Table 2 Quality assessment of medical certificates of cause of death pre- and post-training in the Philippines, Myanmar, and Sri Lanka (training of trainers strategy)

Incorrectly completed certificates (at least one error)

72.9

43.6

40.1

99.8

74.8

33.4

95.4

68.5

28.2

 Certificates with one error

37.2

28.4

23.6

21.7

23.7

−9.2

25.9

32.3

−24.7

 Certificates with two or more errors

35.7

15.3

57.1

78.2

51.2

34.5

69.4

36.2

47.8

Certificates with at least one major error^†

41.6

22.6

45.6

63.2

44.8

29.1

58.8

37.5

36.2

Certificates with minor errors only

31.3

21.1

32.5

36.6

30.0

18.0

36.6

31.0

15.3

 Multiples causes per line

21.2

6.0

71.6

24.4

10.8

55.7

38.9

20.8

46.5

 Incorrect sequence of events leading to death

27.1

12.4

54.2

7.9

5.8

26.5

37.1

17.0

54.1

 Illegible handwriting

0.8

1.1

− 37.5

4.2

2.8

33.3

0.6

0.0

 Ill-defined condition entered as an underlying cause of death

28.6

15.5

45.8

44.5

32.7

26.5

4.4

10.6

140.9

 Additional information on external cause not available

4.8

1.2

75.0

–

–

–

–

–

–

 Additional information on neoplasms not available

2.3

1.9

17.0

1.4

0.3

78.5

4.3

0.5

95.0

 Presence of blank lines within the sequence of events

–

–

–

0.2

0.3

50.0

2.1

2.7

− 28.6

 Abbreviations used in certifying the death

7.1

0.8

88.7

50.8

31.0

38.9

36.0

20.3

43.6

 Absence of disease time interval

37.4

23.7

36.6

93.4

65.3

30.1

87.0

53.2

38.8

 Additional errors on the certificate

5.3

1.1

79.2

1.6

0.7

56.2

2.9

0.2

93.1