A study on appraisal of effectiveness of the MCCD scheme.

Medical Certification of Cause of Death [MCCD] scheme was proposed by WHO as an imperative tool to obtain scientific and reliable information in terms of causes of mortality. It was accepted by the Government of India with suitable incorporations made in The Registration of Births and Deaths Act, 1969[1]. A cross sectional study was done with an objective to appraise the completeness and accuracy in filling up of these certificates as per the prescribed guidelines and subsequently assess the success of the MCCD training scheme. Information was collected on the various components of the cause of death certificate in all cases brought for autopsy over a period of two year and statistical analysis done. Results of the study reflected that there was a conflict of opinion and understanding as to the meaning of the terms „causes of death‟, „modes of death‟, and „manners of death‟ among the doctors. Extra effort needs to be put forth to educate and generate awareness regarding complete and accurate filling of the forms and to make them understand the very purpose of MCCD scheme, else it won’t serve the very purpose for which it was introduced. Also the lacunae in the scheme that exist need to be addressed.

Qualidade das informaçöes sobre mortalidade no Municipio de Manaus, Estado do Amazonas

Estudando-se os óbitos fetais e neonatais precoces ocorridos no município de Manaus, no período de janeiro a junho de 1982, detectou-se 7 possíveis fontes de dados sobre mortalidade, das quais 6 puderam ser usadas para estudo da qualidade das informaçöes a respeito do ítem "óbito fetal" (sim e näo) da declaraçäo de óbito. O estudo permitiu observar o frequente desrespeito às normas legais sobre o registro de óbitos, além de outros fatores que interferem na qualidade das informaçöes coletadas. Quanto à informaçäo a respeito de ser ou näo óbito fetal, foi possível evidenciar que as inconsistências existentes entre as várias fontes dificultam a exata quantificaçäo da referida mortalidade. Assim sendo, as informaçöes contidas nas segundas vias das declaraçöes, näo coincidem com as das primeiras vias alteradas pelos codificadores do Núcleo de Bioestatística da Secretaria de Saúde, nem com as anotaçöes feitas em livros de ocorrências e prontuários de hospitais e maternidades, livros de registros de cartórios, livros de registro do Serviço de Controle de Febre Amarela (SUCAM) e planilhas contendo os dados transmitidos à Divisäo Nacional de Epidemiologia do Ministério da Saúde