1909: Monarchy (King Rama V); Western colonization period the first registration law was enacted specified the preparation and maintenance of population registration and creation of birth and death registration. 1917, enforced births and deaths registration throughout the kingdom. Civil Registration System
1936: The democratic revolution creation of a network of local registry office, acting registrars, laid down clear guidelines for the registration of birth, death, fetal death (for the first time) 1956 Comprehensive civil registration act increased number of registration offices spreading over the entire country Civil Registration System
1972 Revise civil registration act (Military government) appointment hierarchy of registration authorities laid down clear procedures for vital registration specified types of informants place and time for registration, forms, functions, responsibility of registrars, and other requirement for registration. 1982 the Population Identification Number Project. Start of the computerized population database. Civil Registration System
National Authority: Bureau of Registration Administration Department of Local Administration, Ministry of Interior Operates and maintains the data base for the entire population of the country, and issues identity cards and household booklets Civil Registration System
Citizen Identification Number Citizen ID issues at the of birth registration Called 13 Digits number The number is needed when transact with government and many non government agencies: getting free healthcare services enrolling children to free education asking for bank account.
Citizen Identification Card Typing machine ID card 1987 – 1996 Computer Printout ID card Current Smart card type ID card
Ministry of Interior Central Registry Ministry of Public Health Compile, code, validate and process statistics Provincial Health offices MOI Local Register Copy Birth/ Death list Aggregated report by Province Hospitals Send copy of death certificates Printed Annual Vital statistics report Copy birth/death list for validation สถิติชีพก่อนปี 2539
Weakness of the systems Discrepancy of birth/death counts between report from provincial health offices and MOI central registry Not timely: report lag time 2-3 years Cannot validate cause of death Need a lot of data entry personnel to enter data from hospital’s death certificate
Streamline vital event data between MOI & MOPH 1996, The Ministry of Public Health has signed an agreement with the Department of Local Administration, Ministry of Interior, regarding utilization of data in the central registration database of the administration, in order to reduce redundancy of birth, death data. The Department of Local Administration, Ministry of Interior, will send the data relevant to death of all the persons who have been registered birth, dead from the central registration database to the Office of Permanent Secretary of the Ministry of Public Health.
Flow of vital event registration Death inside hospital Death outside hospital Death certificate by doctorDeath notification by village head Death registration at district office or municipality Ministry of Interior ICD-10 coding at MoPH (BPS) 40% 60% Medical death certificate form (In-hospital) with COD Death notification form (Non-hospital) with COD On-line system Electronic file transfer monthly
สถิติชีพหลังปี 2539 สำนักง าน บริหาร การ ทะเบีย น Ministry of Interior Central Registry กระทรวง สาธารณสุข Ministry of Public Health Provincial Health offices Report statistics back to provinces Hospitals Web entry death certificates (start 2006) สถิติชีพ Printed/ Web Vital statistics report Electronic files Compile, code, validate and process statistics สปสช. National Health Security Office สปสช. National Health Security Office Web entry Birth certificate (Start 2010) Data Sync.