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Background <p>Understanding who dies, where, and from what causes is essential for public health planning and outbreak preparedness. In Uganda, mortality surveillance has historically been constrained by fragmented systems, weak coordination, and underreporting, limiting the use of mortality data for decision-making. In response, the Ministry of Health developed national mortality surveillance (MS) guidelines to strengthen mortality data collection, integration, and use.</p> Methods <p>A national situational analysis and desk review of existing mortality data systems and tools were conducted. The systems reviewed included the Health Management Information System (HMIS), electronic Integrated Disease Surveillance and Response (eIDSR), Mobile Vital Registration System (MVRS), electronic Community Health Information System (eCHIS) and the District Health Information System (DHIS2). The mortality data reported in DHIS2 between January and June 2025 were analysed via Excel and are reported in tables. A national technical writing team reviewed existing paper-based and digital tools, developed standardized tools, and aligned the guidelines with regional and global frameworks. The guidelines were validated and formally endorsed.</p> Results <p>Key gaps identified included weak governance, fragmented data flows, inadequate tools and indicators, and limited digital interoperability. The guidelines established multisectoral coordination committees, standardized all-cause death review tools, mortality registers, and gate passes, integrated non-health actors into national systems, and institutionalized quarterly mortality data reviews.</p> Conclusion <p>Uganda’s national MS guidelines address critical coordination and data quality gaps and provide a replicable model for strengthening mortality surveillance and informing public health action in similar settings.</p>

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The journey of strengthening mortality surveillance in Uganda through multisectoral guideline development

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月29日

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  • Caroline Kyozira,
  • Benard Owori,
  • Martin Bulamu,
  • Allan Muruta

摘要

Background

Understanding who dies, where, and from what causes is essential for public health planning and outbreak preparedness. In Uganda, mortality surveillance has historically been constrained by fragmented systems, weak coordination, and underreporting, limiting the use of mortality data for decision-making. In response, the Ministry of Health developed national mortality surveillance (MS) guidelines to strengthen mortality data collection, integration, and use.

Methods

A national situational analysis and desk review of existing mortality data systems and tools were conducted. The systems reviewed included the Health Management Information System (HMIS), electronic Integrated Disease Surveillance and Response (eIDSR), Mobile Vital Registration System (MVRS), electronic Community Health Information System (eCHIS) and the District Health Information System (DHIS2). The mortality data reported in DHIS2 between January and June 2025 were analysed via Excel and are reported in tables. A national technical writing team reviewed existing paper-based and digital tools, developed standardized tools, and aligned the guidelines with regional and global frameworks. The guidelines were validated and formally endorsed.

Results

Key gaps identified included weak governance, fragmented data flows, inadequate tools and indicators, and limited digital interoperability. The guidelines established multisectoral coordination committees, standardized all-cause death review tools, mortality registers, and gate passes, integrated non-health actors into national systems, and institutionalized quarterly mortality data reviews.

Conclusion

Uganda’s national MS guidelines address critical coordination and data quality gaps and provide a replicable model for strengthening mortality surveillance and informing public health action in similar settings.