Vital Statistic System in Thailand
After 1996 - Present
Bureau of Registration
Administration
Ministry of Interior
Central Registry
Data
Synchronize
National Health
Security Office
(NHSO)
Electronic
Files
Web Entry
Birth
Certificate
(Start 2010)
Hospitals
Ministry of Public
Health
(MOPH)
Web Entry
Death
Certificate
(from 2006)
Compile, Code, Validate
And Process Statistics
Report Statistics
back to Province
Provincial Health Offices
Printed Annual
Vital Statistics
Report
Streamline vital event data between MOI & MOPH

1996, The Ministry of Public Health has signed an agreement
with the Department of Local Administration, Ministry of
Interior, regarding utilization of data in the central registration
database of the administration, in order to reduce redundancy
of birth, death data.

The Department of Local Administration, Ministry of Interior,
will send the data relevant to death of all the persons who have
been registered birth, dead from the central registration
database to the Office of Permanent Secretary of the Ministry of
Public Health.
Flow of vital even registration
Electronic file transfer monthly
Ministry of Interior
ICD-10 coding
at MOPH (BPS)
On-line system
Death registration at district office or municipality
Medical death certificate form
(In-hospital) with COD
Death certificate by doctor
Death inside hospital
Death notification form
(Non-hospital) with COD
Death notification by village head
40%
Death outside hospital
60%
Use birth data
Name of users
The adoption and disseminate and
reference Statistical data warehouse
and health statistics for search .
• Ministry of Public Health,
• National Statistical Office (NSO)
To develop and analysis of surveillance
reports and pregnancy and birth in
adolescent.
Bureau of Reproductive Health
Tracking health screening newborns.
Department of Medical Sciences
Surveillance and monitoring project
implementation. Impact of the
economic crisis on health and health
systems.
International Health Policy
Program, Thailand (IHPP)
Development of statistics and
indicators.
Violence against women and children.
Office of Women’s And Family
Development
Statistics on teen pregnancy , Infants
weight less than 2,500 grams.
Health and Socials
Thailand’ assessment process
The assessment of Thailand’s CRVS system was undertaken by The
Thai Health Information Standards Development Center (THIS) in
collaboration with other stakeholders including
- The Bureau of Policy and Strategies of the MOPH,
- The Bureau of Registration Administration of the MOI,
- The National Statistical Office of Ministry of Information
Communication and Technology,
- The international Health Policy Program (IHPP),
- The National Health Security Office (NHSO),
- The Institute for Population and Social Research of
Mahidol University, and
- The Office of the National Economic and Social Development
Board (NESDB).
Thailand’ assessment process (Contd.)
An initial workshop to assess the CRVS using the Rapid
Assessment (RA) too was held at the THIS office on 12 July 2012.
The main focus of this workshop was to conduct an initial
assessment using a Thai language version of the RA tool. A second
workshop was held on 14 August 2012, this time also involving
participants from the Institute for Population and Social Research
of Mahidol University, and NESDB. Results from the first
workshop were reviewed and participants recommended
conducting a comprehensive assessment.
Thailand’ assessment process (Contd.)
An inaugural national CRVS workshop was held at the Miracle
hotel, Bangkok, on 6 November 2012. Presentations on the
upcoming “ High-level Regional meeting on CRVS in Asia and
Pacific ”, held in Bangkok on 7 December 2012, CRVS concepts,
“ CRVS International Situation ” as well result of Thailand’s rapid
assessment result were given and discussed. There were about 50
participants from stakeholder agencies ranging from health
facilities at the local level to national level policymakers and
international experts from UN agencies. Minor changes to the
results were adjusted.
Results and recommendations
Thailand completed both a rapid and comprehensive assessment of
its CRVS system in 2012. According to the results from the rapid
assessment, Thailand’s system is “ Satisfactory ”, meaning “ Minor
adjustments may be required in an otherwise well-functioning
system ”. The main issue raised by the rapid assessment was the
quality of cause of death data and the quality of coding. Amore
detailed review of the CRVS system was recommended.
Results and recommendations (Contd.)
Following this workshop, further discussions and reviews were
held between stakeholders to reach a final comprehensive
assessment result that can be used to guide the development of
improvement plans.
Average score from the rapid assessment by II main areas
Rapid assessment grouping area
Legal framework for civil registration and vital statistics
Registration infrastructure and resources
Organization and functioning of the vital statistics system
Completeness of registration of births and deaths
Data storage and transmission
ICD-compliant practices and certification within and
outside hospitals
Average Scores
2.67
3
2.5
3
3
2
Average score from the rapid assessment by II main areas (Contd.)
Rapid assessment grouping area
Average Scores
Practices affecting the quality of cause- of-death data
1.5
ICD coding practices
3
Coder qualification and training, and quality of coding
2.5
Data quality and plausibility checks
2
Data access, dissemination and use
3
Total Score (From 75) :
65
Average Scores :
2.56
Score (%)
86.67
THAI HEALTH INFORMATION
STANDARDS DEVELOPMENT CENTER
(THIS)
WWW.this@this.or.th
Thank you
감사합니다