Quality assessment of Medical Certification of Cause of Death and supervision checklist
Objective
The objective of the MCCOD quality assessment and supervisory checklist is assess how well
cause of death certifiers are filling in the certificates, and to highlight gaps and shortcomings
and how to address them. The Medical Certification of Cause of Death Quality assessment
checklist provides a guide to a core team of Tanzania’s health supervision staff at National
and District levels key areas to check and to identify how well doctors are filling in the
certificates. The supervision staff identify and highlight gaps that need to be addressed.
The quality assessment and supervisory checklist involves re-visiting attributes of a good
quality death certificate and do’s and don’ts on ensuring good quality, exercises on spotting
and rectifying data quality issues in cause of death certification and designing a tool that will
be used to assess MCCOD quality. The aim of generating a good quality death certificate is to
ensure good quality mortality statistics.
SN DESCRIPTIONS REMARKS
1 Does the certificate complete and legible? (Check if the certificate is YES
filled with Capital letters). NO
2 Does the information in the certificate correct? (Avoid the use of YES
abbreviations) NO
3 Does the information filled in the certificate reliable? YES
NO
4 Is there any consistence between age, sex and the condition reported YES
in the certificate? NO
5 Does Underlying causes of death recorded appropriately? Avoid use YES
of Ill-defined conditions (Symptoms, signs and abnormal clinical NO
and laboratory findings) and causes unlikely to cause death (trivial
conditions)
6 Does the cause of death recorded following the sequence (Causal YES
relationship)? NO
7 Does other significant conditions that contributing to death recorded YES
appropriately? NO
8 Does the manner of death indicated? YES
NO
9 If the death was perinatal, does the condition of mother that affected YES
the fetus or new born documented? NO
NA
10 If the death was due to maternal condition, does the condition YES
contributed to death mentioned? NO
NA
11 Does the conditions entered informative enough to describe the YES
nature and site of the condition? NO
12 If the death was due to surgery or other medical procedure, does YES
certifier stated the reason for surgery, complication, type of surgery NO
and specific organ or site? NA
13 If death was due to neoplasm, does the behavior, anatomical site, YES
stage and histology history documented? (at least one from the NO
above has recorded) NA
CHECKLIST FOR QUALITY ASSESSMENT OF MCCOD
*NOTE: Assess 10% of the death certificates (randomly selected) from the available during
the time of DQA*
Assessor’s comments:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Assessor name: _________________________ Signature: ____________ Date: _____________