In 2018 Mozambique launched a sample registration system (Countrywide Mortality Surveillance for Action [COMSA]-Mozambique), which collects continuous birth, death, and COD data from 700 randomly selected clusters, a nationally representative population of 828,663 persons. Verbal and social autopsy interviews are conducted for COD determination.
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Mozambique transitioned COMSA to SIS-COVE in order to ensure institutionalization, sustainability and leveraging the system to incorporate disease surveillance.
