Recommended Practice based on International Guidelines
If the law obligates the certifier of cause of death to directly transmit an MCCD to the civil registrar and statistics agency, there are two policy objectives that are met.
First, the efficient transmission of information provides the necessary information, including cause of death, to the civil registrar and statistics agency without placing an additional burden on an intermediary, often a mourning family, to convey the medical certificate of cause of death to the registrar.
Second, certifiers of cause of death are less likely to modify sensitive cause of death information if fewer people have access to and knowledge of that potentially sensitive information.
Indonesia
Legal Analysis
Regardless of where the death occurred, health facilities must report cause of death data (but not necessarily the MCCD itself) on a monthly basis to the District/City Health Office. The Health Office reports cause of death data quarterly to the Provincial Health Office and Ministry of Health.