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The Ten CRVS milestones framework

CRVS systems are passive

The notification of vital events is passive from a CRVS system perspective in most countries. 

Notification relies heavily on the family to follow a tortuous process of up to four instances of contact with the system to provide the necessary documents to register an event, and up to six to get a certificate of the vital event. Cases of birth are simpler than death events, and events that occurred in health facilities are simpler than those in the community.

There are only a few examples of countries where there is some sort of active surveillance of vital events. Brazil is one of these examples, where a team in each municipality has been assigned to monitor their catchment area and capture vital events (births or deaths) that have not been recorded using the routine CRVS system.

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