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This country’s legal measures were reviewed by our legal staff in consultation with in-country lawyers and/or CRVS legal experts. All efforts were made to ensure the accuracy of the legal analysis, however, if you consider there to be any discrepancies or if there have been changes in the law of the country since our staff last updated the legal analysis, we welcome any additional information or insights. Please contact us via this form.
Cause of Death
Zambia
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Zambia
Cause of Death
Transmission of Cause of Death Data
Transmission of Cause of Death Data
Transmission of Cause of Death Data
For a death that occurred under medical supervision (and not referred to MLDI), does the law specify how the information on cause of death is transmitted to the civil registrar and/or the statistics agency?
Yes for transmission of information to civil registrar
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.
In terms of Section 18(3) of the Births and Deaths Registration Act, any registered medical practitioner who attended the deceased during his or her last illness is required to provide a certificate of the cause of death to any person with a duty to notify the death. This informant is required by Section 18(5) to dispatch or deliver the certificate to the Registrar of the district where the death occurred within 48 hours of receiving it. Section 7 requires a Registrar to transmit all medical certificates of the cause of death received by him or her to the Registrar-General by registered post.
There is no role in the law for hospitals in respect of transmission of cause of death information to civil registration officials or the Zambia Statistics Agency.
For a death referred to the MLDI system, does the law specify how cause of death information is transmitted to the civil registrar and/or statistics agency?
Yes for transmission of information to civil registrar
Recommended Practice based on International Guidelines
The law should designate who is responsible for submitting the MCCD or cause of death data to the civil registration authority and/or the national statistics agency in cases of deaths investigated by the MLDI system. Responsibility may be place on the forensic physician that certified the cause of death or an official within the MLDI system, such as the coroner, medical examiner, or police officer. In some countries, this person will submit the MCCD or cause of death information to the civil registration agency, which in turn will submit COD data to the national statistics agency. In other countries, this person will submit the MCCD or cause of death data directly to the national statistics agency. The MCCD should not be given to the family as a means of transmission.
The Notice of Death form that informants must submit to the Registrar (Form XIII in the Births and Deaths Registration (General) Rules) requires that the coroner’s report must be attached if the death resulted from unnatural causes. Section 18(9) of the Births and Deaths Registration Act states that, where the cause of the death has been determined by a coroner's inquest, the cause of the death recorded by the Registrar-General in the Register of Deaths must be the cause determined by the inquest. There is no explicit direction about transmission of inquest findings to the Registrar, but Rule 36 of the Births and Deaths Registration (General) Rules refers to the receipt of the coroner’s certificate by the Registrar.
For cause of death determined from verbal autopsy, does the law specify how and to whom is the cause of death information is transmitted?
No
Recommended Practice based on International Guidelines
Verbal autopsies should only be used for statistical purposes and never legal purposes. Therefore, cause of death determined by the use of a verbal autopsy should only be transmitted to the statistics agency (anonymized). Results of a verbal autopsy should not be transmitted to a civil registrar for legal use.
