1. IMPROVEMENT OF THE CIVIL
REGISTRATION AND VITAL STATISTICS:
INDONESIAN EXPERIENCE
Soewarta Kosen et al
Center for Community Empowerment, Health Policy and Humanities
National Institute of Health Research & Development
Ministry of Health - Republic of Indonesia

2. LEGAL & REGULATORY FRAMEWORK
• Law No. 23/2006 on Population Admin., Gov’t Regulation
No. 37/2006. Presidential Decree No. 25/2008 & Ministry of
Home Affairs regulations; set requirements , procedures &
sanctions for Civil Registration and management of
population administration system, including personnel
need
• Joined Decree between MoH and MoHA (2010) improves
coordination, communication & cooperation on CRVS
activities at operational level and support for obtaining
Multiple Causes of Death
• Expansion of the limited Sentinel Registration in 8
provinces to 30 provinces (128 subdistricts in 114 districts
& cities, representative for Indonesia) in 2012 – 2013 is
being implemented to fulfil the need of real-time outcome
indicators for MDGs

3. CURRENT ACHIEVEMENT OF INDONESIAN CRVSN
W
S
E
Uses of e-ID & unique population number in all over Indonesia: accelerate better
civil registration (births, deaths) and causes of death
Several cities & districts have allocated special budget for CRVS activities
Joined efforts (MoH & MoHA) to improve Civil Registration and certification of
causes of death based on existing law and regulations, use the information for
national and local planning and policy formulation
Collection of real-time of vital statistics data through Sample Registration System
for MDGs achievement

4. RECOMMENDATIONS
 Need to include the Medical Certification of Cause of Death
(MCCD) as a confidential part of the formal death certificate
 Need to refresh medical communities (physicians) in all health
facilities (hospitals and community health centers) on the writing
of multiple causes of death based on ICD – 10
 Need to enforce compulsory vital registration based on current
national law & regulations and support the formulation of local
regulations
 Since the majority of deaths occur outside the hospital, verbal
autopsy method has to be disseminated and carried out for deaths
occurring in the community
 Un-natural deaths currently managed by the Police Hospital and
Forensic Dept of Public Hospitals, need to be incorporated in the
current system of crvs (being negotiated)
 Accelerate development of ICT to assure more reliable, timely and
complete CRVS system