Transcript LAO PDR FINAL PRESENTATION Ms. Khonesavanh voralath Ms. Thirakha Chanyhalanouvong Ms. Kathleen Vosen Vital Statistics and Civil Registration Is the vital statistics produced from Civil.

LAO PDR FINAL
PRESENTATION
Ms. Khonesavanh voralath
Ms. Thirakha Chanyhalanouvong
Ms. Kathleen Vosen
Vital Statistics and Civil Registration
Is the vital statistics produced from Civil Registration?
• There is no adequate civil registration system currently in
place
• In Lao PDR, statistical collection is carried out by LSB
through Census (planned for 2015) and LSIS population
survey 2011-2012.
Vital Statistics System
Universal coverage
• Administrative Record from different ministries, Ministry of
Health also has its own reports and records.
• Whilst there is some registration of births and issuance of birth
statistics – this is not a universal vital statistics system.
• Death is rarely registered properly – people prefer to die at
home.
Continuity
• Each ministry provides an annual report to its own minister for
use within ministry. This information is not necessarily shared.
• There is no national official data, nor continuous registration of
births and deaths.
Vital Statistics System
Confidentiality?
• Confidentiality has not been considered an essential
part/priority of the a statistics system in the past. This will
be improved and promoted when implementing the CRVS
Strategic Plan is developed and implemented.
Regular Dissemination
• Dissemination occurs after Census and upon request.
• Lao Statistics Bureau produced an annual report based
on population projections based on census 2005.
• Age, sex and region released upon request, but also
based on population projection
Ministry of Health
What is the role of health institutions in the system?
• Ministry of Health:
• collects its own statistical collection and analysis but this is not
follow International Standard and not passed on to LSB.
• undertakes ICD10 coding in Major hospitals but not in provincial
areas.
• provides birth notifications.
• undertakes foetel death analysis, but data analysis indicates these
records are not yet accurate.
Coordinating Body
Ministry of Home Affairs (MOHA) is the coordinating body; takes role as
civil registrar at the central level.
An inter-ministerial Citizen Management Steering Committee (CMSC)
has been established in 2013, led by MOHA.
The CMSC includes seven line ministries:
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Health,
Education
Sports,
Foreign Affairs,
Justice,
Public Security, and
Planning and Investment.
The CMSC is responsible for inter-ministerial coordination, leadership
in citizen administration, and policy-making.
Definitions
Do the definitions of vital events in the vital statistics
system comply with international standards?
• Birth and Death definitions comply, however foetal deaths
remains un-defined under the law.
• MOH has defined foetal deaths in accordance with
International standards, but this information is not shared
with LSB or MOHA.
Topics
Does the list of topics in the vital statistic system
comply with internationally recommended core topics?
• Core topics for Birth and Death statistics are covered
(with exceptions noted below)
• Foetal death is not covered at all.
Note:
• Migration status, date of birth of mother and father,
occupation of mother or father is not covered, and
educational attainment of both parents is not covered.
• Place of occurrence of event is covered, but noted that for
practical purposes this often is confused with Place of
residence.
• Whilst ask usual residence, do not ask if rural or urban.
Coverage and assessment
What is the coverage of civil registration? How was the
assessment been made/methodology
• There is some coverage of civil registration but it is not
adequate.
• A Comprehensive Assessment (and report) was
completed in 2012 that made recommendations for the
way forward. The assessment was carried out through
field-work, interviews with at least 70 key informants in 8
districts, 16 villages in Vientiane Capital and 3 provinces
(north, central and southern Lao).
Quality Assessment
As the vital statistics system is still being established there
are no quality assessment methods being applied at this
stage. Appropriate and cost effective assessment and
assurance system will be identified during the development
of the Strategic Plan.
The quality assessment and assurance system will include:
Coverage, correctness, availability and timeliness
Strategies for the future
1. Adopt recommendations from Comprehensive
Assessment (2012)
• identify gaps in comprehensive assessment
2. Develop a Strategic Plan and Framework
1. Consolidate Coordinating Mechanisms – ensure
commitment from relevant ministries, in particular
Ministry of Health, Ministry of Public Security
Laws
• Review of current legal framework–
• to look at gaps;
• any definitional issues, for example will need to include foetal
deaths as vital statistic.
• Topics and themes will need to be adequately addressed
• Draft implementation laws, if required
• Also review other laws that refer to birth registration to ensure
consistency
• Adequacy re content of current laws and proposed new laws
• Set out procedures, requirements using recommended Legal
framework.
Activities for implementation
• Training for government officials and stakeholders
• Awareness raising for population – what is registration (to
overcome current confusion) importance of registration, incentives
(penalties??). Information dissemination: Regular radio program,
TV programs
• Increase access to registration - mobile registration units,
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digital registration, use available technologies
Civil registration Month (to tie in with festival activities.
(International Children’s Day)
Mobile registration
Civil Registrars workshop and training courses provided.
Training health officials for accurate medical records and
ICD10.
Thank you