Department of Healthcare Administration, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Department of Healthcare and Rehabilitation, Ministry of Health, Vientiane Capital, Lao PDR.
Nagoya J Med Sci. 2023 Feb;85(1):113-122. doi: 10.18999/nagjms.85.1.113.
The system to collect information on mortality statistics in Lao PDR is not well established, accurate and timely death information is therefore not available. This article reports the system and process to make the mortality statistical data of Lao PDR. The country has a paper-based resident registration system, using a death notification document, a death certificate, and a family census book. The death notification document is important as it provides the cause of death, which is issued from a health facility and the village office. In the event of a death occurring at home, the family representative needs to report to the village office verbally to obtain a death notification document. On the other hand, if the death occurred in a medical facility, a death notification document from a health facility is provided. The family representative should bring the death notification document to the district Home Affairs office to register the death and obtain a death certificate. After that, the family representative needs to bring the death certificate to the district Public Security office for an amendment in the family census book. ICD-10 is under development regarding death notification from health facilities under the Ministry of Health. However, it is unclear how death notification from village offices can adopt ICD-10 as the majority of deaths occur outside health facilities. A comprehensive and integrated mortality reporting system is necessary in order to create a holistic health policy and welfare for the country.
老挝人民民主共和国的人口死亡率统计信息收集系统尚未完善，因此无法及时获得准确的死亡信息。本文介绍了老挝人民民主共和国人口死亡率统计数据的系统和流程。该国实行纸质居民登记制度，使用死亡通知文件、死亡证明和家庭户口登记簿。死亡通知文件非常重要，因为它提供了死亡原因，该文件由卫生机构和村办公室签发。在家中死亡的情况下，家属代表需要口头向村办公室报告以获取死亡通知文件。另一方面，如果死亡发生在医疗机构，卫生机构会提供死亡通知文件。家属代表应携带死亡通知文件到区民政办公室登记死亡并获得死亡证明。之后，家属代表需要将死亡证明带到区公安局修改家庭户口登记簿。卫生部下属的卫生机构正在制定 ICD-10 用于死亡通知，但尚不清楚村办公室如何采用 ICD-10，因为大多数死亡发生在医疗机构之外。为了制定全面的卫生政策和福利，国家需要建立一个综合的死亡率报告系统。
