Transcript Slide 1

IMPLEMENTING IMPROVEMENTS
IN CIVIL REGISTRATION AND VITAL
STATISTICS SYSTEMS
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Conference of Africa Ministers Responsible for Civil Registration
Addis Ababa, Ethiopia. 10-14 August, 2010
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www.healthmetricsnetwork.org
Key Points
• Turning Point for Civil Registration in
Africa
• Unprecedented Global Commitment for
CRVS
• Standards-driven CRVS systems
Outline
• Role of the health sector
• Vital Statistics
• Cause of Death
• MoVE-IT for MDGs
• Policy and Legal Framework for CRVS
• Tools and Resources
Role of the Health Sector
• Many births and deaths occur in health facilities
• Pregnancies – need for early detection and recording
• Health sector should be legally required to record
and report births and deaths
• Statistics sector should be legally required to provide
mortality rates and to demand cause of death data
• Sector linkages are often weak or absent
Vital Statistics
• Recent attention to the shortcomings of
estimates used in the health sector
• Opportunity to mobilize health sector donors
for CRVS improvements to achieve MDGs
• Increasing recognition to utilize actuarial and
cause of death data for forecasting and
financial planning
Cause of Death
• Mortality patterns inevitably demand
explanations
• International Classification of Diseases (ICD)
enables standard coding of diagnoses and
cause of death
• Health worker training for certification of
death and cause of death is weak
Cause of Death
• Even strong CRVS systems have "garbage
code" problems
Percentage of garbage codes by type of GCs and ICD version, all ages.
Source: Naghavi et al, 2010
Cause of Death
• Garbage Code Distribution
Fraction of deaths assigned to GCs in the latest ICD-10 year since 2000
Source: Naghavi et al, 2010
MoVE-IT for the MDGs
• HMN Priority Strategic Initiative
• Monitoring of Vital Events - using Information
Technology
• Birth, death & cause of death for MDGs 4/5/6
• Every Birth, Death, and Cause of Death
Recorded and Certified
• Civil Registration System - Sustainable Source
of Vital Statistics, and Quality Information
MoVE-IT for the MDGs: Partners
• Bill and Melinda Gates
Foundation
• G8 and H8 Leaders
• Government of Canada
• IHME
• PARIS 21
• PHII
• Rockefeller Foundation
• The Lancet
• UN Foundation
• UNDESA/UNSD
• UNFPA
• US Government
• Women Deliver
• IN-Depth Network
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Countdown 2015
GAVI
Government of Norway
m-Health Alliance
PATH
R4Development
Global Fund to Fight AIDS, TB and
Malaria
DfID- UK
UNAIDS
UNDP
UNICEF
WHO
The World Bank
PMNCH
Policy and Legal Framework
• HMN assessments reveal that policy is among the
weakest components of country information systems
• Countries have expressed an urgent need for
analysis of policy options and preparation of models
or templates for legislation
• Participants are invited to indicate interest in
working with HMN to draft a common framework for
health information policy in the context of CRVS
systems (e-mail: [email protected] )
Policy: as a Weakest HIS Domain1
70
Percentage of maximum score
60
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40
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10
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HIS Infrastructure
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HIS Institutions, human
resources and financing
Policy and planning
Based on HIS Assessment conducted during 2006-2010 by 27 Africa Countries that used
HMN Assessment Tool
Policy Challenges
• CRVS Policy can be enacted from national
constitution, statistical system legislation,
freedom of information legislation, or
international conventions
• Requires multi-sectoral action and
commitment for a functional CRVS system
• Privacy, security, confidentiality and rights
must be balanced against the need to share
data to detect emerging risks or epidemics
HMN Role
• Support and advocacy for CRVS resolution
• Facilitate countries access to resources on
CRVS policy
• Platform for CRVS information exchange
– Health un-Bound" (HUB) web community
– Promote "best practices" for strengthening CRVS
systems
– UNSD guidelines and documents
Tools and Resources
• Tools
– MoVE Resource Kit
– CRVS System Assessment Tool
• Resources
– HUB (Health UnBound) - On-line Partners Forum
– ICD coding and web-based training
– Guidelines on Resource Mobilization (including GFATM Proposal
Guidelines)
– List of Institutional and Individual Technical Support Resources
– Assistance for measuring efficiencies and impact of ICT, mobile
devices
• Send Request e-mail to: [email protected]
Key Points
• Turning Point for Civil Registration in
Africa
• Unprecedented Global Commitment for
CRVS
• Standards-driven CRVS systems
THANK YOU