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Historical Background / Introduction
Health services are mainly concerned with the well being of general
masses. The availability of the Statistics related to health schemes
is essential for planning & monitoring the impact of various
services designed for improvement in the health status. Considering
this need the responsibility of collection, compilation of Civil
Registration data was entrusted to a separate Bureau of vital statistics
in year 1955. After the integration of preventive & curative
health services, the responsibility to handle hospital statistics
was entrusted to the bureau in the year 1970.
Consequently the Bureau of vital statistics was upgraded & recognized
as State Bureau of Health Intelligence & vital Statistics (SBHI
& VS) from the year 1976.
Thus the main functions of SBHI & VS are collection, compilation & publication
of comprehensive vital statistics for the entire state & maintaining
liaison with the central Bureau of Health Intelligence, Director
General of Health Services, Registrar General Cum Census Commissioner
of India & State Directorates.
About the Bureau
The main activities carried out by the Bureau are
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Development of a sound Civil Registration System
(C.R.S.) |
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Monitoring of Medical Certification of Causes
of Death Scheme.(M.C.C.D.) |
|
Implementation of survey of Causes of Death (Rural)
Scheme. (S.C.D.) |
|
To handle establishment of statistical cadre in
the Health Department. |
Introduction & History
Civil Registration System
The history of Civil Registration System in Maharashtra State can
be observed by 3 time span viz.
| I) |
The System prior to 1/4/1969 |
| II) |
The System during the period 1/4/1969 to 6/2/1976 |
| III) |
The System from 7/2/1976 & onwards |
I ) The System prior to 1/4/1969
The registration & its monitoring were in the hands of the
Revenue & police department, while collection, compilation & preparation
of the reports on Vital Statistics, were assigned to the Directorate
of Health Services, being a most immediate user of Vital Statistics
data. Further the health personnel were very actively helping & also
supervising registration activity.
II ) The System during 1/4/1969 to 6/2/1976
With the formation of Zilla Parishad & in accordance with
the provisions of section 45 of the Bombay Village Panchayat Act1958,
the registration work was transferred to the Village Panchayat
(VP) in the rural area of the entire State with effect from 1/4/1969.
There is no change in urban area. Activity of registration is being
carried out by Corporation & Municipal Councils, as previously.
III) The System from 7/2/1976 onwards
Realizing the growing importance of birth & death registration
for the planning of socio-economic development, provisions for
statutory registration was made in the entire country including
Maharashtra under the Central registration of Birth & Death
Act 1969, which was made applicable with effect from Apr. 1970
in Maharashtra. The State Rules i.e. The Maharashtra State registration
of birth & death Rules 1976 were formed & notified in the
Gazette dated 7/2/1978.
As per the guidelines from Govt. Of India, revised rules of Registration
of Birth & Death were formed in the year 2000, known as Maharashtra
state registration of Birth & death Rules 2000. These rules
are enforcing from 1/4/2000.
Registration in Urban area
Registration of birth & death was statutory compulsory in
all municipal & Corporation areas under the various Acts previously.
After the formation of Registration of Birth & Death act 1969,
the registration is made compulsory according to the Act 1969 & rules
of 1976.
Introduction & History
Medical Certification Of
Causes Of Death
Medical Certification of cause of Death is an important tool of
obtaining authentic & scientific information regarding causes
of mortality. The Scheme is formulated by Office of the Registrar
General; India is a big step towards the establishment of a system
in the country for obtaining data on causes of death. The Scheme
had undergone phase _ wise implementation in the State, starting
from medical college hospitals. In second phase, District hospitals,
specialized hospitals were covered. The office of the Registrar
General had given necessary administrative guidelines regarding
coverage of MCCD Scheme in both urban & rural area. Attempts
are being made to cover all private & govt. hospitals since
1998.
M.C.C.D. scheme was introduced for the first time in Maharashtra
State in Pune in 1951. Late on it was extended to the cities, nagpur
(1957), Mumbai (1962) & Solapur (1969). the remaining urban
areas of the state were covered in 1970 & onwards with the
encouragement of the Director General Of Health Services, G.O.I. & with
the co-operation of the director Of Municipal administration. a
directive was issued to all the Municipalities towards the end
of 1969 to bring into effect MCCD, in their respective areas, for
certifying the cause of death under the Maharashtra Municipality
Act 1965.
Introduction & History
Survey Of Causes Of Death
Scheme (Rural)
Mortality influences the rate of growth of the population &
provides a dimension of demographic perspective, which is vital
for socio-economic planning. The pattern of deaths by causes, age
& sex reflect the health status of the community & in turn
provides a rational basis for health planning. It is not feasible
to build up statistics of mortality by causes based on "Medical
Certification of Causes of Death (MCCD)" due to paucity of
medical institutions, & physicians in rural area. Still the
percentage of non-institutional & unattended death is at higher
side in the State as well as in the Country. This most important
statistical gap has been bridged, to some extent by the scheme "Survey
Of Causes Of Death".
| 1.1 |
The Office Of the Registrar General, India initiated
in the 1960s a Scheme called as " Model Registration System"
(MRS). With a view that, there should be some centers, which
are to be model in Registration of vital events. The scheme
was introduced according to recommendations made in the ' Conference
on improvement of Vital Statistics' held in 1961. |
| 1.2 |
The Registrar General, India had launched the
scheme in some States on pilot basis in 1965. Further the scheme
has expanded in 10 states Andhra, Bihar, Asam, Gujrat, keral,
Orisa, Punjab, Rajasthan, Tamilnadu, West Bengal, The states
Maharashtra, Hariyana, Jammu & Kashmir, Karnataka, M.P.,
U.P. are covered under the scheme in 1967. |
| 1.3 |
The scheme was renamed in 1982 as" Survey
Of Causes Of Death Scheme (Rural)". |
| 1.4 |
The implementation of the scheme has stopped by
Registrar General, India in 1997 at central level & merged
in the S.R.S. Scheme. |
| 1.5 |
The progress & data received under the scheme
was satisfactory in the Maharashtra State., & there was
no any financial burden, in view of this , State has decided
to continue the Scheme in Maharashtra. |
Present Status
| 1.1 |
The Scheme was implemented in 600 H.Q. villages
of P.H.C. in the State previously |
| 1.2 |
The enforcement of the SCD scheme has been included
in the Project Implementation Plan of Maharashtra Health System
Development Project in 2003-04 & received the financial
support. |
| 1.3 |
The implementation of the Scheme has been shifted
from P.H.C.H.Q. village to village level, without changing the
nos. of villages. |
| 1.4 |
The lists of classification of the diseases have
been modified baseonICD-10. Now the frame of 109 diseases through
19 major groups have been made available to the M.O. P.H.C.
to select the cause of death, based on "lay diagnosis reporting".
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