The 3rd version of the tool “Analyzing Mortality and Causes of Death” called ANACoD3 was launched by the World Health Organization (WHO) in September 2021. ANACoD3 is an online application that assesses the quality of mortality and cause-of-death (COD) data in both ICD-10 and ICD-11 formats. ANACoD3 also analyzes data at the subnational level to highlight potential health inequities. Conducting analysis of COD data informs errors in cause of death certification. Furthermore, the tool facilitates the development of reports to describe mortality by age and sex, supplements more detailed mortality analyses, and helps identify leading causes of death.
To support countries in the use of this tool for Civil Registration and Vital Statistics (CRVS) system strengthening and cause-of-death data use for decision-making, the Data Impact Program in collaboration with the CRVS Improvement Program, WHO, and PAHO supported regional workshops and webinars on ANACoD3. In August 2022, an in-person Regional Workshop for Africa was conducted in Kigali, Rwanda for representatives from ministries of health, national statistics offices, and civil registry departments from eleven Data for Health countries: Ethiopia, Kenya, Mozambique, Rwanda, Senegal, South Africa, Tanzania, Uganda, Zambia, and Zimbabwe. During the workshop, country teams used the tool to interpret results and understand mortality trends and gaps in their COD data systems. Upon completion of the workshop, each country team developed reports on next steps, including disseminating findings to senior leadership to advocate for improved data quality and COD data coding and the use of this information for policymaking. The workshop also encouraged improved interoperability and data sharing between government agencies engaged in the CRVS system.
In July 2023, the DIP and CRVS teams supported WHO EMRO in the delivery of an ANACoD3 workshop for countries in the EMRO region. This technical assistance involved interpretation of the results and discussions on external causes of death, which often shed light on gender inequities in countries, particularly surrounding gender-based violence.
In September 2023, the D4H team collaborated with the Pan American Health Organization to offer a series of webinars to promote the use of ANACoD3 in the region to strengthen institutional capacities of national teams for mortality analysis, and to prioritize analysis of mortality patterns and quality indicators. Three hundred and sixty-five participants joined the introductory webinar which demonstrated the main features of the tool, outputs, requirements for its operation and its user friendliness. A presentation by Argentina described their successful implementation of ANACoD3. Following the webinar countries will have the opportunity to express interest in participating in targeted follow-up technical assistance webinars.