What can be done to rapidly improve CRVS systems?
Recommended principles for the reporting and registration of births and deaths
- The reporting/registration of births and deaths should be free of charge.
- The registration of births and deaths is a government responsibility and the burden should not fall primarily on parents or families.
- Institutions where births or deaths occur are responsible for the notification directly to the civil registration system. Notification should include all information items needed for legal registration. In addition, the health sector should report information needed for statistical purposes, such as date and place of occurrence and associated key characteristics.
- Institutions where births occur are responsible for providing missing/incomplete information, eg name of child, directly to the civil registration system.
- Institutions where deaths occur are responsible for the medical certification of cause of death and for onward transmission to the civil registration system and/or vital statistics system.
- Government agents of the civil registration system (eg health surveillance assistants, traditional authority leaders, educational outreach workers, agricultural extension workers) are responsible for reporting births and deaths that occur outside of institutions to the civil registration system as close to the time of the event as possible.
- Government agents of the civil registration system are responsible for obtaining the cause of death information (for example, from verbal autopsy (VA)) and for reporting the information directly to the CRVS system.
- Birth and death reports become vital records for registration when accepted by the civil registration system.
- All birth and death reports accepted for registration by the civil registration system are forwarded and stored in a central database.
- The electronic capture of birth and death information, including cause of death, should be as close to the time of event as possible and at the nearest civil registration system contact point where information and communication technology is available.
Bloomberg Philanthropies Data for Health Initiative University of Melbourne, 2016.