Identification of deaths |
Structure |
Transport available for MIS activities |
80 to 100% |
Technician competent to provide feedback on death certificates |
Yes |
Processing power of computers used in SIM activities s |
Dual core or above |
Internet speed installed at central level ath |
Over 15 Mbps |
Printer or copier available for MISactivities f de |
80 to 100% |
Paper available for MIS activities oture |
80 to 100% |
Technician competent to sort the children's death certificates Strucation |
Yes |
Number of technicians responsible for IMS at central level ific |
At least 2 technicians |
Transport available for IMS activities at central level Ident |
80 to 100% |
Number of technicians responsible for IMS in sanitary district |
At least 1 technicians |
Persons responsible for IMS in sanitary district participated in training, lectures, courses or sought to increase awareness on surveillance |
Yes |
Sufficient number of specific forms to validate home addresses in the sanitary district |
Yes |
Process |
Regularity of death certificate collection |
52 SE |
Regularity of typing infant death certificates |
52 SE |
Median days between the death notification and epidemiological surveillance at central level s |
2 days |
% of deaths with corresponding birth certificates located in Sinasc oces |
80 to 100% |
Regularity of submission of copies of death and birth certificate to sanitary district Pr |
52 SE |
Median days between death and notification to the sanitary district |
2 days |
Use of address validation form to confirm the mother's residence |
Yes |
% of ESF professionals that validate home address of deaths |
80 to 100% |
% of PACS professionals that validate home address of deaths |
80 to 100% |
Result |
SIM coverage |
80 to 100% |
Coverage of deaths of mothers living in Recife Result |
80 to 100% |
% of deaths with validated home address |
80 to 100% |
Epidemiological investigation |
Structure |
Persons responsible for IMS at central level participated in training, lectures, courses ion or sought to increase awareness on surveillance gat |
Yes |
Sufficient number of confidential record of death investigation in sanitary district investi |
Yes |
Transport available for IMS activities in sanitary district etur |
80 to 100% |
% of ESF team members trained for IMS Struccal |
80 to 100% |
% of PACS workers trained for IMS ogi |
80 to 100% |
% of NEH trained to investigate deaths at the hospital miol |
80 to 100% |
% of technicians responsible for IMS at central level with competence to investigate Epide deaths at the necropsy services |
80 to 100% |
Epidemiological investigation |
Process |
Use of confidential death enquiry sheet |
Yes |
% of FHS teams that investigate deaths at the homes |
80 to 100% |
% of FHS teams that investigate outpatient deaths |
80 to 100% |
% of PACS teams that investigate deaths at the homes |
80 to 100% |
% of PACS teams that investigate outpatient deaths |
80 to 100% |
% of NEH sending hospital death investigation occurred in their facilities |
80 to 100% |
% of deaths with hospital investigation reports submitted by NEH |
80 to 100% |
% of NEH facilitating access to medical records for investigation |
80 to 100% |
% of deaths with proper home investigation |
80 to 100% |
% of deaths with appropriate investigation at the prenatal healthcare facility |
80 to 100% |
% of deaths with appropriate investigation at the maternity unit where the expectant mother received care for delivery |
80 to 100% |
% of deaths with appropriate investigation at the facilities where the child was assisted |
80 to 100% |
% of deaths with appropriate investigation at the healthcare facility where the death occurred |
80 to 100% |
% of deaths with investigation at the necropsy services |
80 to 100% |
Result |
% of deaths with completed home, outpatient, hospital or necropsy service investigation |
80 to 100% |
% of deaths with all dimensions of the investigation report completed |
80 to 100% |
Adequate completion of the confidential death enquiry sheet |
80 to 100% |
Discussion of deaths |
Structure |
Computer available for IMS activities in sanitary district |
80 to 100% |
Printer or copier available for SIM activities in the sanitary district |
80 to 100% |
Paper available for SIM activities in the sanitary district |
80 to 100% |
Phone/Fax available for SIM activities in the sanitary district |
80 to 100% |
Internet speed installed in sanitary district |
Over 15 Mbps |
Sufficient number of death summary sheets in the sanitary district |
Yes |
Meeting room available to discuss the death |
80 to 100% |
Process |
Official record (minutes) of death discussion meetings |
Yes |
Alternative use to document death discussion meetings |
Minutes |
% of deaths with the summaries for discussion |
80 to 100% |
Summons of Technical -Management Group to discuss death via internal communication |
Yes |
% of discussions with the participation of the ESF medical team |
80 to 100% |
% of discussions with the participation of the ESF nursing team |
80 to 100% |
% of discussions with the participation of the ACS of the ESF team |
80 to 100% |
% of discussions with the participation of the PACS nurse |
80 to 100% |
% of discussions with the participation of the CHA of the PACS |
80 to 100% |
% of discussions with the participation of a representative of the outpatient unit involved in care |
80 to 100% |
% of discussions with the participation of a representative of the hospitals involved in maternal and child care |
80 to 100% |
% of discussions with the participation of a representative of the health facility where the death occurred |
80 to 100% |
% of discussions with the participation of health inspection managers / technicians of the sanitary district |
80 to 100% |
% of discussions with the participation of health inspection managers / technicians at central level |
80 to 100% |
% of discussions with the participation of child health policy managers / technicians of the sanitary district |
80 to 100% |
% of discussions with the participation of child health policy managers / technicians at central level |
80 to 100% |
% of discussions with the participation of women's health policy managers / technicians of the sanitary district |
80 to 100% |
% of discussions with the participation of women's health policy managers / technicians at central level |
80 to 100% |
% of discussions with the participation of primary care policy managers/technicians of the sanitary district |
80 to 100% |
% of discussions with the participation of primary care policy managers/technicians at central level |
80 to 100% |
% of discussion with the participation of the sanitary district manager |
80 to 100% |
Use of summary sheet to conclude the death after case discussion |
Yes |
% of deaths with completed summary sheet |
80 to 100% |
% of deaths with health promotion and care measures to prevent similar identified deaths |
80 to 100% |
% of deaths with classified avoidability |
80 to 100% |
% of deaths for which changes were requested to the birth certificate/Sinasc after discussion of the Technical -Management Group |
80 to 100% |
% of deaths for which changes were requested to the cause of death/SIM after discussion of the Technical -Management Group |
80 to 100% |
% of deaths for which changes were requested to other variables of the death certificate / SIM after discussion of the Technical -Management Group |
80 to 100% |
Result |
% of deaths discussed in the extended Technical -Management Group |
80 to 100% |
% of deaths discussed in the restricted Technical -Management Group |
<20% |
% of deaths discussed in the restricted and extended Technical -Management Group |
80 to 100% |
% of deaths investigated and discussed in the Technical -Management Group in a timely manner |
80 to 100% |
Average time between date of death and conclusion of the case discussion |
<120 days |
Submission of health promotion and care proposals and correction of official statistics |
Structure |
Person inputting data at central level is competent to apply with corrections proposed by the Technical -Management Team in the Sinasc and MIS databases |
Yes |
% of summary sheets sent from sanitary district to central level |
80 to 100% |
Technician responsible for the IMS at central level is competent to complete the summary sheet in the SIM-Online |
Yes |
Process |
% of deaths altered in the Sinasc database after discussion of the Technical - Management Group |
80 to 100% |
% of deaths with alterations to the cause of death in the MIS after discussion of the Technical - Management Group |
80 to 100% |
% of deaths with alterations to other variables of the MIS after discussion of the Technical -Management Group |
80 to 100% |
Result |
% of deaths discussed with discussion report prepared and submitted |
80 to 100% |
% of completion of variables, of deaths, in the Sinasc |
90 to 100% |
% of deaths with primary cause defined |
95 to 100% |
% of completion of death variables in the SIM |
90 to 100% |
% of deaths with recorded cause of death of compulsory notification of death informed to epidemiological inspection at central level |
80 to 100% |
% of deaths with summary sheet entered into the SIM-Online |
80 to 100% |