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Strategy
Civil Registration System
In Maharashtra state the Civil Registration System has
been in operationa as per the legal provision of Birth and Death registration
Act 1969
and as per the revised rules framed by the Government of Maharashtra
in the year 2000. The registration is done by DE-FACTO method,i.e. the events
- births and deaths are registered where they are occurred.
The Civil Registration System is operational in five stages
as follows
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Registration of vital events |
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Preservation of records |
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Reporting |
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Analysis |
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Feedback, inspection and supervision |
Registration of vital events
For registration of vital events, following Officers are declared as a Registrar
Of birth & death at various levels.
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Designation of Officer |
Designation specified under the act |
Jurisdiction |
| The Director of Health Services, Maharashtra State |
Chief Registrar of Birth & Death |
Maharashtra State |
| The Deputy Director of Health Services (SBHI&VS), Maharashtra State |
Deputy Chief Registrar of Birth and Death |
Maharashtra State |
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The District Health Officer of all Zilla Parishad in Maharashtra State |
District Registrar of Birth and Death |
Concern Revenue district |
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The Dy. Chief Executive officer (Panchayat) of all Zilla Parishad in Maharashtra State |
Additional District Registrar of Birth and Death |
Concern Revenue district |
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The Block Development
Officer of all Blocks in Maharashtra State |
Additional District
Registrar of Birth and Death |
Concern Revenue Block |
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The executive Health Officer / Health Officer / Chief Officer of all urban areas in Maharashtra
State |
Registrar of Birth and
Death |
Concerned Municipal Corporation / Council |
| The Cantonment Executive Officer of all cantonment Boards in Maharashtra State |
Registrar of Birth and Death |
Concern area of cantonment board |
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The Gram Sevak or if there is no Gram Sevak, Assistant Gram Sevak of all Gram Panchayats in
Maharashtra State |
Registrar of Birth and Death |
oncern area of Village/Gram panchayat |
| The Administrator of the specified area in Maharashtra state |
Registrar of Birth and Death |
Concern specified area |
Flow of reporting system is as follows
Analysis 
On every 10th; monthly reports are received at state office of Deputy
Chief Registrar of Birth and Death at Pune. From rural area 43,722
villages and from urban area 257 urban units are reporting every month
to this office. Approximately 2,38,000 registered events of birth/
death/ stillbirths are reported to this office every month. The entire
data is coded and computerized. Since Sept. 2004, decentralization
of data is proposed at district level from rural area to begin with.
Feed back, inspection and supervision
In rural area, the Additional District Registrar for the block i.e.
BDO and the Extension Officer (Panchayat) takes the review of village
registrars for reporting as well as recording of events. In the same
way the District Registrar i.e. District Health Officer (DHO), takes
the review of the registration activities. At district, in Zilla Parishad,
a Statistical
Officer and
a Statistical Investigator are specifically looking after reporting,
monitoring analysis and feedback activities.
At the state level Bureau, the review of all districts is taken by
analyzing the registered events. The activities are monitored and feedback
is given to take corrective steps in the field. Regular inspection
is also carried from state level / district level /block level officers
in the field.
Reporting
In rural area, the registrars submit the registered events of birth,
death and stillbirth to additional district registrar at respective
block level. At block level the village registers are maintained and
updated every month, after the collection of reports from village registrars.
The reports are compiled in a simple abstract. The copy of abstract
is also given to district registrar i.e. District Health Officer, for
monitoring and feedback at district level. The registrars of urban
area send the monthly reports directly to Deputy Chief Registrar of
birth and death - Pune, and a copy of abstract is submitted to District
Registrar of respective district for monitoring and feedback at district
level. Deputy Chief Registrar of Birth and Death - Pune, at the state
level, complies & analyses the reports and district wise monthly
and annual reports are submitted to Chief Registrar of Birth and Death,
Maharashtra State and Registrar General, India, New Delhi.
STRATEGY: Medical Certification Of Causes Of Death
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In the case of deaths occurred in the institutions,
Head of the institution is responsible for submission of form
no.4 to the Local Registrar. |
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In the case of domiciliary death attended by any
physician prior to death is responsible to submit form no.4A
to the local registrar. |
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It is the duty of the registrar to provide forms
No 4 & 4A to the Institutions & Physicians in his jurisdiction. |
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It is the duty of Registrar, to ask about form
No.4 & 4A according to occurrence of death, while entering
the death event. |
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Civil Surgeon of District Hospital & District
Health Officer Z.P. is responsible for review of quantity, quality
& training of M.C.C.D. at district level. |
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Deputy Director is responsible for compilation,
coding & analysis of data received through MCCD according
to ICD-10. |
FLOW OF MCCD FROM URBAN AND RURAL AREAS
click for larger view
STRATEGY: Survey Of Causes Of Death Scheme (Rural)
| 1.1 |
The Paramedical staff (ANM & MPW) working
in the selected villages is the important & root level worker
called as "Field Agent". The field agents are expected
to keep House hold register, visit the community twice in a
month & collect the data on fertility & mortality. In
respect of mortality, they should contact the family members,
collect the information on sign & symptoms, disease, duration
of the diseased, by applying their experience in providing health
services. The data collected under the scheme is according to
De jury method. |
| 1.2 |
Field agents are expected to submit the collected
information in the prescribed format to the M.O. PHC at the
end of the month. |
| 1.3 |
Field recorder at PHC level is expected to supervise
the villages selected under the scheme. He should consolidate
the information received by the field agent every month. He
should prepare the monthly report & submit to the Dist.
level. |
| 1.4 |
Six monthly survey are to be conducted to detect
the omissions if any, by field recorder |
| 1.5 |
M.O.PHC is expected to verify all cause of death
forms (C form). Based on sign & symptoms given by the field
agent. He should write the probable cause of death, with the
help of Classification of diseases made available to them. In
case of Institutional deaths & the deaths in which any other
Private Practitioners identify cause of death, MO should write
the same cause of death. |
| 1.6 |
M.O. is also responsible for the development of
technique of field agent in respect of Post death verbal autopsy. |
| 1.7 |
District Health Officer/Additional District Health Officer
(A.D.H.O) are expected to monitor, supervise, evaluate, & verification
of the scheme, time to time with the help of statistical wing
at district
level. |
| 1.8 |
Deputy Director (State Bureau Of Health intelligence &
vital Statistics) is the whole in charge of the scheme at
State level. He is expected to review the scheme, take corrective
actions in respect of progress Further he should generate
the information on mortality statistics related to Causes,
age, & sex. of the scheme. Similarly District & Circle
wise fertility & mortality rates in the form of State
Annual Report.
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