Crudely aggregated health data and multiple identifiers can make the administration of healthcare difficult and challenge universal health coverage. The introduction of unique identifiers offers a possible solution by supporting the establishment of an effective and equitable national health system.
As part of the Identification for Development (ID4D) Initiative, the World Bank Group addresses technical aspects of civil registration and vital statistics (CRVS) in four recent publications.
This paper was published in 2007 as a part of the “The Who Counts?” Series of The Lancet. The authors Mahapatra et. al review the present situation and past trends of vital statistics in the world.
The United Nations Statistics Division (UNSD) defines civil registration as the continuous, permanent, compulsory and universal recording of the occurrence and characteristics of vital events pertaining to the population, as provided through decree or regulation in accordance with the legal requirements in each country. Civil registration is the best source of vital statistics since it constitutes the collection of statistics on vital events in a lifetime of a person as well as relevant characteristics of the events themselves and of the person and persons concerned.
This is one of the advocacy documents of the Fourth Conference of African Ministers Responsible for Civil Registration held from 4 to 8 December 2017 in Nouakchott, Mauritania.
This document features nine recent innovations and lessons learned from UNICEF programmes which are illustrative examples of some of our work on equity and reaching the most marginalized. They are presented here to share the experience of UNICEF and its country-level partners in working to reach the most marginalized in order to share lessons we have learned and the good practices we have identified.
Global advances in patient safety have been hampered by the lack of a uniform classification of patient safety concepts. This is a significant barrier to developing strategies to reduce risk, performing evidence-based research and evaluating existing healthcare policies relevant to patient safety.
The article introduced a new definition of “drowning” (1). Most of the time we intuitively know what drowning is until someone asks us explicitly to define it. In scientific research, meaningful definitions are essential for comparability and reproducibility. Drowning has been listed as the second leading cause of death from unintentional injury in WHO reports, after road traffic accidents (2).
The 11th revision of the International Classification of Diseases and Related Health Problems (ICD) will be developed as a collaborative effort supported by Webbased software.
Civil registration is integral to the Indonesian government’s current poverty-reduction strategy, both for its ability to confer legal identity to citizens and as the principal source of the country’s vital statistics. Unfortunately, ownership of key civil registration documents, such as birth certificates and death certificates, remains exceptionally low, and governments are often unable to access timely, reliable, and comprehensive vital statistics.
An Information Paper on Civil Registration and Vital Statistics prepared for the 5th Regional Conference of Heads of Planning and Statistics (HOPS), held in Noumea, New Caledonia from 14-16 November 2017.
Presentation by the National Statistical Office of Mongolia to the Sub-regional Asian workshop on applying principles and recommendations for implementing the Regional Action Framework for strengthening CRVS, Istanbul, Turkey, 15 -18 September 2015.
Presentation by Mehmet Günal Turkish Statistical Institute, Social Sector Statistics Department Health and Social Protections Statistics Group, to the Sub-regional Asian workshop on applying principles and recommendations for implementing the Regional Action Framework for strengthening CRVS Istanbul, Turkey, 15 -18 September 2015.
Philippines’ country presentation made at the Technical Seminar on Legal Framework for Civil Registration, Vital Statistics and Identity Management Systems on 17-19 July 2017 in Manila, Philippines.
Armenia’s country presentation made at the Technical Seminar on Legal Framework for Civil Registration, Vital Statistics and Identity Management Systems on 17-19 July 2017 in Manila, Philippines.
The event is organized by the Organization of American States, UNICEF, the Inter-American Development Bank, Plan International and Mexico’s National Register of Population and Personal Identification. Global experts, civil registry authorities from 26 countries, as well as members of the civil society will participate in the event and analyze strategies to achieve universal birth registration in the Americas by 2030, innovations in births registration, and the link between birth registration and access to social services among other subjects.
The biennial meetings of Ministers of Health for the Pacific Island Countries help develop a consensus view of health in the Pacific and set future directions in the effort to build Healthy Islands. A Healthy Islands vision aspires to a place where:
In this Series paper, the authors examine whether well functioning civil registration and vital statistics (CRVS) systems are associated with improved population health outcomes. They present a conceptual model connecting CRVS to wellbeing, and describe an ecological association between CRVS and health outcomes. The conceptual model posits that the legal identity that civil registration provides to individuals is key to access entitlements and services. Vital statistics produced by CRVS systems provide essential information for public health policy and prevention.
An effective Civil Registration and Vital Statistics (CRVS) system helps secure a person’s legal identity, tracks the major events of an individual’s life such as; birth, adoption, marriage, divorce, death, and cause of death, and is essential for planning, measuring and monitoring progress of development. In the past few years, several initiatives have been underway to harness the potential of Information and Communication Technology (ICT) to strengthen CRVS.
UNICEF, UNHCR, UNESCAP, Plan International, and WHO, in collaboration the CRVS Regional Steering Group and other partners, hosted the Asia-Pacific Civil Registrars Meeting. The main objectives of the meeting were to:
• Agree on the formulation of the proposed Asia-Pacific Civil Registrars’ Network and the objectives, principals, roles, modalities and structure
• Present good practices, pilots and promising innovations at national level, and provide guidance on how to most effectively manage and scale up innovations to strengthen CRVS systems
In 2014, at the Sixty-seventh World Health Assembly, 194 Member States endorsed the Every Newborn: an action plan to end preventable deaths (Resolution WHA67.10), a road map of strategic actions to end preventable newborn mortality and stillbirths and contribute to reducing maternal mortality and morbidity. The Every Newborn Action Plan presents evidence-based solutions and sets out a clear path to 2020 with eight specific milestones for what needs to be done differently to greatly reduce mortality rates and improve maternal and newborn health by 2030.
CRVS data on mortality and cause of death is essential for improving health in the Pacific islands.
Please see the poster on Monitoring the Pacific non-communicable disease (NDC) crisis for more details.
The University of the Philippines, Massachusets Institute of Technology (Sana Group) and AeHIN will be hosting a Health Data Conference and Workshops in Cebu, Philippines. More information will be provided shortly.
"Is every child counted?" provides a status report on the data availability of child related SDG indicators showing that sufficient data is available only for half of those. Many indicators, such as those on poverty and violence cannot be compared, and are either too limited or of poor quality, leaving governments without the information they need to accurately address challenges facing millions of children, or to track progress towards achieving the Goals. The report also identifies priorities for enhancing the collection, analysis and use of data for children.
The workshop gathered African experts in mortality statistics collections together to collaborate on new technical guidance to be provided to countries for designing better mortality statistics systems; and to develop a pool of available experts to deploy to countries to support technical improvement and results in mortality data collections, especially for death registration, hospital deaths and integrating systems for community deaths.
The workshop aimed to guide countries in developing a sustainable nation-wide strategy to implement ICD for causes of death. By the end of the workshop each country should have a sound strategy with set goals and timelines given their resources. Their strategy may also include using verbal autopsy as an approach to obtain causes of death in deaths occurring outside of health-facilities. This will include:
This handbook aims to guide doctors in filling out death certificates. Death certification forms an important part of a doctor’s duties because the information recorded in death certificates helps decision-makers determine health priorities for prevention of deaths due to similar causes in the future.
Improving national capacity, skills and knowledge is a critical component of any strategy to strengthen a CRVS system. As part of the D4H Initiative, six training courses are available, with more under development. These courses are currently only open to those countries enrolled as part of the D4H Initiative.
The Civil Registration and Vital Statistics (CRVS), Data for Health Initiative (D4H), at The University of Melbourne has developed an assessment tool to assess the quality of death certification practices through checking for the presence of common errors in death certificates. This can be used to assess the quality of death certification as part of routine assessment, or to assess the training needs of doctors in designing cause of death certification training.
This is the report of the first meeting of National CRVS Steering and Coordination Committee held in Hotel Marriot- Islamabad and supported through WHO under its COIA initiative. Following were the main workshop objectives;
– To discuss the progress made for CRVS improvement and implementation of CRVS Strategic Plan.
– To urge the provincial and special area governments to notify their provincial steering and coordination committees so that national strategic direction could be translated.
This comprehensive assessment reviewed the main aspects of Cambodia's Civil Registration and Vital Statistics (CRVS) system using the WHO guidance tool. These include the legal and regulatory framework; registration, certification and coding practices; and the compilation, tabulation and use of the resulting data. The focus throughout the assessment was on births, deaths and causes of death, because these are fundamental to guide public health programes, monitor population dynamics and measure key health indicators.
This material was presented at the Ministerial Conference on CRVS by Mr. Edward Duffus, Digital Birth Registration Manager, Plan International.
This report presents 2013 data on U.S. births according to a wide variety of characteristics. Data are presented for maternal age, live-birth order, race and Hispanic origin, marital status, attendant at birth, method of delivery, period of gestation, birth weight, and plurality. Birth and fertility rates are presented by age, live-birth order, race and Hispanic origin, and marital status. Selected data by mother’s state of residence and birth rates by age and race of father also are shown.
NAPHSIS has developed this web site to provide vital statistics users with basic terminology and measures commonly used by its members and CDC’s National Center for Health Statistics.
This Health System Assessment Report identifies the following issues that have not been adequately targeted for development:
• Funding for collecting, consolidating, integration and strengthening of the monitoring and evaluation systems within the decentralized health system;
• Low institutional capacity within the national health system to fully operate HIS in the context of decentralized health system;
• chronic shortage of experienced personnel,
• poor skills mix,
The Health Systems Assessment (HSA) process allows countries to systematically assess their national health system and provides policymakers with information on how to strengthen the health system. It provides a comprehensive assessment of key health systems functions, organized around the six WHO building blocks: governance, health financing, health service delivery, human resources, medicines and medical product management, and health information systems.
This brochure provides a quick and basic introduction to civil registration and vital statistics (CRVS), highlighting its importance and the main players in CRVS systems. It also includes a snapshot of the CRVS in the Asia-Pacific region, with specific emphasis on national and regional initiatives to improve CRVS.
The present study aims at identifying good practices led by UNICEF between 2000 and 2009 in integrating birth registration with the health system and promoting the use of information technology as tools for universalizing birth registration and strengthening health services for children.
Data2X, named for the power women have to multiply progress in their societies, aims to advance gender equality and women’s empowerment through improved data collection and analysis that can provide a solid evidence-base to guide development policy. To provide basic information for a Data2X roadmap, this report maps gender data gaps in developing countries across five domains of women’s empowerment: (1) health, (2) education, (3) economic opportunities, (4) political participation, and (5) human security.
In this series of articles, the role of universal civil registration and vital statistics (CRVS) systems is examined as an essential tool for good governance and inclusive development. In the first article in the series, the case is made for investing in CRVS systems; the current situation in countries in the region is described, and the emergence and development of regional collaboration on CRVS is summarized. In the second article, the actions taken in specific countries to strengthen their CRVS systems are highlighted, and the lessons learned are described, with several innovative approaches being showcased. The third article contains a description of the relationships between CRVS systems (civil registration and population databases in particular), legal identity, the realization of human rights and access to basic social protection, using country examples from the Asia-Pacific region for these purposes. In the fourth and final article, the importance of building a sound evidence base for efforts to improve CRVS is highlighted, and a framework for prioritizing research activities is proposed.
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