Advocate for improved CRVS

x

x

x

Review legal and regulatory framework contents and compliance

x

x

x

Review resources (human, infrastructural and financial) for civil registration

x

x

x

Establish coordination mechanism linking key stakeholders

x

x

x

Review functioning of existing coordination mechanisms and enhance as required

x

x

x

Develop or update training manuals for civil registration implementation

x

x

x

Conduct comprehensive assessment of all aspects of current systems

x

x

Develop a prioritised improvement plan

x

x

Review and revise birth and death forms

x

x

Conduct reviews of quality of death certification and coding

x

x

Develop curricula and provide ongoing training for physicians to correctly certify causes of death

x

x

x

Improve physician certification practices

x

x

Strengthen skills and capacities for mortality coding

x

x

Improve coding practices

x

x

Introduce computerisation for registration, and for data transfer, storage and analysis

x

x

x

x

Compile, review and analyse available hospital data and produce summary statistics

x

x

Starting in urban areas, improve the systems in place and compile and analyse the data

x

x

Compile and analyse available mortality data and interpret the results for action

x

x

Use verbal autopsy to generate data on cause-specific mortality in settings where deaths do not occur in medical facilities

x

x

x

Make use of data from health and demographic surveillance sites to generate data on levels of mortality by age and sex

x

x

Introduce sample registration to generate nationally representative vital statistics

x

x

Conduct research into the potential of mobile phones for recording vital events at community level

x

x

Where there are already local-level procedures for identifying and counting births and deaths, use mobile phones to standardise reporting and improve data completeness and timeliness

x

x

Mobilise communities by conducting information, education and communication campaigns

x

x

x

Increase coverage in remote or marginalised populations by reaching out to under-served population groups and providing incentives for registration

x

x

Deploy mobile registration units in remote areas and make registration forms available in local languages

x

x

Introduce computerisation to facilitate the compilation, transfer and analysis of existing data

x

x

x

Introduce electronic patient records in major hospitals, incorporating appropriate software for facilitating transmission and analysis of data

x

x

x

Introduce automated coding software to standardise and speed up the analysis of mortality data

x

x

Improve the timeliness and dissemination of data

x

x

x

x

Facilitate access to vital statistics by decision-makers and other users such as researchers

x

x

x

x