CRVS stakeholders, structures and coordination
The health sector as an active notification agent in CRVS systems
The health sector is an increasingly active player in CRVS through its role in the notification of births and deaths, events that increasingly occur within health institutions or under the care of health personnel.
In addition, in the areas of natality, mortality, and fetal, perinatal, and infant mortality, the Ministry of Health often provides a significant amount of support or assumes the task of producing vital statistics regarding these data.
In most low- and middle-income settings, registration offices are based in urban areas with limited capacity for outreach to lower administrative levels closer to communities, especially in rural and remote areas. One solution to this challenge is to build on available health sector infrastructure and resources to facilitate registration.
The health sector has a widespread and trusted network of health facilities and community health workers even in remote areas and among marginalised populations. For example, health institutions can be mandated to notify the civil registration authorities when a birth or death occurs and provide the key information items needed for the registration of the event.
In this scenario, the responsibility of the family is to go to the registration office to confirm the details of the event and sign the register, which can happen later – for example, when transport is available or when a mobile registration unit visits the area. Moreover, immunisation services can be linked to birth registration in several ways.
Barriers to death notification (Ghana)
Interview with Francis Yeji, Research Officer at the Ghana Health Service and Fellow at the University of Melbourne's Bloomberg Philanthropies Data for Health Initiative.
Barriers to death notification in the Solomon Islands
What are the barriers to death notification in the Solomon Islands and how does the country plan to use innovative methods to improve data? Dilip Hensman, Technical Officer, World Health Organization explains. Watch Dilip describe the outcomes to improved death data: https://youtu.be/ILg_E0M6iUs
What are the preliminary findings of using HBCPs as verbal autopsy interviewers in Rwanda?
Marc Hagenimana from the Rwanda Biomedical Center, Ministry of Health and University of Melbourne Data for Health Fellow discusses the findings of Rwanda's use of Health-Based Care Practitioners as verbal autopsy interviewers in the country.