1. Profile: Thabo Mofutsanyane
The Need for
Political Mobilization
Cradle to Grave Systems

2. Profile: Thabo Mofutsanyane
Politicians are public representatives
Marshal enormous influence
Have to account to the public on progress or failure
Abraham Lincoln”Euclid’s first common notion is this”Things which are equal to the same thing are
equal to each other. That’s a rule of Mathematical reasoning and it’s true because it works”
So make every life count
How Political Mobilisation: Let De Gaulle say
no
Transition towards technocratic systems of governance
Technocratic states are evidence driven systems
Evidence should be seen to be delivered
Profile evidence at local level
De Gaulle”I respect only those who stand up to me, but I
find such people intolerable”
Progress in Africa

3. Profile: Thabo Mofutsanyane
Profile information at
levels that count:
Thabo
Mofutsanyane
Facts about the
dead for the living

4. Profile: Thabo Mofutsanyane

5. Profile: Thabo Mofutsanyane Thabo Mofutsanyane
What do people from
Thabo
Mofutsanyane
die of?

6. Profile: Thabo Mofutsanyane
Registered deaths
deaths occurred in the
Free State8%Total deaths 2010
543 856

7. Profile: Thabo Mofutsanyane
Registered deaths
deaths occurred in the
Free State8%
Deaths in Free State
occurred in the
Thabo
Mofutsanyane
29%
Total deaths 2010
543 856
13 000 deaths

8. Profile: Thabo Mofutsanyane
Registered deaths Thabo Mofutsanyane
Thabo Mofutsanyane 13 006 100,0
Maluti-a-Phofung 6 273 48,2
Dihlabeng 2 572 19,8
Setsoto 2 078 16,0
Nketoana 769 5,9
Mantsopa 739 5,7
Phumelela 572 4,4

9. Profile: Thabo Mofutsanyane
Where deaths occur
Home (48%)
Hospital (37%)

10. Profile: Thabo Mofutsanyane
Where deaths occur
Home (48%)
Other
(8%)
Hospital (37%)
ER or Outpatient
(2%)
Dead on arrival
(4%)
Nursing home
(1%)

11. Profile: Thabo Mofutsanyane Thabo Mofutsanyane
The leading cause of death in the
Free State in 2010 was
influenza and pneumonia

12. Profile: Thabo Mofutsanyane
0-14
Intestinal infectious
diseases
24%
Influenza & Pneumonia 15%
Malnutrition 6%


13. Profile: Thabo Mofutsanyane
15-49
Tuberculosis 16%
Influenza & Pneumonia 10%
4%Other viral diseases
9%Disorders of immune mechanism
6%HIV disease

14. Profile: Thabo Mofutsanyane
50-64
Influenza &
Pneumonia
10%
11%
9%Heart disease
6%Cerebrovascular
6%Diabetes
Tuberculosis

15. Profile: Thabo Mofutsanyane
65+
Other forms of
Heart disease
15%
12%
8%
8%Diabetes
Cerebrovascular
Influenza & Pneumonia

16. Profile: Thabo Mofutsanyane
10 leading causes of death
36% Other
6%
Non-natural
causes
5%Disorders involving the
immune mechanism
3%Diabetes
Hypertensive diseases 2% Total deaths 2010
13 000 12% Influenza and
pneumonia
2%HIV disease
Other forms of heart
disease
6%
5%Cerebrovascular
diseases
10% Tuberculosis
9% Intestinal infectious
diseases

17. Profile: Thabo Mofutsanyane
Natural vs unnatural causes
92 Assault
6%
Non-natural causes
803 deaths
196 transport accidents
94%
Natural causes

18. Profile: Thabo Mofutsanyane
Age pattern of mortality
High mortality –
Thabo Mofutsanyane, FS
Low mortality –
West Coast, WC

19. Profile: Thabo Mofutsanyane
Leading causes of death
High mortality –
Thabo Mofutsanyane, FS
Low mortality –
West Coast, WC
Thabo Mofutsanyane No. %
1 Influenza and pneumonia (J09-J18) 1 560 12,0
2 Tuberculosis (A15-A19) 1 320 10,1
3 Intestinal infectious diseases (A00-A09) 1 131 8,7
4 Other forms of heart disease (I30-I52) 865 6,7
5
Certain disorders involving the immune
mechanism (D80-D89)
666 5,1
6 Cerebrovascular diseases (I60-I69) 619 4,8
7 Diabetes mellitus (E10-E14) 425 3,3
8 Hypertensive diseases (I10-I15) 359 2,8
9 HIV disease (B20-B24) 305 2,3
10
Other acute lower respiratory infections
(J20-J22)
305 2,3
Other natural causes 4 648 35,7
Non-natural causes 803 6,2
All causes 13 006 100,0
West Coast No. %
1 Tuberculosis (A15-A19) 334 10,5
2 Ischaemic heart diseases (I20-I25) 226 7,1
3 Cerebrovascular diseases (I60-I69) 210 6,6
4 Diabetes mellitus (E10-E14) 192 6,0
5
Chronic lower respiratory diseases (J40-
J47)
157 4,9
6
Malignant neoplasm of respiratory and
intrathoracic organs (C30-39)
133 4,2
7 HIV disease (B20-B24) 128 4,0
8 Influenza and pneumonia (J09-J18) 122 3,8
9
Malignant neoplasm of digestive organs
(C15-C26)
117 3,7
10 Other forms of heart disease (I30-I52) 106 3,3
Other natural causes 1 110 35,0
Non-natural causes 339 10,7
All causes 3 174 100,0

20. Profile: Thabo Mofutsanyane
Africa Programme on Accelerated
Improvement of Civil Registration
and Vital Statistics System

21. Profile: Thabo Mofutsanyane
Status
• In the strict sense only two African countries can be considered as
having complete CRVS systems – Mauritius and Seychelles
• In most countries, level of completeness is below 40 per cent

22. Profile: Thabo Mofutsanyane
The need for change: Key milestones!
• Regional policy and political leadership on CRVS established in
2010 – (First ministerial conference on CRVS)
• Regional policy framework on CRVS endorsed in 2012 – (APAI-
CRVS)
• Regional focal point for CRVS established at the ECA
• Pan-African Organizations took the lead in coordinating the regional
initiative (AUC, UNECA, AfDB)

23. Profile: Thabo Mofutsanyane
The need for change: Key milestones!
• Regional coordinating organ established:
 CRVS Core Group: AUC, ECA, AfDB, UNICEF, UNFPA, UNHCR, WHO,
HMN
 Secretariat established at ECA
• ASSD shifted its focus from census to CRVS
since 2011
• Regional knowledge hub on CRVS to be
established at the ECA – (2nd Ministerial
conference endorsed a resolution)
• Embedding lifelong learning through Young
African Statistician (YAS) programme

24. Profile: Thabo MofutsanyaneCRVS Architecture in Africa:
Beneficiaries at the center
Improving CRVS
FUNCTIONS
BENEFICIARIES
INDIVIDUALS AND
COMMUNITIES
- CHILDREN AND WOMEN
- POPULATION GROUPS
- MINORITIES
- REFUGIES
- DISPLACED PERSONS
- ADULTS …
GOVERNMENT INSTITUTIONS
- PARLIAMENTS, JUDICIAL
BODIES, …
- SECTOR MINISTRIES AND
AGENCIES
- LOCAL GOVERNMENTS AND
LOCALITIES
NON-GOVERNMENTS
- NATIONAL, SUB-REGIONAL,
REGIONAL AND
INTERNATIONAL
Improving Organization,
Management and
Operations of CRVS
Improving Institutional and
Human Infrastructure
Improving operations of public
administration services
Improving operations of justice
system administrations
Improving operations of national,
regional and international human
rights instruments
Improving operations of health,
education, social security, …
services
Improving CRVS
SERVICES
Improving Legal Framework
•Civil registration legislation
•Vital statistics legislation
IMPROVING CRVS
SYSTEMS IN AFRICA
Improving Service Delivery
of CRVS
Improving operations of
national statistics system

25. Profile: Thabo Mofutsanyane
APAI-CRVS, SHaSA and African Integration Agenda
AFRICAN INTEGRATION AGENDA
(Individual
legal and
administrative
records)
(Statistics
including vital
statistics from
CRVS Systems)
APAI-CRVS SHaSA
(Vital statistics
from CR Systems)

26. Profile: Thabo Mofutsanyane
African Union
(African Integration
Agenda)
Africa Union
Commission
[Conference of
Ministers responsible
for CR]
UNECA
(Secretariat of
APAI-CRVS)
APAI-CRVS
(including
Medium Term
Plan)
AfDB
(Member of
CRVS
Strategic &
Core Groups)
UNHQs
UN Agencies at
HQs
DESA
(UNSD, Regional
Commissions, ..)
ESCAP
International
Technical and
Financial
Organizations
Regional CRVS Core Group
(AUC, AfDB, UNFPA, UNICEF,
UNHCR,, WHO, HMN, StatSA..)
African Member States
(UN Country Offices, Local Donors NGOs, …)
Regional
Coordination
Mechanism in
Africa
Proposed CRVS
Strategic Group
Regional Economic
Communities
Governance Structure of CRVS in Africa

27. Profile: Thabo MofutsanyaneCRVS Monitoring and Accountability
Framework
Ministerial Level
Monitoring and Accountability
Measures
Political and Policy
Decisions
Regional Level
Monitoring and
Accountability Measures
Regional Programme
Implementation
National Level
Monitoring and Accountability
Measures
National Plans and
Programmes
Implementation

28. Profile: Thabo Mofutsanyane
APAI-CRVS Guiding Principles
• Promoting country ownership and leadership
• Improving coordination between Civil Registration
and National Statistics Offices
• Promoting systematic and coordinated approach
• Promoting phased-based, holistic and integrated
approach
• Establishing strong regional policy and advocacy
fora
• Building capacities of national CR &VS focal
institutions
• Promoting partnership at country and regional

29. Profile: Thabo Mofutsanyane
APAI-CRVS Goal
To promote and support the
realization of the African
integration agenda

30. Profile: Thabo Mofutsanyane
Moving into action!
• Three key Ministers declaration:
Countries to urgently conduct comprehensive
assessments and develop costed action plan with the
support of the Secretariat and partner organizations
Countries to establish high-level coordination
mechanisms involving all relevant stakeholders
African Ministers of Health to join the regional initiative
view of the important role of the health sector in the
delivery of civil registration services

31. Profile: Thabo Mofutsanyane
Natural vs unnatural causes
6%
Non-natural causes
803 deaths
Cause of death (based on ICD-10) No. %
Transport accidents (V01-V99) 196 24,4
Other external causes of accidental injury (W00-X59) 422 52,6
Intentional self-harm (X60-X84) 3 0,4
Assault (X85-Y09) 92 11,5
Event of undetermined intent (Y10-Y34) 79 9,8
Complications of medical and surgical care (Y40-Y84) 11 1,4
196 transport accidents
92 Assault
94%