1. Civil registration system and its use for vital statistics

2. Presentation plan
Civil registration systems and vital statistics systems
2. Recommended items in the statistical report
3. Tabulations and Calculation of fertility and mortality rates using civil registration data

3. Civil registration systems
Continuous, permanent, compulsory, universal
recording
of the occurrence and characteristics of vital events in accordance with the legal requirements in each country

4. Civil registration system`
Hospital
Central office (national level)
Local registration office
Midwife, father, mother, other

5. Vital events in a civil registration system
United Nations recommended events to be registered:
Live birth
Death
Annulment
Judicial separation
Adoption
Legitimation
Recognition
Fœtal death
Marriage
Divorce

6. Civil registration system: Functions
Legal: vital records are the legal proof of the occurrence of the event
Administrative: vital records are used to assist other agencies to accomplish their respective purposes
Statistical: vital records are the best source of continuous statistics given the universal coverage of civil registration, and it is not subject to memory lapses and sampling errors
Legal: essential legal documents on name, date/time/place of birth
Adm: accuracy of age; social and public health programs, security, population register

7. Vital statistics system
It collects information by civil registration or enumeration on the frequency of occurrence of specified and defined vital events as well as relevant characteristics of the events themselves and of the persons concerned
The production of vital statistics covers all the steps from the data collection up to their dissemination: collection, compilation, processing, analysis, evaluation, presentation and dissemination of data in statistical forms

8. Fertility and mortality statistics obtained from civil registration data
Registration forms
Vital record
Statistical report
- Checked and transmitted to the institutions responsible for vital statistics
- Component of the register
- Needs to be preserved in a formal and permanent way
In some countries and for certain events, the same form is used as:
Legal document
Medical certificate
Statistical report
Thus, the same document is used as proof of the occurrence of the event, as the vital record and statistical report

9. Characteristics of the child Sex Birth weight
Recommended items in the statistical report for the calculation of fertility statistics (cont.)
Characteristics of the child 
Sex
Birth weight
Characteristics of the parents
Date of birth of the mother/age
Marital status of the mother,
Date of actual marriage of the mother,
Educational attainment,
Gestational age,
Sex: sex ratio at birth
Birth weight: study infant mortality and health during infancy and childhood
Mother’s age: itself or with other variables, for differentials in fertility, for welfare and social policy, e.g. family planning
Marital status of mother: differential in fertility, intervention
Gestational age: medical

10. Recommended items in the statistical report for the calculation of fertility statistics (cont.)
Characteristics of the parents (cont.):
Number of children born alive to mother during her entire lifetime,
Number of children born alive to mother during her entire lifetime and still living,
Fœtal deaths to mother during her entire lifetime,
Date of last previous live birth (or interval since last previous live birth)
Survival of last live birth
Usual residence of mother
Date of birth (age) of father
Live birth order (number of children born alive): fertility pattern and fertility changes
Foetal death order: health and medical intervention
Birth interval: fertility pattern and fertility changes
Usual residence: programme planning, evaluation and research in many fields of application, such as health, education, housing, population estimation and projection, and social and economic policy.

11. Recommended items in the statistical report for live births
Birth record and/or birth statistical report
Characteristics of the event:
Date of occurrence and registration
Difference between the two -> delays
Place of occurrence
Tabulate for urban/rural or small admin. Subdivisions -> medical facilities
Place of registration
Follow back for clarification
Assess local registration work load
Obtain optimal geographic distribution of registration points
Difference of data of occurrence and registration: should be analysed – about delays
Place of occurrence: for small administrative subdivisions, urban/rural, plan for medical facilities
Place of registration: for following back for clarification, local registration work load, optimal geographic distribution of registration points.
Namibia: quite a few information was not collected on the form. – geographical of events, and basic information about parents.

12. Recommended items in the statistical report for live births (cont.)
Birth record and/or birth statistical report
Characteristics of the event (cont.):
Type of births (single, twin, …):
Record for both live-born infant and dead-born foetus
Attendant at birth
Physician, nurse, nurse-midwife, midwife, other paramedical personnel, lay person, or not stated.

13. Recommended items in the statistical report for deaths
Death record and/or death statistical report
Characteristics of the event
Date and place of occurrence,
Date and place of registration,
Underlying cause of death,
Certifier
Characteristics of the deceased
Date of birth (age),
Usual place of residence (of mother if infant death),
Sex,
Marital status
Underlying cause of death: composed of two parts: according to WHO,
Cause of death : a) All those deseases, morbid conditions or injuries which either resulted in or contributed to death, and b) the circumstances of the accident or violence which produced any such injuries.
cause initiale : a) the desease or injury which initiated the train of events leading directly to death, or b) the circunstances of the accident or violence which produced the fatal injury.
Certifier
Phisician or surgeon who attended the decedent in his terminal illness, medical practioner who examined the body after death , a coroner or other medical-legal authority, a midwife, a nurse (other trained person), or a layman.

14. Tabulation programme for fertility and mortality data
Tables providing required data for the study of levels and trends and geographic differences
Specifying data quality
Minimal list of tabulations:
Principles and recommendations for a vital statistics system, rev. 2 (UN – 2001) p.105

15. Need for tabulating events by place of usual residence
Calculation of fertility and mortality rates On the basis of registration data
Step 1: Numerator from civil registration data
Step 2: Denominator (population at risk) by using data from censuses or sample surveys or population registers
Need for adopting the same definitions in civil registration, censuses and surveys. E.g. definition of place of usual residence; geographic areas
Need for tabulating events by place of usual residence
Need for reconciling the time reference between civil registration and source used for the denominator

16. Use of civil registration for vital statistics – points to retain
Use of civil registration data, even if incomplete
Use several sources for vital statistics:
To evaluate the quality of statistics
To complement the information
Need for same definitions …, collaboration among agencies responsible for sources used
Use vital records/statistical reports that are informative and transmit them to the NSOs
Disseminate the data
2. e.g. Botswana (Namibia), the districts by the registrar is different from the census districts – calculation of rates + comparison (difficulties)
3. No coordination or working relationship (Tanzania);
delays in transmission of data: (zambia)

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