Transcript PPTX

STRATEGIES FOR IMPROVING
CIVIL REGISTRATION AND VITAL
STATISTICS IN UGANDA
5th December 2014
OWOR LINZ NYACHWO
HELEN LAETITIA NVIIRI NAMIREMBE
Institutions
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Government hospitals
Missionary hospitals
Industrial hospitals
Health Centre IVs
Private hospitals not included as they are not
registration Districts under the Births and
Deaths Registration Act, Cap 309 Laws of
Uganda
CURRENT BIRTH REGISTRATION BUSINESS
PROCESS
Live Birth occurs
long birth certificates
issued by URSB upon
demand/request by
interested persons
Ward Superviser/In
charge (maternity
ward) is the
notifier
Short birth
certificate is
issued by Hospital
administrator (in
case of complete
registration).
Information is
sent to the
Records
Unit/Dept for
data entry on a
daily basis
Data is electronically
uploaded on the
Mobile Vital Records
System (MVRS) and
instantly transmitted
to URSB database
Bottlenecks in the current process
• Lack of a BDR policy
• Numerous incomplete registrations due to lack of
name of child. (due to cultural hindrances)
• Financial constraints
• Direct and indirect costs (materials, transport)
• Unstable internet supply- affecting MVRS
• Hospitals are not directly accountable to the Registrar
General.
• The birth registration data is not representative of the
entire country.
• Lack of political support. BR not priority
Bottlenecks cont……
• Centralization of services offered by the Registrar
General.
• High costs involved in obtaining a long birth certificate
• Lack of awareness both by the public and by the duty
bearers
• High turn over of the duty bearers (principle notifiers
and data entrants)
• Existing manual records not synchronized with the
birth registration data uploaded using the MVRS
• Archaic laws
Desired birth registration business process
Live Birth
occurs
Ward Supervisor
notifies of
occurrence of
birth
Birth registration
Birth registration
data used to inform
vital statistics
data is
transmitted to by
URSB to UBOS
Data on births is
electronically uploaded
on MVRS and instantly
transmitted to URSB
database
Long birth
certificate issued
by Hospital
Administrator
Strategies
1. Sensitization and awareness campaigns
2. Advocacy for resource mobilization
3. Speed up efforts for develop BDR policy and
comprehensive Civil Registration strategic plan
4. Law reform
5. BDR should be included as a key result area and
should be part of the performance appraisal for
the duty bearers
6. Decentralization of services.
THANK YOU