Pengembangan Sistem Registrasi Kematian & Penyebab Kematian Di Indonesia: Evaluasi Sistem Registrasi Kematian Dilokasi Sentinel (Kabupaten Gorontalo & Kota Metro), 2007-2008

The aim of this article is to evaluate problem related to the development of the mortality system in sentinel mortality sites (Metro city and Gorontalo District 2007-2008). Since 2006, NIHRD has established sentinel site for special surveillance of mortality in some cities and districts in some provinces.The death data sources orisinaled from the trained personnel performing detail interviews (verbal autopsy-VA) with a responsible member of the household, respectively in order to ascertain the couse of illness and treatment of the diseases. The filled-in VA questionnaires were then scrutinized by a team of trained personnel for assigning the cause of death (COD) which was coded as per International Classification of Diseases (ICD-10). The deaths taking place in the hospital were certified by medical officers for cause of death and coded accordingly. In order to evaluate the completeness of vital registration, the mortality registration system data was been assessed through a dual record system. A sample of households was interviewed whether a hease hold member has died in the previous two years. These death data were then directly matched with death data derived from medical certificate cause of death from mortality registration system to analyze the mortality registration completeness. The level of Completeness rate in Metro City (33%) and Gorontalo District 2007-2008 (68,5%) are still low. The other issues is about sustainability of the system. In some districts and cities the system are not running properly, while in other districts and cities the system is not running at all since the project closed. It happens because operational budget is not allocated to maintain the system. Therefore there is a need of the local government to create the local government decree to assure allocated budget availability. Furthermore, in order the system to be continuous, permanent, compulsory and universal, and can cover whole Indonesia, it should be integrated in the Health Information System