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Whether you're a CRVS expert of just starting to learn about CRVS systems, you will enjoy exploring the range of resources available here in our library. Discover more about strengthening and innovating CRVS systems, plus learn from other countries challenges and experiences.


A framework for evaluating national CRVS systems at baseline thumbnail
A framework for evaluating national CRVS systems at baseline

Describes the baseline evaluation framework developed for BD4H, which delivers a concise and up-to-date 'actionable' evaluation of a CRVS system.

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Author: University of Melbourne

Publication date: April 2018

Resource type: CRVS technical outcome series

Related resources: Action guide on process mapping for CRVS system-strengthening


Action guide on CRVS legal and regulatory reviews thumbnail
Action guide on CRVS legal and regulatory reviews

This document highlights five suggested steps countries should follow for conducting a legal review on CRVS law.

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Publication date: November 2017

Resource type: CRVS technical guide (action guide)

Related resources: Strengthening CRVS systems through effective legislation


Action guide on process mapping for CRVS systems thumbnail
Action guide on process mapping for CRVS systems

Outlines the four key steps in process mapping and explains how they can be used to strengthen CRVS system design.

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Publication date: April 2018

Resource type: CRVS technical guide (action guide)

Related resources: Understanding CRVS systems: The importance of process mapping


Addressing critical knowledge and capacity gaps to sustain CRVS system development thumbnail
Addressing critical knowledge and capacity gaps to sustain CRVS system development

This paper discusses the need for any strategy aimed at building CRVS workforce capacity to be underpinned by a repository of knowledge and body of evidence on CRVS and targeted strategies to train the CRVS workforce.

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Authors: Adair, T, Richards, N, Streatfield, A, Rajasekhar, M, McLaughlin, D, Lopez, A

Publication date: March 2020

Resource type: CRVS peer-reviewed publications

Source: BMC Medicine


Better data for better outcomes: the importance of process mapping and management in CRVS systems thumbnail
Better data for better outcomes: the importance of process mapping and management in CRVS systems

This paper discusses the importance of process management to strengthen the efficiency and quality of CRVS systems, presenting experiences from countries supported through the Bloomberg Philanthropies Data for Health Initiative at the University of Melbourne.

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Authors: Cobos Muñoz, D, de Savigny, D, Sorchik, R, Bo, K S, Hart, J, Kwa, V, Ngomituje, X, Richards, N, Lopez, A D

Publication date: March 2020

Resource type: CRVS peer-reviewed publications

Source: BMC Medicine


CRVS best-practice and advocacy
Civil registration and identification thumbnail
Civil registration and identification

Civil registration should be the basis of any national identification system, and must be strengthened before new systems are put in place.

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Publication date: October 2016

Resource type: CRVS best-practice and advocacy

Related resources: Improving registration: Best practice guidelines


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Colombia: A strategy to improve the registration and certification of vital events in rural and ethnic communities

This paper details Colombia’s strategy to increase the registration and certification of vital events in rural municipalities and ethnic communities. Key parts of this intervention involve developing a proactive search system to improve capture of vital events through mobile notification, and subsequently applying automated verbal autopsy to determine probable cause of community-based deaths.

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Authors: Colombia Implementation Working Group

Publication date: September 2018

Resource type: CRVS country reports

Related resources: CRVS country overview: Colombia


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Course prospectus: Enterprise architecture and process mapping for strengthening CRVS design

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Publication date: October 2016

Resource type: CRVS resources and tools

Related resources: Intervention: Enterprise architecture and process mapping


156_CRVS costing tool
CRVS Costing Tool

The purpose of the CRVS Costing & Budgeting Tool is to help planners and managers to determine the costs of implementing CRVS systems. This Tool can be customised to country context and covers all aspects of a CRVS system comprising start-up costs, training costs, community-level service delivery costs, as well as support, supervision, and management costs at all administrative levels. Additionally, the Tool has a budgeting element that can be used to estimate budgets for CRVS systems.

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20_CRVS Costing Tool_Report template_March2019
CRVS Costing Tool Report Template

The purpose of the CRVS Budgeting & Costing Tool is to help planners and managers to determine the costs of implementing CRVS systems.

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CRVS Costing Tool: User guide thumbnail
CRVS Costing Tool: User guide

This user guide provides program planners and managers with instructions for using the accompanying CRVS Costing Tool. The purpose of the CRVS Costing Tool is to help you to determine the costs of implementing CRVS systems.

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CRVS Fellowship profile: Assessing the quality of mortality data in the Maldives thumbnail
CRVS Fellowship profile: Assessing the quality of mortality data in the Maldives

From September to November 2019, Sofoora Kawsar Usman from the Ministry of Health (MOH) in the Maldives undertook a CRVS Fellowship at the University of Melbourne, assessing the quality of mortality data in the Maldives. This profile provides an overview of country context in relation to CRVS, and documents Sofoora’s personal experiences and outcomes and the broader impact her Fellowship might have on strengthening CRVS in the Maldives.

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CRVS Fellowship profile Generating complete mortality statistics from hospital data in Myanmar thumbnail
CRVS Fellowship profile: Generating complete mortality statistics from hospital data in Myanmar

This profile provides an overview of country context in relation to CRVS, and documents May Thu Zaw’s personal experiences and outcomes and the broader impact her Fellowship might have on improving the quality of mortality data in Myanmar.

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Author: May Thu Zaw

Publication date: March 2020

Resource type: CRVS Fellowship reports and profiles

Related resources: CRVS country overview: Myanmar


CRVS innovations: Developing and testing a CRVS Costing Tool thumbnail
CRVS innovations: Developing and testing a CRVS Costing Tool

This CRVS technical outcome series paper describes the CRVS Costing Tool that has been developed as part of the Bloomberg Philanthropies Data for Health (D4H) Initiative by the Swiss Tropical and Public Health Institute and the University of Melbourne.

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CRVS best-practice and advocacy
CRVS systems need
well-functioning civil registry offices thumbnail
CRVS systems need well-functioning civil registry offices

Presentation of factors which countries should consider when establishing or improving the operation of their Office of the Civil Registrar.

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Publication date: August 2017

Resource type: CRVS best-practice and advocacy

Related resources: Understanding CRVS systems: The importance of process mapping


Essential CRVS processes and actors: Considerations for the Development of OpenCRVS thumbnail
Essential CRVS processes and actors: Considerations for the Development of OpenCRVS

This technical report presents a further analysis of the summary experience of applying system analysis tools to complex systems like CRVS systems. This report is an effort to summarise and catalogue the most essential processes common to most CRVS processes in D4H countries, capturing also the different stakeholders involved and the data elements flowing through the system. This summary is of importance to efforts such as the development of OpenCRVS as it describes the most common processes that countries employ and indicates essential processes that need to be included in OpenCRVS.

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CRVS Fellowship profile
Analysing the quality of
cause of death data in Shanghai thumbnail
Fellowship profile: Analysing the quality of cause of death data in Shanghai

This profile provides an overview of country context in relation to CRVS, and documents Chen Jun’s personal Fellowship experiences and outcomes and the broader impact her Fellowship might have on improving the quality of mortality data in Shanghai.

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Fellowship profile: Improving the quality of birth and death data in Brazil thumbnail
Fellowship profile: Improving the quality of birth and death data in Brazil

Between September and November 2018, Luiz Fernando, from the Brazil Institute of Geography and Statistics (IBGE), came to the University of Melbourne to work on completeness of births and deaths as well as record linkage. This fellowship profile documents Luiz’s experiences whilst at Melbourne, including what he worked on, what he learned, and what impact this might have on improving the quality of vital statistics in Brazil.

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Author: Fernando L

Publication date: January 2019

Resource type: CRVS Fellowships reports and profiles

Related resources: CRVS country overview: Brazil

Linking civil registration and vital statistics data in Brazil to estimate completeness video

Screen Shot 2019-09-30 at 9.51.02 am
Fellowship profile: SmartVA and ANACONDA improvement in China

This profile provides an overview of country context in relation to civil registration and vital statistics (CRVS), and documents Dr Jinlei Qi's personal fellowship experiences and outcomes and the broader impact her Fellowship might have on improving the quality of mortality data in China.

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Fellowship profile: Strengthening civil registration processes and improving vital statistics in Rwanda thumbnail
Fellowship profile: Strengthening civil registration processes and improving vital statistics in Rwanda

Between February and May 2018, Xavier Ngomituje, a statistician from the National Institute of Statistics Rwanda, came to the University of Melbourne to learn about measuring the completeness of death registration, in order to improve national mortality statistics. He then spent time at the Swiss Tropical and Health Institute, University of Basel, to analyse and strengthen the organisation, processes, work flows and functionality of the civil registration and vital statistics (CRVS) system of Rwanda.

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Author: Ngomituge X.

Publication date: August 2018

Resource type: CRVS Fellowship reports and profiles

Related resources: CRVS country overview: Rwanda

Xavier Rwanda

Fellowship report: Evaluation of the 'Kaliganj Model' for proactive birth and death notification and registration
Fellowship report: Evaluation of the 'Kaliganj Model' for proactive birth and death notification and registration

As a part of establishing a functional CRVS system in Bangladesh, the Kaliganj Model for birth and death registration was implemented from April 2016 to December 2017 in the Kaliganj sub-district. In this model, health and family planning field staff notified local registries at union council of births and deaths using a standard operating procedure. This document reports on research that aimed to understand if and how the Kaliganj Model improved birth and death notification and registration. This report provides policy-makers in the Government of Bangladesh with research findings, insights and recommendations, so they can begin solidifying CRVS in the country

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Mukut

How useful are registered birth statistics for health and social policy? A global systematic assessment of the availability and quality of birth registration data thumbnail
How useful are registered birth statistics for health and social policy? A global systematic assessment of the availability and quality of birth registration data

Since 1980, approximately one billion births were registered and shared in public databases. Compared to estimates of fertility, this represents only 40.0% of total births in the peak year, 2011. Approximately 74 million births (53.1%) per year occur in countries whose systems do not systematically register them and release the aggregate records. Considering data quality, timeliness, and completeness in country-years where data are available, only about 12 million births per year (8.6%) occur in countries with high-performing registration systems. This study highlights the gaps in available data.

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Authors: Phillips DE, Adair T, Lopez AD

Publication date: 2019

Resource type: Peer-reviewed paper

Source: Population Health Metrics. 2019; 16(21) [creative commons attribution license https://creativecommons.org/licenses/by/4.0/]


CRVS best-practice and advocacy
Intervention: Improving CRVS system design thumbnail
Intervention: Improving CRVS system design

Enterprise architecture (EA) is a systems science tool that produces business process maps. It helps describe, understand, analyse, compare and visualise the organisation, processes, workflows and functionality of a CRVS system.

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Publication date: November 2016

Resource type: CRVS best-practice and advocacy

Related resources: Action guide on process mapping for CRVS systems


CRVS best-practice and advocacy
Intervention: Improving registration practices thumbnail
Intervention: Improving registration practices

Examples of best practice for registration include making it a legal requirement to register, and not charging a fee for initial registration.

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Publication date: November 2016

Resource type: CRVS best-practice and advocacy

Related resources: CRVS systems need well-functioning civil registry offices


Mapping sources and silos of mortality data: Case studies in Peru and Ghana thumbnail
Mapping sources and silos of mortality data: Case studies in Peru and Ghana

The purpose of this technical report is to present an overview and analysis of all the contrasting and disparate information systems that capture information about mortality in a country, regardless if they currently contribute to the standard CRVS system.

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Maximising synergies between Health Observatories and CRVS thumbnail
Maximising synergies between Health Observatories and CRVS

This report provides practical guidance about how population and health observatories and CRVS systems can collaborate, to ultimately improve the registration and certification of births, deaths, and causes of death.

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Authors: de Savigny D, Renggli S, Cobos D, Collinson M, Sankoh O

Publication date: March 2018

Resource type: CRVS best-practice and advocacy


Reducing ignorance about who dies of what: research and innovation to strengthen CRVS systems thumbnail
Reducing ignorance about who dies of what: research and innovation to strengthen CRVS systems

Overview paper for a CRVS series published in BMC Medicine. The article collection provides an overview of recent innovations, progress, viewpoints and key areas in which action is still required – notably around the need for better systems and procedures to notify the fact of death and to reliably diagnose its cause, both for deaths in hospital and elsewhere.

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Authors: Lopez, A D, McLaughlin, D, Richards, N

Publication date: March 2020

Resource type: CRVS peer-reviewed publications

Source: BMC Medicine


Report on the Civil Registration and Vital Statistics (CRVS) Fellowship Program thumbnail
Report on the Civil Registration and Vital Statistics (CRVS) Fellowship Program

Evaluation of the individual learning and professional implications for individuals who have successfully completed a CRVS Fellowship, and the extent to which the program has been delivering on its intended objectives.

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Authors: Sara Hudson, Timothy Adair – Bloomberg Philanthropies Data for Health Initiative, the University of Melbourne 

Publication date: February 2020

Resource type: CRVS analyses and evaluations


Research priorities for country CRVS strengthening
Research priorities for country CRVS strengthening

This document outlines six of focus areas for countries in need of CRVS research.

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Publication date: November 2017

Resource type: CRVS roadmaps for action

Related resources: Summary: SDG achievement depends on CRVS systems


Strengthening CRVS systems through effective legislation thumbnail
Strengthening CRVS systems through effective legislation

This paper explains how legal frameworks can contribute to the completeness of birth and death registration, and improve the accuracy of information held in national and subnational civil records. This paper also highlights some of the common issues with existing civil registration and vital statistics (CRVS) laws in many countries, and the importance for governments and CRVS stakeholders to conduct a comprehensive legal review. General recommendations on the steps and strategies countries should use for conducting a legal review on existing CRVS-related laws are provided.

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Publication date: April 2018 (updated)

Resource type: CRVS best-practice and advocacy

Related resources: Action guide on CRVS legal and regulatory reviews


Strengthening small area demographic estimates in Latin America thumbnail
Strengthening small area demographic estimates in Latin America

Accurate mortality, fertility and population information are fundamental for program and policy development and monitoring in health and other sectors. The most suitable data source for local death and birth data is a well-functioning CRVS system, but these are underdeveloped in Latin America, with varying levels of incompleteness between and within countries. The Small Area Demographic Estimation in Latin America Workshop was held in Rio de Janeiro, Brazil from 19-20 March 2018. The workshop brought together regional and international demographic experts to discuss methods and approaches to improve the evidence base for mortality, fertility and population at the small area level in Latin America.

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A global systematic assessment of the availability and quality of birth registration data thumbnail
Summary: A global systematic assessment of the availability and quality of birth registration data

Explains the global birth registration database and quality metric, the Vital Statistics Performance Index for Births (VSPI-B), developed to assess the completeness and quality of birth registration data. The database and index together can help enable the tracking of the performance of registration systems over time and between countries and can be of great use for monitoring progress for global and national development goals.

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Publication date: February 2019

Resource type: CRVS best-practice and advocacy

Related resources: How useful are registered birth statistics for health and social policy? A global systematic assessment of the availability and quality of birth registration data


CRVS best-practice and advocacy
Summary: CRVS systems are good for
your health thumbnail
Summary: CRVS systems are good for your health

This document highlights how countries that invest in CRVS strengthening will see improved population health outcomes.

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Publication date: May 2018 (udpated)

Resource type: CRVS best-practice and advocacy

Related resources: Are well functioning civil registration and vital statistics systems associated with better health outcomes?


CRVS best-practice and advocacy
Summary: Improving the notification of
community deaths thumbnail
Summary: Improving the notification of community deaths

Notification of deaths, particularly deaths in the community, requires special attention and will likely need specific interventions tailored to each country. Two checklists have been developed for countries seeking to audit and improve internal notification of community deaths.

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Publication date: August 2018 (update)

Resource type: CRVS best-practice and advocacy

Related resources: Where there is no physician: Improving the notification of community deaths


Summary: Maximising synergies between health observatories and CRVS systems thumbnail
Summary: Maximising synergies between health observatories and CRVS systems

Outlines six different areas of potential collaboration between health and demographic observatories and CRVS systems, including challenges and successes.

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Publication date: November 2018

Resource type: CRVS best-practice and advocacy

Related resources: Maximising synergies between health observatories and CRVS: Guidance for INDEPTH HDSS sites and CRVS stakeholders

Partners: Swiss TPH, INDEPTH Network


CRVS analyses and evaluations
Monitoring CRVS data quality and progress thumbnail
Summary: Monitoring CRVS data quality and progress

Summarises key points from the Lancet series paper, which discussed results from a global assessment of CRVS systems, and the development of a composite index, the Vital Statistics Performance Index (VSPI) that can monitor data quality and progress over time.

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Publication date: August 2018

Resource type: CRVS summary

Related resources: A global assessment of civil registration and vital statistics systems: Monitoring data quality and progress

Source: Lancet


CRVS best-practice and advocacy
Summary: SDG achievement depends on
CRVS systems thumbnail
Summary: SDG achievement depends on CRVS systems

Well-functioning civil registration and vital statistics (CRVS) systems will play an important role in assisting countries and regions to measure, monitor and meet their Sustainable Development Goal (SDG) targets. Strengthening of CRVS systems is an SDG outcome in and of itself; therefore, to fully achieve the SDG agenda, CRVS systems must be robust with near-complete registration of births and deaths.

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Publication date: August 2018

Resource type: CRVS best-practice and advocacy

Related resources: Why the Sustainable Development Goal agenda needs strong civil registration and vital statistics systems


Summary: Strengthening Peru's national death registry information system thumbnail
Summary: Strengthening Peru's national death registry information system

In Perú, only 54 per cent of deaths have a COD recorded, and about 30 per cent of these causes are classified as poorly-defined or not useful for the formulation of public policy. In response to this, key CRVS partners developed the National Death Registry Information System (SINADEF), which is an application allowing doctors to complete death certificates in real-time immediately after verifying that a death has occurred.

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Publication date: March 2019

Resource type: CRVS country reports

Related resources: Preliminary results of strengthening the national death registry information system


Summary: The CRVS baseline evaluation framework thumbnail
Summary: The CRVS baseline evaluation framework

Describes the four domains of the framework; an important tool that provides an actionable evaluation of a CRVS system.

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Publication date: May 2018

Resource type: CRVS summary

Related resources: A framework for evaluating national CRVS systems at baseline


The 'Ten CRVS Milestones' framework for understanding CRVS systems
The 'Ten CRVS Milestones' framework for understanding CRVS systems

Describes how CRVS systems function, including key processes that must be accomplished. Provides an understanding of system strengths and weaknesses.

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Authors: Muñoz DC, AbouZahr C, de Savigny D

Publication date: February 2018

Resource type: CRVS technical outcome series

Related resources: Understanding CRVS systems: The importance of process mapping

Source: BMJ Global Health


CRVS best-practice and advocacy
The importance of routinely measuring birth
and death registration completeness thumbnail
The importance of routinely measuring birth and death registration completeness

Highlights the importance of measuring registration completeness and the impact it has on fertility and mortality statistics.

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Publication date: April 2018

Resource type: CRVS best-practice and advocacy

Related resources: Summary: A new method for estimating the completeness of death registration


Screen Shot 2020-03-10 at 2.03.23 pm
The past, present and future of three sample registration systems in Asia

This paper outlines three sample registration systems from China, India, and Indonesia. The history and principles behind the systems, their operational aspects, vital statistical output and quality of data, along with their strengths and weaknesses and intended future direction, are presented. This is followed by a summary overview highlighting key aspects of each system and their similarities and differences.

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Understanding CRVS systems: The importance of process mapping thumbnail
Understanding CRVS systems: The importance of process mapping

Explains how enterprise architecture and its process mapping methodology can be used to describe and improve CRVS systems.

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Authors: de Savigny D, Cobos Muñoz D.

Publication date: April 2018

Resource type: CRVS best-practice and advocacy

Related resources: Action guide on process mapping for CRVS systems

Source: Swiss Tropical and Public Health Institute, University of Basel


Understanding uncertainty in ANACONDA results due to small numbers of deaths: Guidance for users thumbnail
Understanding uncertainty in ANACONDA results due to small numbers of deaths: Guidance for users

This document provides guidance to ANACONDA users to help inform decisions on the appropriate number of deaths necessary to have confidence in ANACONDA results for a population or sub-population.

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Authors: Tim Adair

Publication date: May 2020

Resource type: CRVS best-practice and advocacy


VA Costing Tool thumbnail
VA Costing Tool

The purpose of the VA Costing Tool is to help planners and managers to determine the costs of implementing verbal autopsy systems. The Tool can be customised to the country’s context and covers all aspects of a VA system, including start-up costs, training costs, community-level service delivery costs, as well as governance, supervision, and management costs at all administrative levels. Additionally, the Tool has a budgeting and a modelling component. The former can be used to estimate budgets for VA systems, whereas the latter can be used to model different VA implementation scenarios. NOTE: clicking on the 'download resource' button will automatically save the Excel file to your PC.

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VA Costing Tool: Report template thumbnail
VA Costing Tool: Report template

This template can be used to summarise key outputs from the VA Costing Tool, to assist planners and managers to determine the costs of implementing verbal autopsy systems. The template is based on three key areas of the Tool: total program costs for baseline year by activity and input type; average costs per VA; and key drivers of costs. NOTE: clicking on the 'download resource' button will automatically save the Word document to your PC.

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Where there is no hospital: improving the notification of community deaths thumbnail
Where there is no hospital: improving the notification of community deaths

This paper presents case studies in four countries (Bangladesh, Colombia, Myanmar and Papua New Guinea) that were part of the initial phases of the Bloomberg Data for Health Initiative at the University of Melbourne, each of which faces unique challenges to community death registration.

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Authors: Adair, T, Rajasekhar, M, Bo, K S, Hart, J, Kwa, V, Mukut M A A, Reeve, M, Richards, N, Ronderos-Torres, M, de Savigny, D, Cobos Muñoz, D, Lopez, A D

Publication date: March 2020

Resource type: CRVS peer-reviewed publications

Source: BMC Medicine


CRVS analyses and evaluations
Where there is no physician:
Improving the notification of
community deaths thumbnail
Where there is no physician: Improving the notification of community deaths

This paper highlights the importance of community death notification, and provides checklists for countries seeking to audit and improve internal notification of community deaths. Results from applying these checklists as part of a broader process mapping exercise with 16 countries will also be discussed, which influenced the development of seven general guiding principles for the development of death notification forms. These resources are meant to aid countries and their CRVS partners as they move towards improving notification and registration of community deaths, particularly when considering universal digital notification-registration where there is no physician.

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Author: Cobos Muñoz D, de Savigny D.

Publication date: July 2018

Resource type: CRVS analyses and evaluations

Related resources: Improving registration: Best practice guidelines


Why the Sustainable
Development Goal agenda needs
strong civil registration and vital
statistics systems thumbnail
Why the Sustainable Development Goal agenda needs strong civil registration and vital statistics systems

Well-functioning CRVS systems will play an important role in assisting countries and regions to measure, monitor and meet their SDG targets. The SDG agenda presents an opportunity to advance health information systems world-wide, including through CRVS systems strengthening efforts. The Data for Health Initiative developed a number of interventions, described in this paper, aimed at improving various components of a CRVS system. Countries may wish to consider these as part of their CRVS systems strengthening efforts.

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Authors: Nicola Richards, Renee Sorchik, and Claire Brolan, the University of Melbourne

Publication date: August 2018

Resource type: CRVS best-practice and advocacy

Related resources: Sustainable Development Goal achievement will depend on CRVS systems

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