Series of Webinars – BIRMM Methodology and national experiences
Tuesday - 18 September
Presenters: Dra. Patricia Ruiz / Mtra. Aline P. Jiménez Romero / Mtro. Manuel Yáñez Hernández
In countries where the use of death certificates is high (over 90%), the main problems in measuring maternal mortality––in addition to underreporting, which should never be ignored––involve the misclassification of these deaths due to three factors:
? Lack of knowledge about how to correctly complete death certificates;
? Errors in coding the causes of death indicated in the certificate and/or in selecting the underlying cause of death; and
? Deliberate concealment.
It is, therefore, essential for countries to have a rigorous methodology that they can continuously apply to identify these factors and correct misclassifications and underreporting of maternal deaths.
Accordingly, in 2002 Mexico instituted a nationwide system: Deliberate Search and Reclassification of Maternal Deaths (BIRMM, Spanish acronym). Each year, for purposes of official statistics and to provide quality information on this subject, BIRMM “rescues” a large number of deaths there were either not recognized as maternal deaths or simply not recorded.
The BIRMM methodology has been fine-tuned several times over the years, but after 15 years of implementation it is considered a sound, standardized, systematized process.
The objective of this Webex session is to present the methodology in greater depth, emphasizing the main activities involved in each of its four components. The hope is that this will spark greater interest in replicating it in countries that have already carried out a similar exercise or are considering doing so.
The session also provides an introductory framework for the Second International BIRMM Workshop, which will be held to continue disseminating the practice through RELACSIS. The workshop will take place in Mexico City in November 2018, and will be hosted by the Mexican Center for the Classification of Diseases and the Mexican Collaborating Center for the WHO Family of International Classifications (CEMECE).
Aline P. Jiménez Romero
The presenter has a master’s degree in applied statistics from the Instituto Tecnológico y de Estudios Superiores de Monterrey (Monterrey Institute of Technology and Advanced Studies––ITESM) and an undergraduate degree in mathematics education. She has been accepted into the doctoral public health program at Mexico’s National Institute of Public Health (INSP).
Position: She recently joined the Information Systems and Platforms for Health (IS) unit of the PAHO/WHO Department of Evidence and Intelligence for Action in Health (EIH) as an international consultant.
Previously, she served for approximately 10 years as Director of the General Directorate of Health Information at Mexico’s Secretariat of Health, and for the last five years was Director of Information Systems. During this period, she also served as Co-Director of the Mexican Center for Disease Classification and the Mexican Collaborating Center for the WHO Family of International Classifications (CEMECE). In her work there, she oversaw issues such as:
• Deliberate Search and Reclassification of Maternal Deaths (BIRMM) in Mexico;
• The health sector’s national information systems, dealing with matters such as live births, deaths, fetal deaths, hospital discharges, and health services;
• Implementation of the National Health Information System (SINBA); and
• Development of the Comprehensive System for Quality Health Information and the Health Information Governance Model.
Manuel Yáñez Hernández
Master’s degree in psychology
Undergraduate degree in psychology
Instructor, WHO Family of International Classifications
Position: Assistant Director of Health Information Classifications, and Technical Secretary at the Mexican Center for the Classification of Diseases and the Mexican Collaborating Center for the WHO Family of International Classifications (CEMECE), part of the General Directorate of Health Information, Mexican Secretariat of Health.
• Instructor for courses on the use of the Family of Classifications, in particular the International Statistical Classification of Diseases and Related Health Problems (ICD-10);
• International Classification of Procedures (ICD-9-CM) and International Classification of Functioning, Disability and Health (ICF);
• Coordination of the Deliberate Search and Reclassification of Maternal Deaths (BIRMM) in Mexico.