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Human Centred Design: Increased Demand and Utilization of Services Through Community Partnerships

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Presentation by Irina Dincu (Centre of Excellence in CRVS Systems, IDRC) and Kristen Wenz (UNICEF) at the international conference on innovations in Civil Registration and Vital Statistics (CRVS) systems - Ottawa on 27-28 February 2018. See more at http://crvsinnovations.net

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Human Centred Design: Increased Demand and Utilization of Services Through Community Partnerships

  1. 1. Guinea – demand creation Irina Dincu, Centre of Excellence for CRVS Systems Kristen Wenz, UNICEF NY Headquarters
  2. 2. General data Capitale : Conakry Population : 10 523 261 (Census, 2014) – 52,7% women 45,2% under 15; 64% under 25 ; median age: 21 ans Urban population : 34.5% (45,5% in Conakry) Languages: Poular , Soussou, Malinké, Koniaka, Kpélè , Kissi Official: French
  3. 3. Some more data… Literacy by region Conakry Boké Ensemble Kindia Nzérékoré Mamou Labé Faranah Kankan 35,8 65,1 65,7 66,8 70,1 73,6 73,7 75,4 80,3 Households that have: Total Urban Rural Radio 47,9 53,7 44,7 Television 31,5 74,7 8 smartphone 22 47,3 8,3 Other mobile phone 83,7 92,3 79,1 Computer Electricity 33,5 82,2 6,9 Generator 4,8 6,6 3,8 Solar panel 6,6 4,7 7,6 Religion – Muslims – 85% (Sunni), 8% Christians (Catholic, Anglican, Baptist, etc) The vast majority of the population include African belief in their religion Source : MICS 2017
  4. 4. Legal framework at a glance: • Every birth has to be declared and registered – within six months of birth - Birth notification is done by the father, using the ID of the parents,the medical certificate of birth; if the father is not present, then anyone knowing about the birth can declare it; however, if the parents are not married and do not have a marriage certificate, the mention of the father can not be made - Every death has to be declared and registered within two weeks of occurrence by any person having heard about the event; death certificate is not mandatory for burial - Marriage registration is not compulsory - Declaration is FREE however there is a fee for the CERTIFICATES (amounting to $1)
  5. 5. Birth registration 0. 25. 50. 75. 100. 125. Boké Conakry Faranah Kankan Kindia Labé Mamou N'Zérékoré Percentage of children under five whose birth has been registered witth the civil authorities by administrative region trative) has a certificate (seen) has a certificate (not seen) No certificate Total enregistrés Source : MICS 2017
  6. 6. Enregistrement des naissances – suite 0. 10. 20. 30. 40. No certificate Has a certificate (not seen) A un certificat de naissance (vu) Birth certificate ownership – for children under five 0. 25. 50. 75. 100. 0. 15. 30. 45. 60. Poorest Second Third Fourth The richest Percentage of registered children by wealth quintile Has a birth certificate (seen) Has a birth certificate (not seen) No certificate Total registered MISC 2016
  7. 7. Mariage registration Male marriage registration by profession 38,1% 5,4% 12,5% 7,3% 8,3% 8,4% 9,3% ,3% 4,4% 3,3% 2,9% Cadre supérieur Cadre moyen Commerçant Arisan/ Ouvrier Services Technicien Sécurité Secteur agricole Inactif/ Chômeur Autres professions Non précisée Répartition des femmes selon la profession en 2015 Source: INS - 2017 Cadre supérieur Cadre moyen Commer-çant Arisan/ Ouvrier Services Techni-cien Sécurité Secteur agricole Inactif/ Chômeur Autres professions Nonprécisée 14,5% 9,2% 15,2% ,3% 14,7% ,5% 1,1% ,0% 41,1% ,3% 3,0%
  8. 8. Death registration 1.60% 70.50% 19.60% 1.80% 6.50% 2012 Célibataire Marié (e) Veuf (ve) Divorcé (e) Non déclaré 4.1 80 12.1 0.8 3.0 2013 Célibataire Marié Veuf Divorcé/Séparé Non déclaré Source: INS - 2017
  9. 9. Quelques données sur les décès 2012 2013 Male Female Total Male Female Total Total 59,8 50,2 55,0 58,6 49,4 54,0 Median age by commune for death occurred in 2012/2013 Place of occurrence of death by year 2012/2013 0 10 20 30 40 50 60 70 Maison Structure sanitaire Ailleurs 30.3 63.9 5.7 31.4 65.3 3.3 2012 2013 Source: INS - 2017
  10. 10. Why people do not register? - No data/study / research on the causes of non-registration of birth, marriage, death Traditions: - Child naming - Death a tabu in the society
  11. 11. Communities • Traditional society where traditional and religious chiefs have a great role to play • Women groups exist and are active in the community • Religious chiefs word carry a big weight • Other key persons in the community: midwives
  12. 12. Questions: • What would be some quick wins to improve the system and make it human centric? • What are the modifications you think necessary to make legal frameworks more human centric? • How to better partner with communities to ensure they declare all vital events at the civil registry? • What are the steps needs to change social norms related to vital events?

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