Knowledge, Training Needs and Barriers in the Medical Certification of the Cause Of Death Among Medical Doctors: A Qualitative Study at China-Uganda Friendship Hospital Naguru

Abstract

Cathy Asiimwe Tabaro*, Irene Auma, Godfrey Gemagaine, John Bosco Alege, Rose Clarke Nanyonga and Allan Komakech

Background: Accurate medical certification of cause of Death (MCCOD) is crucial for mortality surveillance. However, in many low resource setting, challenges persist in practice. The study assessed the knowledge, training needs, and perceived barriers among medical doctors involved in cause of death certification at CUFH-N.

Methods: We conducted in-depth interviews with key medical personnel at CUFH-N. Participants were purposively selected. The data were analyzed using content analysis and the findings were presented using themes/sub-themes along with participant quotes.

Results: We interviewed 12 medical doctors with median age of 35 years (IQR: 30--39); most (67%; (8/12)) were female. Three major themes emerged; (1) knowledge gaps in completing certificates; (2) lack of training and institutional support; (3) systemic and structural barriers, including time constraints and absence of tools.

Conclusion: This study highlights substantial MCCOD knowledge and training gaps, compounded by individual and institutional barriers. Strengthening MCCOD practices requires targeted training programs, improved interdepartmental coordination, and emotional support for medical officers.

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