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Penilaian Kualitas Pelaporan Kejadian Kematian Melalui Metode Dual Sistem Di Kabupaten Gorontalo Tahun 2007 & 2008 (Evaluation of the Quality of Death Event Report through Dual System Method in Gorontalo District, 2007-2008)
Valid and reliable information on causes of deaths in the community is important to provide basic data and information for health policy formulation and program development, set health priorities, evaluate program effectiveness and for research. In order to evaluate the completeness of vital registration, the mortality registration system data would be assessed through a dual record system. These death data were then would be directly matched with death data derived from medical certificate cause of death from mortality registration system to analyze the mortality registration completeness. The objective of Dual System which consists of registration system and population enumeration method were used to examine and monitor the coverage of the cause of death registration system in the project areas and to provide correction factor to construct a life table and mortality parameter. This survey was carried out by independent institution, Politeknik Kesehalan, (Health Polytechnique) Government Organization in the Gorontalo District. This survey collected death data in the randomly selected sub-district or village. A sample of households was asked whether a member has died in the previous two years 2007-2008, January 1st 2007 to December 31st 2008. The total number of household sample was about 10.000 for the study area. Data collection of the survey for death event in the community carried out by Health Politechnique of Gorontalo District in the 18 subdistricts. The number of sample that interviewed was 9,225 households and 35,184 population. The number of deaths in the period of two years starting from January 1st 2007 to December 31st 2008 in the dual system was 461 cases (include still birth 22 cases). This study found that the the registration completeness was 68.5%, this figure come from: 415/605 x 100% or 316/461 x 100%. From this result, there was 31.5% of death event has not been covered in Sentinel Gorontalo District in 2007 and 2008. This study also found that Crude Death Rate (CDR) was 6,1 per mil after correted from 9,0 per mil, it was closed to estimated national crude death rate 7 per 1000
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