SURVEILLANCE SYSTEM OF MATERNAL ORPHANS IN SOUTH AFRICA: USING VITAL REGISTRATION DATA (2003 – Dec 2010)<br />
Purpose of the Presentation<br />To share the existence of maternal orphans surveillance system within the national DSD office<br />To highlight the creation of maternal orphans between 2003 to Dec 2010 with regards to:<br /> demographic information (age & gender)<br />geographic prevalence (District Municipality)<br />how they access children’s grants in RSA<br />
Background<br />In 2006, DSD and UNICEF collaborated in implementing a study on the estimation of maternal orphans in RSA,<br />Part of the recommendation of that study was to ensure the establishment of a surveillance system <br />It was only in 2009 that a surveillance system of maternal orphans was established within DSD<br />Since its establishment, DSD has managed to produce seven quarterly reports<br />During the launch of the surveillance system by Hon MP B Dlamini (Minister of DSD) in KZN (Nqutu) in December 2010, it was emphasised that the surveillance reports be disseminated and shared with all the stakeholders involved in OVC on a regular basis in order to allow them to develop and strengthen their OVC services in the affected areas (i.e. District Municipalities). <br />
Aims of the system<br />The system was established in order to:<br /><ul><li>periodically track and monitor the occurrence (in terms of the increase or decrease) on a quarterly bases
identify and track maternal orphans by their geographical location (province and district municipality)
assist Social Development Sector and social development partners in designing & implementing appropriate interventions to a growing number of maternal orphans in RSA
serve as basis for tracking these children as they progress through different stages of development
assist Social Development Sector and its parnters to identify risk factors such as missed opportunities (e.g. education, health, abuse and exploitation, etc)</li></li></ul><li>How the Surveillance System of Maternal Orphans works?<br />The surveillance system uses birth and death registration data from the Department of Home Affairs (DHA)<br />Each month Home Affairs provides DSD with 2 files: <br />File 1: birth file = all births registered in that month with mother's and child’s ID and province and district of birth <br />File 2: death file = All deaths recorded with deceased ID and province and district of death<br />These two files are then matched to ascertain:<br />Mothers dying in that month and the numbers of their children now orphaned<br />Children predeceasing their mothers<br />
Limitations<br /><ul><li>We can only account for maternal orphans as fathers details are optional in the birth registration process thus precluding easy linkage when extracting the data
Geographical location is available from 2003 and is limited to home affairs office, where registration occurred and not the actual residential address of the orphan
It appears that most deaths are registered after about 3 – 6 months -delay from date of death and date when death is registered and gets available from the system: implications for quarterly reports</li></li></ul><li>Children population and maternal orphans within RSA<br />Data source: StatsSA Mid- year population estimates; Data note: 2010<br />
Creation of maternal orphans and mothers dying by year<br />
Creation of maternal orphans by province and age<br />
Distribution of maternal orphans by year and gender<br />Note: The variation in Male and Female counts is very minimal, suggesting that maternal orphan trends are independent of gender.<br />
Prevalence of maternal orphans by province<br />
Prevalence of maternal orphans within the KZN<br />
Prevalence of maternal orphans within the EC<br />
Prevalence of maternal orphans within GP<br />
Orphans in SOCPEN by province<br /><ul><li>The highest receiving </li></ul>province is Free State <br />followed by Kwazulu-Natal.<br /><ul><li>Mpumalanga, North West and Limpopo, are in the region of 62 % to 68%.
The Northern Cape and the Eastern Cape are in the region of 52% to 58%.
The least provinces are Western Cape and Gauteng in the region of 40 % to 44%. </li></li></ul><li>Summary of conclusion<br />The rate of maternal orphans creation seems to be slowing down in recent years<br />It is however a concern that the number of maternal orphans continue to increase since 2003<br />These clearly pose a serious challenge to government, policy makers and business to ensure a continuous support to this group of children<br />To ensure continued support of this group of vulnerable children, it is recommended that those working on OVC services continue to use the surveillance system information to expand and improve OVC services as well as target the most affected areas (District Municipalities)<br />
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