Table 2.
Actors involved in death certification
| Name | Brief description |
| Before COVID-19 pandemic | |
| Directorate of Health (DIRESA) of Loreto | Governing body of health at the regional level. Its statistical office administers the National System of Deaths |
| First Level Health Facility | Primary care health centre that serves the community and can refer cases to hospitals |
| Regional Hospital of Loreto | Regional Hospital financed by the Comprehensive Health Insurance |
| Hospital EsSalud | Workers' hospital financed by Social Security |
| Family | Nuclear relatives of the deceased |
| Funeral Homes | Company that at the request of the relatives is responsible for the final disposal of the body of the deceased |
| INEI | National Institute of Statistics and Informatics (INEI) generates the projection of deceased at a regional and national level |
| Insurances Offices | Insurance office where there is an Economic Benefit in the event of death, such as Comprehensive Health Insurance, Social Security, Police, Military and Private |
| Municipality | Organisation in charge of managing and governing a district. Give permits for burial and cremation |
| Private Clinic | Private companies that provide health services |
| Public Ministry—Morgue | Institution in charge of issuing death certificates to all deaths from external causes (possible criminal causes) |
| Civil Registry Office | Office of the National Registry of Identification and Civil Status in charge of issuing the valid death certificate for legal purposes |
| Official Cemeteries | Place approved by the municipality where the corpses are deposited |
| Included during COVID-19 pandemic | |
| COVID/Unofficial Cemeteries | Place not approved by the municipality where the corpses of the COVID-19 cases were deposited |
| Epidemiology Office (CDC) | Office of the National Center for Epidemiology, Prevention, and Disease Control (CDC). During the pandemic, they investigated the cases and deaths from COVID-19 |
| Crematoria Offices | Place where corpses are cremated. During the first stage of the pandemic, only cremations were carried out. |
| Directorate of Environmental Health of DIRESA | Regional directorate office that during the pandemic was in charge of the sanitation and mobilisation of the deceased bodies |
| Firefighters | Public service that responds to emergency calls in the community. |
| National Police | State institution in charge of maintaining order in the community and providing protection and assistance to people |
| Private Medical Doctor | Independent physicians who provide health services or issue medical certification of death |
| Rapid Response Team COVID-19 | Multidisciplinary team that performs field work searching and investigating possible cases of COVID-19 in the community |