Birth & Death Notification System - PowerPoint Presentation

Slide1

Birth & Death Notification System and How the Health Sector Contribution on CRVSin Lao PDR

Dr. Founkham Rattanavong, Deputy Director General of Planning and Cooperation Department, MOH, Lao PDR, 13-17/17, Hanoi.

MOH’s Functions Based on CRVS Strategy

With other sectors, clearly define CRVS structure, roles, and responsibilities of each involved institution;Improve coordination with involved institutions both vertically and horizontally from the central to local level; Produce forms, guidelines and train heath staff on the utilization of new forms and procedures, as well as on International Coding of Diseases (ICD); Improve service provision toward universal coverage, especially birth and death notification

, and its involvement at onsite registration at the healthcare facility level or during outreach activities;

Plan for adequate staffing and capacity building and

implement;

Improve District Health Information System (DHIS) with accurate, complete, and timely data on

births and deaths including causes of deaths

;

Produce annual report on vital statistics generated from

DHIS

for comparison with data from other sources, disseminate it, and use it for policy making, planning, and monitoring and evaluation;

Plan for needed infrastructure and equipment;

Plan and budget for the implementation of all relevant assignments within the Strategy;

Cooperate with development partners;

Inform the program management secretariat at Ministry of Home

Affairs (MOHA

) the implementation progresses of the assigned activities.

Roles of the

Health Sector in CRVSMain roles (①)

for civil

registration

CR

Notification of births/ deaths in the health facilities

for vital statistics VS-Reporting the number and additional information related to births/ deaths in the health facilities (eg. Place of birth/death, birth weight, cause of death, etc.)-Issue medical and health check-up certificate-Attend any determined death and certify causes of death

Possible roles

for CR

(

②

) Late registration during EPI/ MNCH services provision

for CR and VS

(

③

) Birth notification for

new-borns

delivered by SBA in the community and reporting the number and socio-demographic factors of those delivered by SBA

Advocacy and encouragement of civil registration during stay in the hospital or health education in the

community

for vital statistics

(

④

) reporting the number and socio-demographic factors of birth and death in the community through VHV

(

⑤

)

identification of causes of maternal death by MDSR (Maternal Death Surveillance and Response)

(

⑥

) cross-check the number registered with

MoHA

using

DHIS-2

personBirth in health

facilityDeath in health facilityMinistry of Healthnumber

DPIC

Ministry of Home Affairs

number

Birth outside health facility

Death outside health facility

MDSRMCHCNIPDPIC

HC

District

Province

EPI registration

Ministry of Public Security

Family book

covers both births & deaths, NO certification on births/ deaths is necessary for registration

Village chief

Registration in family book enables an issue of identification and receiving public services.

Family book covers vital events such as birth, death, marriage, moving-in/out.

District office of MOHA

Statistic division

Statistic division

MDSR secretariat

Ministry of Health

DHIS-2

District Governor

Provincial Governor

HC

District

Province

DHIS-2

person

certification

person

District office of MOHA

person

confirmation

certification

Province office of MOHA

Province office of MOHA

notification

Births assisted by SBA

VHV

VHV

Pilot district site:

MOHA officers accompany MPS officers in village when registration happen.

Roles of

Health Sectors

in CRVS in Lao PDR

①

①

②

③

④

⑤

⑥

⑥

notification

notification

④

Targets Defined by 2025: 80% of births and 60 % of deaths in a given year should be registered; 85% of deaths recorded by the health sector have a medically certified cause of death with ICD.

Current Status: Birth registration: Figure below Death registration: No data

ProgressChallenges Regulations and guidelines

have been published, distributed and staff training in different levels of health facilities.Health Information System can provide number of births with regular report. HC level obtain birth and death information from communities through Village Health Volunteers.

Policy on Free Delivery and Under 5 Treatment

can be

contributed as

increased facility births and services

Government budget support for guidelines printing and training.ICD-10 is not used in provincial hospitals yet only some central hospitals.Quality of causes of death, is the issue (not standardized in hospitals, causes of death are not diagnosis or analysed, MD not available in health centres for diagnosis, Under 5 deaths not being reviewed). Birth/death notification forms, shortage of the forms and/or different types of formats are still used, forms often not provided to the family (in case of births /deaths) due to various reasons (no request/demand from family, taking time to complete the form), the forms not used in private health facilities yet.

Data entry to DHIS

in some districts and HC are not correct, not complete and not\delay reporting.

Coordination and collaboration

between relevant sections appears t

o

be irregular

such Provincial Civil Management Committee maybe

not functioning.

Limitation

of technical

capacity and b

udget support.

Progress & Challenges

Requirement & RequestTo achieve CRVS 2025 targets:Measures to eliminate missed opportunities should be taken by connecting either the births at health facilities with DHIS2 in the public sector (half of births) or those registered to

MoPS (75% by 5-years-old) to the birth registration by MoHA (33% by 5-years-old in 2015);Significant investment and effort are seriously necessary to standardize diagnosis and causes of deaths by using ICD;Regular report should be published and assessment could be

conducted

for

improving quality of both health services and CRVS.

Issue the ID would be the first basic step toward this CRVS achievement and it will be also useful for others activities and business.

Continue our coordination, cooperation, collaboration and commitment by any project support or TA for each sector.

“Sustainability needs a long

life and it could not be done without being healthy”Thank you for your attention

