The Ten CRVS milestones framework
Ten CRVS milestones framework
The Ten CRVS milestones is a framework to understand and analyse CRVS processes in a systematic and structured way. Although the framework can be used with processes related to any vital event, we have tailored this framework for births and deaths that occur in health facilities and in the community.
This framework is the backbone of the process mapping exercise. CRVS stakeholders must understand, map, analyse and redesign (if necessary) every single CRVS milestone to strengthen CRVS systems.
The Ten CRVS milestones framework represents a set of requirements that every CRVS system should fulfil to achieve their objectives (for example, produce vital statistics or provide legal documents). In other words, all these ten milestones must happen for a CRVS system to be functional.
The diagram below shows the Ten CRVS milestones in sequential order. Although the overall sequence cannot be applied to every CRVS system, in most countries, vital events must be notified by an authority and then validated before being registered in a civil registration office. The family then receives a legal document certifying the vital event, and documentation is stored and archived by the system as proof of the vital event. Information collected through the civil registration system is raw material that needs to be compiled, managed and analysed to produce information that can be shared with, and communicated to, different technical and non-technical audiences.
Each CRVS milestone represents the output or product of a number of activities that are grouped together logically. For instance, when registering a death in a civil registration office, some activities such as filling of certain forms and registers, or getting approval from the Civil Registrar in the office, must be completed. If all these activities are done properly, the death will be registered and this could be checked in the death registration book. The CRVS milestone in this instance would be death registration, which is milestone 3 in the diagram above.