CRVS stakeholders, structures and coordination
CRVS stakeholder analysis
As noted in CRVS and governance, an essential first step in modernising CRVS systems is to conduct a detailed stakeholder analysis. In general, the civil registry and the statistical authorities are the key entities with the health sector playing an important role in the notification of births and deaths and as the primary source of statistical information associated with each birth or death record, including cause of death.
However, many other agencies and entities have roles to play in contributing to functional aspects of CRVS. And many benefit from the statistical, legal and administrative outputs of CRVS. Stakeholder mapping can help identify any essential players and clarify their actual and potential contributions to the overall performance of the CRVS system.
Stakeholder mapping in its simplest form is accomplished by facilitated group brainstorming to identify stakeholders and organise them graphically with a mind-mapping tool such as XMind (free download). The diagram below shows a typical mind map of CRVS stakeholders, organised the roles they play:
- Direct contributions to CRVS processes, such as the civil registry, the national statistics agency and the health institutions involved in active notification of vital events
- Provision of inputs to the CRVS system, such as the health sector through the provision of statistical information on births and deaths, the judicial authorities, police, funeral agents and local leaders
- Users of the outputs of the CRVS system to deliver their mandates such as the national identification agency, population registry, social security, electoral registers, education, health, the private sector, non-government organisations and civil society
- Development partners working to support CRVS system development.
Within the health sector, the major partner in CRVS is often the country health management information system (HMIS), responsible for gathering, collating and analysing data from health facilities and from community-based health workers. However, disease-focused initiatives should also be included as stakeholders in CRVS system strengthening, given that they often maintain data collection systems on births and deaths for the purposes of program monitoring and evaluation. The completeness of birth and death registration could be significantly increased by capitalising on a broad array of health stakeholders and programs that track patient outcomes, including births and deaths.
Stakeholder analysis is a necessary step in preparing to apply enterprise architecture and business process mapping to CRVS systems, as described in this section. Note that in detailed CRVS process mapping, individuals, families and community structures are also stakeholders because they benefit directly from the legal outputs.
A generic example of national-level CRVS stakeholders, both suppliers and users, mapped by broad institutional level is below.