Importance of Birth Registration and Vital Statistics System in Afghanistan

Vital Statistics System The Civil Registration System in Afghanistan 1

WHATISTHESIGNIFICANCEOFBIRTHREGISTRATION? According to Article 7 of the International Convention on the Rights of the Child, the registration and registration of the child is his first right. - Access to health services. - Inclusion in schools, where it is necessary to prove the name, gender, exact age and age. Including in kindergartens. - Provides exact date of birth for the child, ie day, month, and year. - Helps in the timely implementation of childhood age vaccinations.- 2

CONTINUANCE A right to obtain a passport. A voter's right. Opening bank accounts. Preventing that most children Exploitation of work, sexual intercourse,, trafficking. They do not become overwhelming and thus lose the protection of the law. "- Without a birthday card, they can not be established. This birth registration environment is the first child's right. It opens the door to the baby to include a permanent identity. 3

VITAL STATISTICS: Information maintained by a Government for recording live births, deaths, foetal deaths, marriages and divorces of individuals within its jurisdiction. Data used by public health programs to evaluate how effective the programs . 4

THEVITALSTATISTICSSYSTEM Is the total process of collecting information by civil registration or enumeration on the frequency of occurrence of the defined vital events,and Compiling, processing, analyzing, evaluating, presenting and disseminating these data in statistical form. (* The vital events of interest are live births, adoption, legitimations, recognitions; deaths and foeatal deaths; and marriages, divorces, separations and annulment of marriages) 5

Main sources of Vital Statistics Data: Civil Registration System Sample Surveys The Population Census 6

The Civil Registration: Civil Registration is the continuous, permanent, recording of the occurrence and characteristics of vital events pertaining to the population, as provided by decree or regulation, in accordance with the legal requirement of a country. 7

Registration of Births and Deaths (RBD) Legal Requirements Reporting and registration of all births and deaths . All births and deaths occurring within the territory of the country to be covered, irrespective of the residency status. Uniform law across the country for registration of births and deaths. 8

Statistical Reporting System: Monthly Statements on registered births and deaths Registrar Consolidated monthly returns on registered births and deaths for the district District Registrar Chief Registrar Annual Statistical Report Annual Report State Govt. Annual Statistical Report -Vital Statistics of Afghanistan Registrar General, 9 Annual Report on Working of the Act Govt. of Afghanistan

COVERAGEOFITEMS: Births : (a) Characteristics of the events: Date of Registration, Date of Birth, Sex, Place of Birth. Order of Live Birth, Type of Attention at Delivery (b) Characteristics of mother and father: Literacy, Occupation, Religion, Age of mother at confinement. Nationality, 10

Table A Birth registration in Afghanistan Birth in the hospital . General section of the health ministry Central statistic Organization analisis, evaluation and dismanation Privet hospital section General civil registration office Birth registration by responsible doctor of section or Other doctor Birth to the out of hospital Center of province home Tradition nurse or short time educated nurse General area Birth registration by district personnel Others Register by elders of area or town lieutenant 11

copy of the after register in distract book and province sending to capital . General civil registration office Presidency statistic province management ) ( ) ( sub district/town sheathe ) ( ) ( district page ) ( ) ( lane/transit issue number ) ( ) ( house number date / / ) ( Specification Grand / F N Father name Name of child ) ( ) ( ) ( female male gender : more then tow townie ones :kind of birth : station house Hospital place of birth : year Month day Date of birth page ID number : S/of occupancy F/occupation Mother language : ) ( ) ( N/registration several child M/age M/ name ) ( ) ( ) ( ) ( :

central statistic Organization social - demography office vital statistic events registration division name of provinc nam of distric area date mother`s residence whilest baby birth mother`s age whilest of baby birth kind of births births in sex other administrative unit this administrative unite less than 15 year months other provinc No this distric unknown twosome female 45-49 40-44 35-39 30-34 25-29 20-24 15-19 Total Total Total Total plus of tow male one 50 0 0 0 0 Jan 1 0 0 0 0 feb 2 0 0 0 0 mar 3 0 0 0 0 4 april 0 0 0 0 may 5 0 0 0 0 Jun 6 0 0 0 0 July 7 0 0 0 0 Aug 8 0 0 0 0 Sep 9 0 0 0 0 Octo 10 0 0 0 0 Nove 11 13 0 0 0 0 Dece 12 0 0 0 0 Total

Deaths: (a) Characteristics of the event : Date of Registration, Date of Death, Place of Death, Cause of Death, Type of Medical Attention Received. (b)Characteristics of the deceased : Age, Sex, Marital Status, Religion, Nationality, Occupation. 14

Table B Death registration in Afghanistan death in haspital . General section of health ministry Privet hospital section Central statistic Organization analysis, evaluation anddissemination death registration by responsible doctor of section or Other doctor Death to the out of hospital Register by elders of area or town lieutenant home General civil registration office of interior ministry General area others death registration by district personnel Center of province 15

General civil registration office province sub district / town Presidency of statistic management ) ( ) ( ) ( district authoritative ) ( ) ( transit / / ) ( ) ( date issue/n page ) ( ) ( 1- Death specification report Death specification Name ) (F/name ) ( G/F/name ) ( province ) ( village ) (transit ) ( ID number ) ( page gander male age day month year Marital status 1- single 2- marry 3- widow 4- divorce Nationality degree of education how match the member of family Death specification Date of death date predicate report Date registration / / reason Kind of skins kind of accident Stead of death incidence 1- hospital 2- house 3- station Providing attribute nonentity ones of cardinal relationship Name ( ) F/name ( ) G/F/name ( ) page Province sub district allege Attribute reporters Name ( ) F/name ( ) G/F/name ( 0 Province sub district allege Pertinence reporter whit death person Attribute registration person Name ( ) degree ( ) duty ( ) signature Send date report to preferable coordinate female ) ( Occupation ID number page ID number

deaths monthly table death according to marital status death according to age and sex death according to residetype of disease and incident death according to residence death according to gender stomach,intestine and liver other administrative unit this administrative unit neurological diseases less than of one year unforenssen events traffic accidents TB(tuberculos) other provinc sari diseases unknown unknown unknown unknown this area Titanus diarrha divorce maried month conser widow single 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 19-10 heart Total Total Total Total Total male male 60+ sex 5-9 0-4 No male male male 0 Jan 0 0 0 0 1 0 0 febr 0 0 0 0 2 male 0 male 0 March 0 0 0 0 3 male 0 male 0 April 0 0 0 0 4 male 0 male 0 May 0 0 0 0 5 male 0 male 0 June 0 0 0 0 6 male 0 male 0 July 0 0 0 0 7 male 0 male 0 Agust 0 0 0 0 8 male 0 Septembe male 0 0 0 0 0 9 r male 0 male October 0 0 0 0 0 10 male 0 November male 0 0 0 0 0 11 male 17 December 0 male 0 0 0 0 0 12 male 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Total

PROBABLE CAUSESOF LOW REGISTRATION Lack of awareness among the general public about the registration procedures and the utility of certificates. Non-linking of all basic services with birth and death certificates. Lack of sensitivity and knowledge among the registration factionaries. Inadequate supervision and monitoring of the work of the system at different levels in the States. Low priority accordedto the registration work by the Local Registrars. Inadequate budget provisions by State Governments for the system

Evaluation : Despite having statutory registration data are deficient due to incomplete coverage registration. Extent of incomplete coverage and under-registration varies from State to State. provisions, and under- over time 19

WHYISTHE REGISTRATIONLEVEL LOW? Low utility of birth / death certificates. Low priority and general apathy. Lack of coordination; absence of uni-linear CRS hierarchy. Lack of awareness about the need, importance and benefits of registration. Ignorance about rules, duties and responsibilities. 20

INITIATIVES TOIMPROVE BIRTHAND DEATH REGISTRATION: Awareness for demand creation Advertisement and publicity Drumming up of NGO support (Including UNICEF support) Financial assistance to states Training to Civil Registration functionaries. Maintenance of records. Computerization and networking. National / Regional Conferences of Chief Registrars Inter-Departmental Coordination Committee meetings at State levels. 21

SYSTEMICCHANGES: National campaign for birth registration Simplificationof delayedregistration procedures Linking registration of births and death with social sector schemes Directives from the Apex court for improving registration 22

Figures of Births which registered within 2017 No. Province Male Birth Femal Birth Total 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 Kabul Heart Kandahar Helmand Badakhshan Takhar Khost Samangan Balkh Nangarhar Bamyan Ghazni Ghore Sar-e-pul Logar Jawizjan Faryab Kunar Laghman Farah Kundoz Panjsher Zabul Baghlan Badghis Kapisa Daykundi Parwan Wardak Nimroz Paktika Paktya Noristan Urzgan Total 63541 35188 18626 13610 13613 11076 9937 10570 9041 8632 7046 7008 6211 5740 5639 5306 5366 5248 4505 3794 4174 3784 3950 3955 3710 3408 3145 2951 1722 1821 1985 1734 1012 0 61678 30822 17007 18245 11803 8517 8797 7644 7643 6886 6117 5998 4789 5121 5140 5039 4266 4314 3505 4055 3228 3380 3201 2968 2908 2910 2732 2725 1660 1548 1273 1082 1244 0 125219 66010 35633 31855 25416 19593 18734 18214 16684 15518 13163 13006 11000 10861 10779 10345 9632 9562 8010 7849 7402 7164 7151 6923 6618 6318 5877 5676 3382 3369 3258 2816 2256 0 545293 23 67209 258245

25.0 23.0 20.0 15.0 12.1 10.0 6.5 5.8 4.7 5.0 3.63.4 3.33.12.8 2.4 2.42.0 2.0 2.0 1.91.8 1.81.5 1.4 1.4 1.3 1.3 1.3 1.2 1.2 1.1 1.0 0.6 0.6 0.6 0.5 0.4 0.0 24 0.0

Thanks 25