Managing Issues Addressing the Challenges of Using Administrative Data for Statistical Purposes in Sri Lanka.

Similar documents
Financial Management

Civil Registration in the Sultanate of Oman: Its development and potential implications on vital statistics

Guidelines on Gram PanchayatDevelopment Plan

DEPT. OF CIVIL AND NATIONAL REGISTRATION Ms Lenah Mokgwaela

The local health department shall maintain annually reviewed policies and procedures.

5. Quality Control in Histopathology

Report of the Meeting

Program Management Plan

Care Management Policies

Implementation of the Healthy Islands monitoring framework: Health information systems

Financial Assistance to Business

LOCAL GOVERNMENT CODE OF ACCOUNTING PRACTICE & FINANCIAL REPORTING SUBMISSION RELATING TO THE DISCLOSURE OF

Henry County Veteran Affairs General Assistance Policy Ordinance Revised 08/02/2004

Administrators, Community Mental Health Centers and Clinics, Other Interested Parties

Child Care Program (Licensed Daycare)

Outpatient Hospital Facilities

The Registration Process

National Enrolment Service Questions and Answers

St Joseph s College Bursary Fund Application Form 2018/19

The City of Philadelphia s Homeless Management Information System Data Quality Plan

STEUBEN COUNTY HEALTH PROFILE. Finger Lakes Health Systems Agency, 2017

People s Republic of China: Strengthening the Role of E-Commerce in Poverty Reduction in Southwestern Mountainous Areas in Chongqing

Illinois Hospital Report Card Act

Special Section 1 Making Health Services Work for the Poor in Pakistan: Rahim Yar Khan Primary Healthcare Pilot Project *

CURRENT STATUS OF HEALTH INFORMATION SYSTEM: INDONESIA*

ICD-9 (Diagnosis) Coding

Prescription Monitoring Program State Profiles - California

Table 1. State-Wise Area, Districts and Villages in India 14. State-Wise Rural and Urban Population as per 1991 and 2001 Census

F-999 Health Professional Shortage Areas (HPSAs) and Physician Scarcity Areas (PSAs): Bonus Payments for Health Care Professionals

Economic and Social Council

Mongolia. Situation Analysis. Policy Context Global strategy on women and children/ commitment. National Health Sector Plan and M&E Plan

ADOPTION SECTION. Administration and Operation of the New Jersey Commission on Spinal Cord

Part 1. Rural Health Care System in India 1. Table 1. State-Wise Area, Districts and Villages in India 28

The local health department shall maintain annually reviewed policies and procedures.

Home-Based Workers in Bangladesh: Statistics and Trends

RUPRI Center for Rural Health Policy Analysis Rural Policy Brief

Diagnostic Waiting Times

CDx ANNUAL PHYSICIAN CLIENT NOTICE

Coordination & Production of ICT Statistics: Philippine Experience

OUTREACH NAVIGATION EFFECTIVE JULY 1, 2015

ARIZONA JOB TRAINING PROGRAM PROGRAM RULES & GUIDELINES (RULES) 1

Volunteer Florida Rural Community Assets Fund Mini-Grant Notice of Funding Opportunity Background

3. Does the institution have a dedicated hospital-wide committee geared towards the improvement of laboratory test stewardship? a. Yes b.

GUIDELINE FOR IMPLEMENTATION OF A PATIENT REFERRAL SYSTEM. Medical Services Directorate

Provider Satisfaction Survey

Farm Co-operatives and Collaboration Pilot Program Farmer Group Projects Funding Guidelines

Global Strategy IMPROVING AG-STATISTICS IN ASIA PACIFIC

ORIGINS OF THE C PROGRAM

Stanford University Privacy Guidelines Fundraising

LIVINGSTON COUNTY HEALTH PROFILE. Finger Lakes Health Systems Agency, 2017

Indianapolis Transitional Grant Area Quality Management Plan (Revised)

The Midwives Council of Hong Kong. Handbook for Accreditation of Midwives Education Programs/ Training Institutes for Midwives Registration

Qualified Facility Income Tax Credit Program

CGA dais Program Guidelines

Industry Market Research release date: November 2016 ALL US [238220] Plumbing, Heating, and Air-Conditioning Contractors Sector: Construction

Integrated Low Cost Sanitation Scheme Revised Guidelines, 2008

Ontario Mental Health Reporting System

Bilateral screening: Chapter 27 PRESENTATION OF THE REPUBLIC OF SERBIA Classification, labelling and packaging of substances and mixtures - CLP

National Midwifery Examination Policy

Retention of Family Health Workers in Rural Communities as an Important Strategy in Task-shifting The Sri Lankan experience

Organization for Economic Co-operation and Development

Family Service Practice Audit

Contents. Australia Awards - PNG. Alumni Grants Scheme Guidelines / 00

NOTICE OF ADOPTION RULE Arizona Job Training Program: Program Rules and Guidelines (the Rule)

Limited English Proficiency Plan for Trumbull County CDBG Programs

AVAILABILITY AND UTILIZATION OF SOCIAL SERVICES (EDUCATION AND HEALTH) BY RURAL COMMUNITY IN DISTRICT CHARSADDA

Veteran Support Scheme Two

Opp Health and Rehabilitation, LLC 115 Paulk Avenue P.O. Box 730 Opp, AL Phone Number: (334)

Egypt, Arab Rep. - Demographic and Health Survey 2008

75th OREGON LEGISLATIVE ASSEMBLY Regular Session. House Bill 2933 SUMMARY

1 Background. Foundation. WHO, May 2009 China, CHeSS

The Pharmacy and Pharmacy Disciplines Act SASKATCHEWAN COLLEGE OF PHARMACY PROFESSIONALS REGULATORY BYLAWS

Exporting Report. Central Wisconsin Economic Research Bureau. Centergy Region 2014

Avant Quality Improvement Grants Program Terms and conditions

AGRICULTURE AND FISHERIES - FOOD SAFETY

ASEAN Single Window Pilot Project : Electronic Phytosanitary Certificate

PROFILE OF THE MILITARY COMMUNITY

PAN AMERICAN HEALTH ORGANIZATION WORLD HEALTH ORGANIZATION INDEXED. regional committee. directing council

Request for Proposals (RFP)

Regulatory system reform of occupational health and safety in China

REQUEST FOR PROPOSAL COVER SHEET

Information Collection Challenges: A Global Health Perspective. Bob Sokolow APHL Global Health Consultant APHL Annual Meeting June 2, 2013

Sri Lanka Accounting Standard LKAS 20. Accounting for Government Grants and Disclosure of Government Assistance

TERMS OF REFERENCE FOR PROFESSIONAL STAFF. Terms of Reference for the following 5 positions of Professional Staff are appended below:

EMPLOYMENT EXCHANGES (COMPULSORY NOTIFICATION OF VACANCIES) RULES 1960

Health Statistics. CENSUS of PRIVATE, CO-OPERATIVE and ESTATE HOSPITALS 2010

42 USC 254e. NB: This unofficial compilation of the U.S. Code is current as of Jan. 4, 2012 (see

Overview of the achievements in enabling open data in Mongolia

Diagnostic Waiting Times

SENATE BILL No. 323 AMENDED IN SENATE MARCH 26, Introduced by Senator Hernandez (Principal coauthor: Assembly Member Eggman) February 23, 2015

Maximizing State Economic Growth

Upfront Collections, Financial Clearance, and Collection Demographics

Analyzing the UN Tsunami Relief Fund Expenditure Tracking Database: Can the UN be more transparent? Vivek Ramkumar

REGISTRATION FOR HOME SCHOOLING

Achieving Operational Excellence with an EHR a CIO s Perspective

Diagnostic Waiting Times

Diagnostic Waiting Times

STEUBEN COUNTY HEALTH PROFILE

DECREE ON OCCUPATIONAL SAFETY AND HYGIENE

Chronic Disease Management: Breakthrough Opportunities for Improving the Health And Productivity of Iowans

Transcription:

Managing Issues Addressing the Challenges of Using Administrative Data for Statistical Purposes in Sri Lanka. G.Y.L.Fernando Director(Sample Surveys) Department of Census and Statistics Sri Lanka The country paper presented at the Seventh Management Seminar for the Heads of NSOs organized by the SIAP at Shanghai, China on 13-15 October 2008.

Managing Issues addressing the challenges of using Administrative Data for Statistical Purposes in Sri Lanka 1. Main Sources of Administrative Data Administrative data plays a vital role in the Statistical system in Sri Lanka. The main sources of administrative data in Sri Lanka are as follows. 1.1. Vital Registration System The Registrar General Office ( RGO) of Sri Lanka is the agency responsible for the registration of births, deaths and marriages in Sri Lanka. The recording of the vital events in Sri Lanka by RGO commenced in 1867 and the Births and Deaths registration Act of 1897 made the registration compulsory. Late registrations, false declarations have been made offences under the act. The administrative procedures for registration of vital events require that the statistical returns to be handed over to the District Registration s office before the 5 th of each month. The returns of the Local Registrars are forwarded monthly to the District Scanning Centers manned by Department of Census and Statistics (DCS) officers for validation and processing. The electronic version of data is sent to the Vital Statistics Unit of the RGO, upon completion of the scanning process before the end of following month for the central processing. The data so gathered is used for the compilation of basic important demographic indicators. 1.2. Educational Statistics Educational statistics in Sri Lanka is based on the School Census, which is carried out annually(mid -yearly) by the Statistical Unit of the Ministry of Education (MOE). The core staff for the Statistical Unit of the MOE is provided by the DCS. Following information is collected at the School Census. (1) Demographic distribution of the students (2) Distribution of Students by Grade of study. (3) Particulars of teachers and non-academic staff (4) Physical resource availability in schools (5) Availability of sanitary and other facilities in schools The data is collected at the school level, based on the administrative data, by the

Principal of the School or by his designated appointee, who is subject to annual training by the Statistical Unit. The completed schedules are submitted to the Statistical Unit of the MOE through the existing administrative setup. The MOE publishes the School Census Report based an information so gathered. This report however does not cover the International Schools. Indicators related to education in the country are completed either using School Census data only or School Census data in conjunction with other household survey or population census data. 1.3.Health Statistics Medical Statistics Unit (MSU) located in the Ministry of Health (MOH) is responsible for compiling health statistics. DCS provides staff required for the MSU. There are Medical Report Officers (MROs) attached to hospitals and they are responsible for sending returns containing primary data pertaining to their respective hospitals to the MSU. MROs extract the primary data from the documents containing the patients particulars. The respective medical specialists should make sure that the final diagnosis is entered in detail in the respective documents to enable the diagnosis to be coded according to ICD (International Classification of Diseases). MSU publishes the Annual Health Bulletin containing all the information so obtained. The Annual Health Bulletin contains the detailed tabulations on the following items. i. Patients information by disease groups ii. Information on the number of live births, birth weights, deaths (infants/mothers) and still births. Physical resource availability in the hospitals and other health facilities iii. Information on the health personnel iv. Information on the services provided by different types of health facilities. Apart from the Annual Health Bulletin, other quarterly reports are also published. 1.4. Other Sources of Administrative Data. also Apart from these 3 major sources, the following sources of administrative data are used in compiling some important statistical indicators. i. Customs Statistics

The Statistical Unit established in the Customs Department is responsible for processing import and export data. Processed customs statistics is used for compiling some important trade and financial indices. ii. General Treasury Selected financial indicators required for the computation of GDP are provided by various departments functioning under the General Treasury of Sri Lanka. Central Bank of Sri Lanka also provides financial indicators required for the estimation of GDP. iii. Other Government Agencies DCS has established statistical units in all important government agencies and they provide relevant statistics on the respective subject areas. (eg: Ministry of Agriculture, Ministry of Fisheries, Ministry of Industries, Inland Revenue Department etc.) 2. Issues arising from using administrative data for Statistical Purposes 2.1 Vital Registration System. Following issues are observed over time, while using statistics generated thro Vital Registration System in compiling basic demographic indicators. I. Coverage and Non-response The completeness of registration of births and deaths is relatively high in the urban areas due to the following reasons. In the case of a death, the registration certificate is required for for burial or cremation, where as this requirement is not strictly enforced in some rural areas. Regarding births, the hospital authorities ensure the registration of the birth, if the birth takes place in a hospital and many hospitals are located in urban areas. However a survey conducted some years back, indicated that the completeness of the registration is relatively high. (Completeness of birth registration is over 98 present and death registration is over 94 present.) II. Timeliness and Accuracy of reporting

The primary reporters do not strictly follow the time schedule initially planned due to various reasons. Also the accuracy of the information filled by the primary reporters is affected by the lack of training. 2.2. Educational Statistics Even though Educational Statistics is considered a source administrative data, it is based on a well planned census. So not much problems are experienced in terms of coverage and timeliness. However following problems are unavoidable. I. Better schools are located in urban areas and so there is a likelihood of enrolling children from adjoining rural areas in such schools. This will lead to wrong conclusions based on indicators disaggregated by geographical location. II. Interpretation of some enrolment ratios become problematic as same parents opt to enrol their children in a school not according to the prescribed age. 2.3. Health Statistics Following problems are encountered in compiling Health Statistics. I. As for now only the health facilities in the public sector are covered by the system of health data collection and private sector entities are not covered. II. Sometimes doctors are not careful enough to mention the disease in sufficient detail to classify them under correct ICD classification. III. A delay is experienced in the receipt of returns from the hospitals due to the shortage of MRO S IV. The MRO S are not adequately trained for them to do a proper job in editing and coding of the information. V. There is a time lag of 2-3 months in sending the completed returns by the hospitals. VI. Some information processed at regional level is subject to errors and long delays, as this operation is done manually. 3. Recommendations In section 2 of this paper, the problems affecting the quality and timeliness of the data generated through the major sources of administrative data were

discussed. Following recommendations are made to overcome some such problems, to an extent possible. I. Cause of death statistics are compiled both by RGO and MSU. The coverage of RGO statistics is believed to better, so a comparison could be made between the 2 sources to identify the problems and rectify them. This could be adopted for few selected prominent causes of death. II. Recruitment of adequate number of MRO S and training them properly to improve the quality and the timelines of the health statistics. III. The system of health data collection should be extended to cover the private health facilities, as the private sector plays a significant role as a health service provider. IV. Educating the doctors to be careful in giving sufficient diagnostic details for accurate coding of diseases. V. Revising the Statistics Ordinance to compel the public and private sector institutions to provide high quality and timely administrative data to the national statistical system.