ArticleBMC public health2022
Assessment of the national and subnational completeness of death registration in Nepal.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed.
- Completeness of death registration in Ghana: An evaluation of multiple data sources and methods.PloS one · 2026Article
- Structural, economic, and socio-cultural barriers to birth and death registration in Iran: a qualitative study.International journal for equity in health · 2025Article
- Spatial disparities in death registration across states and districts of India, 2019-21.BMC public health · 2025Article
- Death registration coverage 2019-2021, India.Bulletin of the World Health Organization · 2023Article
- Estimation of national and subnational all-cause mortality indicators in Nepal, 2017.BMC public health · 2022Article
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2 authors.
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Abstract
backgroundReliable and timely mortality data from a civil registration and vital statistics (CRVS) system are of crucial importance for generating evidence for policy and monitoring the progress towards national and global development goals. In Nepal, however, the death registration system is not used to produce mortality statistics, because it does not providing data on age at death and only reporting deaths by year of registration. This study assesses the completeness of death registration in Nepal - both the existing offline system and the newer online system - as well as the completeness of death reporting from a CRVS Survey, and assesses differences by year, sex, ecological belt, and province.
methodsThe empirical completeness method is used to estimate completeness at all ages from the offline (paper-based) registration system (2013-17), the online registration system (2017-19) and the CRVS Survey (2014-15).
resultsCompleteness of the offline death registration system was 69% in 2017, not increasing since 2013 and being higher for males (73%) than females (65%). Completeness of online registration was only 32% in 2019, but almost double the 2017 figure. Completeness of death reporting in the CRVS Survey was 75% in 2015. The largest subnational differentials in completeness exist for the offline registration system, ranging from 90% in Gandaki to just 39% in Karnali.
conclusionsImprovement in the utility of the Nepalese death registration system for mortality statistics is dependent on continued roll-out of the online death registration system (which reports age at death and deaths by year of occurrence) throughout the country, focusing on areas with low registration, building a strong coordination mechanism among CRVS stakeholders and implementing public awareness programs about death registration.
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