What can be done to rapidly improve CRVS systems?
Developing an enterprise architecture and business process mapping for CRVS systems
Because CRVS systems are complex, involving multiple stakeholders – families, registration offices, health institutions, statistics agencies – at multiple levels – local administrative level, regional and national levels – it can often be quite challenging to represent these processes on a sheet of paper. New and free software programs are now available that can help stakeholders generate detailed business process maps of how their CRVS functions in practice, and how the processes could be streamlined for increased efficiency and effectiveness.
During 2016, with support from the Data for Health Initiative, several countries have implemented business process mapping for strengthening CRVS design, with facilitation by the Swiss Tropical and Health Institute, Melbourne University, the UN Economic and Social Commission for Asia and the Pacific and the UN Economic Commission for Africa. The process maps help in establishing efficient business functions, reporting forms, standard operating procedures, requirements, rules and information flows that capture the mortality event. This ‘blueprint’ of the CRVS architecture allows all stakeholders to have a common understanding of the current system. The process maps facilitate the identification of pathways to enable transition from as-is processes to as-desired processes. Process maps are also essential in supporting the digitisation of CRVS and in ensuring interoperability of data systems – for example, when integrating VA information flows into the CRVS system and digital health information systems.
Plan International and Jembi Health Systems (2017). CRVS digitisation guidebook: A step-by-step guide to digitising civil registration and vital statistics processes in low resource settings. African Development Bank for the African Programme for the Accelerated Improvement of Civil Registration and Vital Statistics, Addis Ababa.
How enterprise architecture has improved CRVS in Bangladesh
Anir Chowdhury, Policy Advisor for the Access to Information Programme (a2i) at the Prime Minister's Office in Bangladesh, and National Advisor to the CRVS Steering Committee, Cabinet Division explains how the country improved registration through enterprise architecture.