Transcript Production and Use of Vital Statistics Applying Tools and Materials Available to Improve Vital Statistics Timor – Leste Participant A presentation to the Third.

Production and Use of Vital Statistics
Applying Tools and Materials Available to
Improve Vital Statistics
Timor – Leste Participant
A presentation to the Third Regional Workshop on Production
and Use of Vital Statistics: Applying Tools and Materials
Available to Improve Vital Statistics
From 26 – 30 May 2014, in Daejeon,Republic of Korea.
Outline Presentation
1.
2.
3.
4.
5.
6.
General background
CRVS in the Country Level
Source of Data
Challenges
Registration Practice in Timor-Leste
Strategy GDS for the future
Timor-Leste
1. General Background
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The population 1.1 million
The country’s revenue base is petroleum oil and natural gas
It has a youthful population with about 48 % under 18 years
The fertility levels are high but declining fast, 6.99 in 2004
and 5.7 in 2010
• Maternal mortality ratio is 557 deaths per 100,000 live
births
• Infant Mortality Rate is currently 45 deaths per 1000 live
births compared to 83 deaths 10-14 years ago
• High unemployment rate estimated at of 8.3% in 2010
2. CRVS In country level
• In early 2000, work has began on a new registration system with the
support of UNTAET experts
• In December 2000 the Central Civil Registry was established under
the Ministry of Internal Affairs within the East Timor Transitional
Authority
• Under the first independent government, established in May 2002,
the function of civil registration was placed under the Ministry of
Justice.
• The procedures for birth registration established by UNTAET
remained in effect, explicitly stating that the birth of a baby “shall be
reported to the Central Civil Registry by the mother, father or
another family member within four weeks of said birth (UNICEF,
2002).
Continued
• On the basis of the UNTAET regulation, districtlevel civil registry offices were opened.
• More recently, a Civil registration Code has been
drafted by the Ministry of Justice to help
decentralize registration to the sub-district and
village levels and promote civil registration as a
national priority (UNICEF, 2002).
Continued
Despite the many challenges, significant progress
has been made.
• In October 2002, the MOJ and UNICEF Timor-Leste signed an
agreement identifying birth registration as a priority and,
• In 2003 two pilot birth registration projects began in two districts
(Manatuto and Bobonaro)
• A “training of trainers” was conducted to teach civil registry staff and
volunteers who formed mobile registration teams.
• The mobile birth registration campaign registered approximately
17,000 children- the majority under five years of age (UNICEF, 2002).
Continued
• In 2008, the MOH along with the support of the WHO
established a pilot project in Manatuto to record births and
deaths, after initial success of few months, it became clear that
if Timor-Leste was going to have a robust vital registration
system.
• In February 2011, another National Birth Registration
Campaign undertaken, with the support of UNICEF and
60,000 children were registered.
• In addition, the use of mobile registration teams have been
successful in decentralizing the birth registration process and
greatly increasing the numbers of children registered.
Continued
• A MoU of Agreement to boost birth registration
and death between 5 institutions has been
signed and is an indicator of strong political will
at the top level, every effort needs to be made to
ensure this percolates down to the grassroots
level.
• Currently vital registration comes under the
jurisdiction of the National Directorate of Civil
Registration and Notary, under the MOJ.
3. Source of CRVS
1. NSO Timor-Leste,
Census and
Surveys
2. Line Ministries
- Ministry of Justice
a. Identification Card
b. Certification letter
- Ministry of Health
a. Birth
b. Death
- Ministry of State Administration
Example Question Derived from Census
The Census (2010) contained a question about “How many live birth?” with the
following subcategories:
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Date of last birth (month/year)
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Sex of last birth
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Is the last child alive
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Facility of delivery
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Assistance during delivery
Further the Census also contained a question on Birth Registration, “ Does …… have a
birth certificate. If NO, PROBE has (NAME)’s birth ever been registered with the civil
authority?”
• The following were the options for the answer:
1. Has RDTL birth certificate/any valid certificate
2. Registered by civil registration office
3. Registered in hospital
4. Registered in Suco
5. Registered in church
6. Registered in other places
7. Not registered
8. Don’t know
• No similar question on Death registration is contained in
the Census. But the census asked the basic question “
How many members of this household died in the last 12
months (11th July 2009- to date)? (In this household
and not a relative who lived in another household).”
• If somebody died, than the following subcategories need
to be filled in:
Name of the deceased
Sex of the deceases
Age at Death
If the deceased was female 15 years and over, did
(name) die…..?
During pregnancy
Giving birth
Within six weeks after delivery
Continue
• Formulation of a credible strategic plan based on
country consensus among all stakeholders for
implementation of key recommendations.
• Drafting detailed budget with cost estimates
associated with each of the proposed activities.
• Conduct a Key-Stakeholders meeting. The aim of
this meeting is to gain broad approval and
support for the strategic plan, so that
implementation of improvements to the current
vital statistics system can be begin.
4. Challenges
• Currently duplication of birth registrations also
remains a major challenge.
• Population census is being proposed to be
conducted every 5 years, and the last census was
done in 2010.
• Going ahead fertility and mortality estimates
and also the number of births and deaths in the
population can be corrected using the census
data.
5. Registration Practices in
Timor-Leste
Continued…
• According to the National Directorate of Civil
Registration and Notary for the year 2011
147,972 total births were registered and certified
( Appendix 11).
6. Strategy General Directorate of
Statistics for the future
• The New Resolution of Establishment of a
National Steering Committee in the capacity of
providing direction, oversight and mandate to
CRVS system in Timor-Leste
• This committee will be comprised of key
individuals involved in making decisions in
relation to development of the CRVS vision.
• The steering committee will coordinate, oversee
implementation and monitor, evaluate activities
on an ongoing basis.
Thank you
Obrigado