Development Model of Quality Recording in Cause of Death Outside Public Health Facilities in Pattani Province, 2017 - 2019

Abstract

The objective of this study was 1) to develop a model for recording causes of death and 2) to investigate the results of development model. This research and development study was divided into 4 steps including (1) situation analysis, (2) development draft model, (3) try out draft model, assessment and adjustment and 4) implement. The data was collected using questionnaires and quality-checked death records and group discussion. Key informants was card staff and health officers at the district and sub-district levels. Data was analyzed using descriptive statistics. The results showed that the development model was adding the procedures of the history of illness among death cases and the cause of death in death notification, the quality of cause of death inspection system for cause of death by a team of auditors from both departments and coordination system for consultation. Regarding the development model, it showed that the proportion of reporting unclear cause of death decreased from 37.04% to 8.90%.The important factors were the creation of shared values focusing on the quality of causes of death records, adjustment of system with sharing experiences of practitioners and developing skills of related personnel by training and learning from the quality of inspection of death in district level.