The importance of robust mortality surveillance systems cannot be overstated in an era marked by increasing global health challenges where health threats loom large and population dynamics continue to evolve. Accurate and timely mortality data is essential for identifying trends and detecting emerging health threats, evaluating the impact of interventions, and guiding evidence-based policy decisions. This framework outlines a holistic approach to strengthening routine mortality surveillance systems, considering the unique contextual factors and challenges faced by African countries. It emphasizes the importance of establishing efficient data collection mechanisms, enhancing data quality and completeness, and promoting data sharing and collaboration among stakeholders. Moreover, the framework recognizes the pivotal role of technology in the integration of data from fragmented mortality data sources. It highlights the potential of innovative data capture methods, advanced analytics, and real-time reporting systems to enhance mortality data’s accuracy, efficiency, and timeliness. The continental framework for mortality surveillance aligns with Africa CDC’s mission and strategic goal by serving as a fundamental component in strengthening public health systems, enhancing disease surveillance capacities and capabilities, informing evidence-based policies and interventions, and promoting collaboration and coordination among African countries to address health challenges and improve health outcomes on the continent. The successful implementation of this framework requires collective commitment and concerted efforts from governments, health institutions, and the international community. We hope this document will serve as a catalyst for transformative change, enabling countries to build resilient mortality surveillance systems that protect public health, save lives, and contribute to evidence-based decision-making. We extend our gratitude to all the experts, organizations, and individuals who have contributed their knowledge, insights, and experiences to the development of this framework. Together, we can pave the way for a future where mortality surveillance systems provide timely and reliable information, helping us better understand and respond to the ever-changing landscape of global health architecture.H.E. Dr Jean Kaseya, MD, MPH Chief Executive Officer / Director General Africa Centers for Disease Control and Prevention (Africa CDC) Email: KaseyaJ@africa-union.org Mobile: +251-71-050-0803 / +251-97-300-7134 African Union Commission, Addis Ababa, Ethiopia
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