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CRVS assessments: Know your system

Background

There is no ‘right’ way of establishing an effective civil registration and vital statistics (CRVS) system, given the scale and complexity of the task. However, knowing your current system, understanding its strengths and weaknesses, and having a general idea of what an ‘ideal’ system might look like, are critical starting points.

Process mapping is one of the best ways of knowing your system. Such an understanding will allow for the identification of the main issues that will need to be addressed, especially in the short-to-medium term.

In this module, you will learn about a three-step self-assessment approach that will provide you with a detailed understanding of your system, including the types of interventions and activities needed to strengthen CRVS activities.

As part of a healthy CRVS system, regular process reviews should include at least one of the following steps. These steps should be followed-up if any areas within the system are identified as requiring further attention. The roadmap on this page shows how assessment tools can be used from assessment to monitoring.

The steps are:

  1. Completing process maps for vital events in line with the principles of enterprise architecture, as described in CRVS governance and architecture.
  2. Undertaking an initial rapid assessment to generate a series of numerical scores reflecting the strengths and weaknesses of the current systems, and one overall score for classifying systems into one of four categories. This is primarily aimed at raising awareness and generating political buy-in for a more comprehensive review.
  3. Conducting a comprehensive assessment to compare current systems with the CRVS standards developed by the Health Information Systems Knowledge Hub at the University of Population Health at the University of Queensland. This assessment is aimed at producing the evidence needed to prioritise improvement activities, and to develop an improvement plan.

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