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CRVS legal and regulatory review: tool, process, and early results


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Presentation by Philip Setel (Vital Strategies) at the international conference on innovations in Civil Registration and Vital Statistics (CRVS) systems - Ottawa on 27-28 February 2018. See more at

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CRVS legal and regulatory review: tool, process, and early results

  1. 1. CRVS Legal and Regulatory Review: Tool, Process, and Early Results Ashley Frederes, MPH Philip Setel, PhD
  2. 2. The Need for Legal Frameworks • Significant potential benefits for: • A well-conceived legal framework is a necessary (but not sufficient) requirement for eliminating barriers and creating incentives • Governance • Efficiency & Effectiveness • Human rights • Reliable health data • Legal status • Accountability • Business • Aid
  3. 3. Why undertake a legal review? Legal review Best practices framework Business process maps Is the CRVS system well- designed? Does the legal framework support the country’s vision for their system? Does the legal framework comply with best practices?
  4. 4. Principles for a legal framework Support secure, efficient management and operation of the system Balance specificity (for clarity) with enough flexibility to respond to change Ensure that relationships and processes among stakeholders are authorized and required Clearly define responsibilities, powers and functions of stakeholders
  5. 5. A Good Legal Framework • The “skeleton” around which a well-functioning CRVS system is built – Necessary but not sufficient – Best way to ensure mandates for universal, permanent and continuous coverage – Significant tool for increasing efficiency, security of and demand for CRVS services
  6. 6. Purpose • Core component of rigorous assessment of CRVS systems – Along with BPMs and ANACONDA • Designed to be completed by lawyers with range of knowledge in CRVS • Ultimate audience is heads of agencies who have authority to make structural changes • Products used by implementers and technicians
  7. 7. The tool • 8 chapters with 42 best practices • Guidance provided • English, Spanish, French • Modular design • Fillable PDF • Laws, regulations, and SOPs • Identify gaps and opportunities
  8. 8. Process • Government sponsorship • Put together a legal team • Kick-off legal workshop with stakeholders • Lawyers gather all laws and conduct analysis • Regroup with stakeholders to share results and brainstorm “workarounds” • Drafting and advocacy to support agreed- upon improvements
  9. 9. Potential outcomes • No action • Change internal procedures, manuals, SOPs • Amend related regulations or legislation • Interagency MOUs • Adjust “as desired” business processes • New CRVS regulations • Amend existing CRVS legislation or adopt new legislation
  10. 10. Where we are working
  11. 11. Progress in past year
  12. 12. Early Wins • Ghana: – MoU between Ghana Health Service and Ghana Births and Deaths Registry permitting data sharing • Tanzania: – Draft Births and Deaths Registration law submitted to Cabinet for review
  13. 13. Early Wins • Rwanda: – 1st country to utilize toolkit independently – Currently drafting regulations for: • Authorizing health facilities as registration points • Authorizing “Home Based Care Providers” to become vital events notifiers to civil registrar • Define multi-stakeholder coordination for CRVS under 1 authority • Define data sharing and systems integration among stakeholders
  14. 14. In Process • Philippines: – Review completed in August, priority next steps: • Improve guidelines for MCCOD • Compulsory MCCOD training in medical school curriculum • Colombia: – Review completed in October, priority next steps: • Consolidate >100 CRVS regulations
  15. 15. In Process • Cambodia – Amend legal framework for integrating the CRVS-NID systems • Brazil – Electronic death certification and improved coordination with Legal Medicine • Ecuador – Improved cause of death certification for community- based, violent/external, and indigenous deaths • Peru – Improved cause of death certification • Zambia – Amend law/regulations to align with amended constitution and increase registration completeness
  16. 16. Improving the Toolkit • Toolkit and data will be available on: • Second Edition will contain: – Marriage, divorce, adoption, legitimation, recognition – Integration with NID systems – Data security, authentication, confidentiality tools for digitization – Cross-border issues Please send us suggestions for improvement
  17. 17. Legal Ambiguity: CRVS vs NID? CRVS: Proof of legal identity ≠ NID Legal proof of identity
  18. 18. Questions? • lic-health/data-health/ • ns/crvs-legal-regulatory-review/ • Ashley Frederes – • Philip Setel –