CRVS

a view from the health perspectives

Chu Hong Anh

WHO/HQ/DDI/DNA
2
Global death registrations
 Regional capacity on CRVS, 2019

C1: Full births and C2: Certification

deaths registration and report of CoD
 PHILIPPINES

• Developed capacity
for registration of
births and deaths

• Require strengthening
capacity for
interoperability

• Reaching the last

miles!

SCORE Dashboard (who.int)

Philippines: Causes of Deaths

SCORE Dashboard (who.int)

 Many countries do not have the data required to estimate excess deaths

Global excess deaths associated with the COVID-19 pandemic 7

De-silo CRVS

Health – mortality, life expectancy

Economy – formalizing economy

Human Rights – identity / undocumented

Democracy – elections, electoral boundaries

Legal – transfer of property / inheritance

Planning – housing, education, medical services

Statistics – natural rate of increase

Security – identification

Gender – property rights / inheritance / legitimacy

Statistical
uses of
CRVS data
including
SDG
monitoring
Health contributes to and benefits from CRVS

UIN: Unique identification number

EMR: Electronic medical records

PNC: postnatal care

Historical mortality data alert on health transition

Mexico
• Increasing trend in deaths
from noncommunicable
diseases

• Decreasing trend in deaths

from Communicable,
maternal, perinatal &
nutritional diseases

Source: WHO Mortality Database

Use of mortality data for health service management

From the cause of admissions and cause

of deaths:

• Local burden of disease

• Quality of care
• Early warning
• Service planning and management
 WHO & CRVS

1. Strengthen coordination between health sector and other

national CRVS stakeholders and international CRVS partners

2: Strengthenintegration/interoperability between vital

event notification (birth, death, cause of death) with civil
registration

3: Build capacity to analyze and use CRVS data, especially

mortality and cause of death data for health data systems,
and policy making

4: Improve reporting, production and promote the use of

vital statistics including COD across sectors.
WHO’s CRVS agenda – where the health data contributes

• CRVS is a top priority for WHO as it is to literally and figuratively count everyone because everyone
counts (ensuring no one is left behind)

• Strengthen the routine health data systems in countries for completion of report (birth, deaths)

• Promote data standards and sharing beyond the health sector

• Establish a global technical advisory group on CRVS

• Development of tool and guidance:

o HMN CRVS Resources Handbook
o WHO-UNICEF guidance on the role of the health sector in improving birth and deaths
registration
o Global mortality database
 Premises and principles
Release the potential of health systems for CRVS
• Births and deaths often take place with the support of health agents.
• Health workers are frontline workers reaching out to the population
• Health systems routinely collect data on births, deaths and causes of death.

From passive to active notification of vital events

• Shift the burden of notification from families.
• Work with health agents for active notification of vital events and improved
timeliness and data quality.

Move information, not people

• Collect information once and at source.
• Use for multiple purposes – for health, civil registration, statistics,
population registers, national UID.
A Blog on CRVS:

“Why CRVS is fundamental to society, rights and

government | World Economic Forum
(weforum.org)”
THANK YOU