CIVIL REGISTRATION IN KENYA

GFF WORKSHOP

18TH NOVEMBER 2015

MT. KENYA SAFARI CLUBNANYUKI

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ORGANIZATION & MANAGEMENT OF CIVIL REGISTRATION IN KENYA REGISTRATION SYSTEM The government operates a national system of

registration with national offices and county/sub county offices.

CRS is the government agency in the Ministry of Interior & Coordination of National Government mandated to register all births and deaths occurring in Kenya and those of Kenyan citizens occurring abroad under CAP 149

CRS has adopted a community-based system of CR where communities have the responsibility of notification and registration of births & deaths that occur within their area.

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ORGANIZATION & MANAGEMENT CONT’D REGISTRATION AGENTS The Assistant Chiefs register home events while the

health institutions personnel register health facility events.

Vision To be a comprehensive and reliable source of civil

registration records and vital statistics

Goal To achieve 100% registration coverage for births and

deaths 3

IMPORTANCE OF CIVIL REGISTRATION

Individual benefits birthsi. Acquire birth certificate easily and cheaplyii. Proof of age for certain privileges and rightsiii.school admission, examination registrationiv. age of majority- National Id, driving license and

employmentv. retirementvi.ownership of propertyvii.Proof of place of birth- determination of citizenshipviii.Proof of parents- inheritance, insurance claims,

dependent rights, legitimate children, nationality4

IMPORTANCE OF CIVIL REGN CONT’D Benefits of birth regn to Governmenti. Socio-economic planning and distribution of national

resourcesii. Provision of adequate infrastructure – schools,

health facilities etc iii.Assess effectiveness of FP and health programmesiv. Detect demographic changev. Determine population growth ratevi.Enhances security by easily identifying Kenyans

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IMPORTANCE OF CIVIL REGN CONT’D Individual benefits for deaths Legal proof of death Acquire burial permit and death certificates easily Next of kin to make claims e.g insurance, death gratuity,

NSSF Identify widows and orphans for support, widows for

remarriage Benefits of death registration to Government Deaths and their causes for improvement in: Immunization, nutrition, sanitation and general hygiene,

combating epidemics, detection and control of diseases Reduction in property fueds and Inheritance claims Cleansing of the voters register Monitoring and evaluating health programs & interventions

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CHALLENGES Low registration coverage for births and

deaths (62.2% births and 45.8% deaths in 2014)

Low quality vital statistics (cause of death) Delayed submission of civil registration

records by registration agents Low demand and utilization of vital statistics Provision of late registration of births and

deaths Inefficiency /delays in service delivery

(manual procedures) Weak stakeholder participation

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CRD STRATEGIC PLAN 2013-2017 SP formulation highly consultative and

participatory (CRD and many stakeholders) In puts also obtained from two assessments: i)

a baseline assessment to understand and quantify CRD’s M&E capacity II) a comprehensive assessment of the CRVS system in Kenya.

SP is prioritized and costed

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CRS STRATEGIC OBJECTIVES Raise registration coverage for births &

deaths to 100% Improve the quality of vital statistics Enhanced timeliness in provision of Vital

Statistics Increased demand for and utilization of Vital

Statistics Complete registration of all unregistered

persons Improved service delivery Enhance stakeholder participation in CRVS

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PRIORITY STRATEGIES Strengthen and roll out of the MCH strategy and increase

the use of immunization clinics Establish and strengthen the M&E system Build the capacity of registration agents to capture all

prescribed data in birth and death registers Enhance the capacity of civil registrars to monitor data

collection and submission Build the capacity to certify and code the cause of death Improve the reporting of causes of death that occur in the

community Scale-up registration services in all sub-counties Promote stakeholder participation in the sharing and use

of vital statistics Strengthen capacity in data verification, validation &

analysis10

WHAT HAS WORKED TO IMPROVE PROGRESS

MCH strategy – increased birth registration through MCH clinics

Creating demand: birth certificates for KNEC examinations Formation of a CRVS Technical Working Group to provide

technical guidance on CRVS issues. Development of an M&E Plan to monitor progress in the

implementation of the CRVS Strategic Plan Establishment of National and County forums on CRVS Development of ICD-10 guidelines and revision of the death

registration form to comply with ICD-10 standards. Development of information products ( Annual Vital

Statistics Report and AVSR briefs) to accelerate use of vital statistics for evidence based decision making at all levels.

Training on ICD-10 in selected counties to improve data quality

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OPPORTUNITIES FOR CR The Constitution of Kenya 2010i. Citizenship at birthii. Bill of rights- 1st right of the childiii.Right to health care Political good willi. Jubilee manifesto: implement a single registration

system activated at birth The Kenya Vision 2030- MTPIIi. Flagship project: Integrated population

registration system establishing a national population register

Strong collaboration with MOHi. Creation of CRVS unit at MOH

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OPPORTUNITIES CONT.. Global and Regional platforms• African Ministers’ Responsible for CR Conference• GFF for RMNCAH project Devolution• Periodic data quality audits and review at county

level• Enhanced multi-sectoral coordination of CRVS

( Ministry of Health and National Administration)• Enhanced demand and use of VS at county level• Peculiar barriers to vital registration can be

addressed for each county Partnershipsi. National CRVS TWG

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WHAT AND HOW WILL RMNCAH INTEGRATION SUPPORT IMPROVED PROGRESS? Acceleration of registration of births and deaths will

be supported through home birth registration at the MCH and verbal autopsy for community deaths. BCG immunization coverage currently is 90%.

Maternal and perinatal health will be improved with ICD-10 certification on cause of death.

Quality vital statistics will inform various interventions that address infant, child and maternal mortality like the “beyond zero” campaign

CRVS data to inform periodic review of health programmes and interventions

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