Recommended Practice based on International Guidelines
The medical certificate of cause of death should be transmitted to the civil registrar or the statistics agencies to be used for legal and statistical purposes. In some countries, the information in the medical certificate of cause of death (or information on cause of death) is submitted to the registrar directly, who in turn submits the MCCD or cause of death data to the statistics agency. Other countries use a bifurcated form, containing a section for legal information and a section for statistical (cause of death) information. With this type of form, the legal information is submitted to the registrar and the statistical (cause of death) information is submitted directly to the statistics agency. The MCCD should not be given to the family to bring to the civil registration agency, the family may fail to report to the civil registrar.
If the law obligates the certifier of cause of death to directly transmit an MCCD to the civil registrar and statistics agency, there are two policy objectives that are met.
First, the efficient transmission of information provides the necessary information, including cause of death, to the civil registrar and statistics agency without placing an additional burden on an intermediary, often a mourning family, to convey the medical certificate of cause of death to the registrar.
Second, certifiers of cause of death are less likely to modify sensitive cause of death information if fewer people have access to and knowledge of that potentially sensitive information.
Papua New Guinea
Legal Analysis
In terms of Section 58 of the Civil and Identity Registration Act, where a death occurred in a health facility or where the remains were brought to a health facility, the head of the health facility must provide a medical certificate of cause of death (MCCD) to the Registrar-General. Alternatively, if the deceased was attended to by a medical attendant within three months prior to death, the medical attendant must provide an MCCD to the Registrar-General.