Session 2 - Carmelita Ericta (Philippines)

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Session 2 - Carmelita Ericta (Philippines)

  1. 1. Republic of the Philippines NATIONAL STATISTICS OFFICEComprehensive CRVS Assessment: The Philippine Experience Carmelita N. Ericta Administrator and Civil Registrar General
  2. 2. OutlineBackground of the CRVS AssessmentsMajor Findings and Recommendations  Highlights of the CRVS National Assessment  Highlights of the CRVS Sub-national Assessment  Completeness Study of Death RegistrationFuture Directions
  3. 3. Background of the CRVS Assessments• A National Assessment on CRVS using the World Health Organization/University of Queensland (WHO/UQ) Assessment Framework was conducted in 2009 by the Department of Health (DOH) and the National Statistics Office (NSO). • The WHO/UQ Assessment Framework provides a comprehensive guidance in evaluating civil registration and vital statistics systems by identifying deficiencies and the quality of vital statistics.
  4. 4. Background of the CRVS Assessments• The Framework has five components: • National Legal Framework for Civil Registration and Vital Statistics • Registration Practices, Coverage, and Completeness • Forms and Data Quality • Data Storage, Tabulation, Access and Dissemination • ICD-10.
  5. 5. Background of the CRVS AssessmentsSubnational CRVS AssessmentData collection had two Participants to the FGD:parts: *local civil registrars and staff, *the self-assessment test *NSO encoders and NSO and provincial statistics officers, *group assessment *city/municipal health officers, through FGD *medical records/ administrative officers, *doctors, nurses, and midwives
  6. 6. Major Findings and Recommendations: Highlights of the CRVS National AssessmentI. National Legal Framework for Vital Statistics:Increased lobbying for the approval of pending legislative measures on civil registrationBuilding up a campaign to lobby for increased budget for civil registration at the Local Government Units (LGU)
  7. 7. Major Findings and Recommendations: Highlights of the CRVS National AssessmentI. National Legal Framework for Vital Statistics:Promote the importance and appreciation of civil registration by strengthening systems, processes and policies (Administrative Orders and Rules) for civil registration units at the LGU levelCompliance with the Local Government Code of 1991 (RA 7160) on the creation of mandatory local civil registration office and permanent civil registrar.
  8. 8. Major Findings and Recommendations: Highlights of the CRVS National AssessmentII. Registration Practices, Coverage, and Completeness of RegistrationCapability building programs for medical/health officers, hospital administrators and other stakeholders on civil registration and vital statisticsDevelopment of vital registration protocols, guidelines, and procedures for private and public hospitals, Municipal Health Offices and other institutions
  9. 9. Major Findings and Recommendations: Highlights of the CRVS National AssessmentII. Registration Practices, Coverage, and Completeness of RegistrationLobby for free registration of timely registered vital eventsStudy on the level of registration by province and by sector (depressed areas, marginalized populations)
  10. 10. Major Findings and Recommendations: Highlights of the CRVS National AssessmentIV. Forms and Data Quality Assessment of data quality using hospital records and the NSO’s Decentralized Vital Statistics System (DVSS) database Develop methodology/study to check data quality and pertinent adjustment techniques for Philippine cause-of-death data Conduct a study on the patterns of cause-specific mortality
  11. 11. Major Findings and Recommendations: Highlights of the CRVS National AssessmentIV. Data Storage, Tabulation, Access, and Dissemination NSO to study ways to improve the timeliness of the Vital Statistics Report Intensive promotion of the electronic Civil Registration Information System (PhilCRIS) to LGUs, hospitals and other related institutions Continuous training of LGU staff in civil registration procedures and use of electronic systems
  12. 12. Major Findings and Recommendations: Highlights of the CRVS National AssessmentV. ICD-10Training on ICD-10 and related topicsConduct evaluation of the quality of ICD 10 codingdevelop a guidebook and quick reference guide on certification of cause of death for doctorsConduct an evaluation of the quality of medical certification on death certificates
  13. 13. Major Findings and Recommendations: Highlights of the CRVS Sub-national AssessmentRegistration ProtocolsHindrances to Birth Registration•Births that occur outside birthing facilities•distance, accessibility of transportation,•financial constraints•cultural customs and traditions•wrong notion that births cannot be registered if parents are unmarried.the number of requirements and the tedious process for delayed registration
  14. 14. Major Findings and Recommendations: Highlights of the CRVS Sub-national AssessmentRegistration ProtocolsHindrances to Death Registration Who has the responsibility for preparing the death certificate? (in some provinces, the doctors do not prepare the death certificate but merely sign it) Accuracy of cause of death especially in dead-on-arrival cases (who should prepare the death certificate for such cases?) Customs and traditions of cultural groups (e.g., Muslims, indigenous peoples) especially in neonatal death cases.
  15. 15. Major Findings and Recommendations: Highlights of the CRVS Sub-national AssessmentData Quality• Most common errors are clerical/typographical errors(parent’s information, date of delivery, among others)• Practice wherein socially acceptable cause of death iswritten on the death certificate if the cause of death is“suicide”
  16. 16. Major Findings and Recommendations: Highlights of the CRVS Sub-national AssessmentData Storage• Distance is one factor in timely submission of civilregistry documents• Aside from lacking information exchange amongagencies, the provincial government is not part of theloop in terms of the structural organization with regardsto civil registration (basic unit of civil registration is theLGU, pertaining to the municipal or city government)
  17. 17. Completeness Study of Death RegistrationThe completeness study of death registration aims to determine the current under-registration of deaths by estimating the level of completeness using the 2007 census data.This study employed three methods:  Benneth-Horiuchi Method  Courbage and Fargues  Brass Growth Method.
  18. 18. Completeness Study of Death RegistrationThe registration period covered in the study was from January to March 2011.The assumption of this study was that the completeness was higher than the 1995 levelResults of the study show that there is only 70% completeness of death registrationUnder-registration of deaths is higher as compared to registration of births. For most provinces, more females are registered than males.
  19. 19. Future DirectionsStrengthening of the vital registration network and establish partnerships among civil registration stakeholders: NSO, health agencies, universities and local civil registrarsDevelopment of a comprehensive civil registration strategic plan that focuses on the gaps and issues identified in the CRVS system assessment (including investment plans, resource requirements and timeliness of vital statistics)
  20. 20. Maraming Salamat Po! www.census.gov.ph

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