Evaluation of approaches to strengthen civil registration and vital statistics systems: A systematic review and synthesis of policies in 25 countries

English version

Autoři: Amitabh Bipin Suthar ^aff001; Aleya Khalifa ^aff001; Sherry Yin ^aff001; Kristen Wenz ^aff002; Doris Ma Fat ^aff003; Samuel Lantei Mills ^aff004; Erin Nichols ^aff005; Carla AbouZahr ^aff006; Srdjan Mrkic ^aff007
Působiště autorů: Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America ^aff001; Programme Division, United Nations Children’s Fund, New York City, New York, United States of America ^aff002; Health Statistics and Informatics Department, World Health Organization, Geneva, Switzerland ^aff003; Health, Nutrition, and Population Global Practice, World Bank Group, Washington DC, United States of America ^aff004; National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Maryland, United States of America ^aff005; Bloomberg Data for Health Initiative, New York City, New York, United States of America ^aff006; Statistics Division, United Nations, New York City, New York, United States of America ^aff007
Vyšlo v časopise: Evaluation of approaches to strengthen civil registration and vital statistics systems: A systematic review and synthesis of policies in 25 countries. PLoS Med 16(9): e1002929. doi:10.1371/journal.pmed.1002929
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pmed.1002929

Souhrn

Background

Civil registration and vital statistics (CRVS) systems play a key role in upholding human rights and generating data for health and good governance. They also can help monitor progress in achieving the United Nations Sustainable Development Goals. Although many countries have made substantial progress in strengthening their CRVS systems, most low- and middle-income countries still have underdeveloped systems. The objective of this systematic review is to identify national policies that can help countries strengthen their systems.

Methods and findings

The ABI/INFORM, Embase, JSTOR, PubMed, and WHO Index Medicus databases were systematically searched for policies to improve birth and/or death registration on 24 January 2017. Global stakeholders were also contacted for relevant grey literature. For the purposes of this review, policies were categorised as supply, demand, incentive, penalty, or combination (i.e., at least two of the preceding policy approaches). Quantitative results on changes in vital event registration rates were presented for individual comparative articles. Qualitative systematic review methodology, including meta-ethnography, was used for qualitative syntheses on operational considerations encompassing acceptability to recipients and staff, human resource requirements, information technology or infrastructure requirements, costs to the health system, unintended effects, facilitators, and barriers. This study is registered with PROSPERO, number CRD42018085768. Thirty-five articles documenting experience in implementing policies to improve birth and/or death registration were identified. Although 25 countries representing all global regions (Africa, the Americas, Southeast Asia, the Western Pacific, Europe, and the Eastern Mediterranean) were reflected, there were limited countries from the Eastern Mediterranean and Europe regions. Twenty-four articles reported policy effects on birth and/or death registration. Twenty-one of the 24 articles found that the change in registration rate after the policy was positive, with two supply and one penalty articles being the exceptions. The qualitative syntheses identified 15 operational considerations across all policy categories. Human and financial resource requirements were not quantified. The primary limitation of this systematic review was the threat of publication bias wherein many countries may not have documented their experience; this threat is most concerning for policies that had neutral or negative effects.

Conclusions

Our systematic review suggests that combination policy approaches, consisting of at least a supply and demand component, were consistently associated with improved registration rates in different geographical contexts. Operational considerations should be interpreted based on health system, governance, and sociocultural context. More evaluations and research are needed from the Eastern Mediterranean and Europe regions. Further research and evaluation are also needed to estimate the human and financial resource requirements required for different policies.

Klíčová slova:

Africa – Death rates – Health statistics – Labor and delivery – Peru – South Africa – Systematic reviews – United Nations

Zdroje

1. United Nations. Principles and Recommendations for a Vital Statistics System 2014 [cited 8 Aug 2017]. https://unstats.un.org/unsd/demographic/standmeth/principles/M19Rev3en.pdf.

2. United Nations Human Rights Council. Birth registration and the right of everyone to recognition everywhere as a person before the law 2013 [cited 5 Nov 2018]. https://documents-dds-ny.un.org/doc/UNDOC/GEN/G13/128/19/PDF/G1312819.pdf?OpenElement.

3. AbouZahr C, de Savigny D, Mikkelsen L, Setel PW, Lozano R, Lopez AD. Towards universal civil registration and vital statistics systems: the time is now. Lancet. 2015;386(10001):1407–18. doi: 10.1016/S0140-6736(15)60170-2 25971217

4. United Nations. Population and Vital Statistics Report 2017 [cited 8 Aug 2017]. https://unstats.un.org/unsd/demographic/products/vitstats/Sets/Series_A_2017.pdf.

5. The World Bank. Civil Registration and Vital Statistics for Monitoring the Sustainable Development Goals 2017 [cited 12 Jun 2018]. http://documents.worldbank.org/curated/en/979321495190619598/pdf/115150-WP-CRVS-for-Monitoring-the-SDGs-web-version-May-18-2017-PUBLIC.pdf.

6. United Nations Children’s Fund. Multiple Indicator Cluster Surveys 2018 [cited 14 Jun 2018]. http://mics.unicef.org/.

7. Mortality GBD, Causes of Death C. Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388(10053):1459–544. doi: 10.1016/S0140-6736(16)31012-1 27733281

8. Ye Y, Wamukoya M, Ezeh A, Emina JB, Sankoh O. Health and demographic surveillance systems: a step towards full civil registration and vital statistics system in sub-Sahara Africa? BMC Public Health. 2012;12:741. doi: 10.1186/1471-2458-12-741 22950896

9. Sankoh O, Byass P. The INDEPTH Network: filling vital gaps in global epidemiology. Int J Epidemiol. 2012;41(3):579–88. doi: 10.1093/ije/dys081 22798690

10. United Nations Children’s Fund. A passport to protection: a guide to birth registration programming 2003 [cited 14 Jun 2018]. https://www.unicef.org/protection/files/UNICEF_Birth_Registration_Handbook.pdf.

11. Principles and Recommendations for a Vital Statistics System. New York: United Nations, Affairs DoEaS; 2014 Contract No.: 19.

12. World Health Organization. Strengthening civil registration and vital statistics for births, deaths and causes of death: resource kit 2013 [cited 16 May 2018]. http://apps.who.int/iris/bitstream/handle/10665/78917/9789241504591_eng.pdf.

13. The World Bank. Civil Registration and Vital Statistics eLearning Course 2018 [cited 16 May 2018]. https://olc.worldbank.org/content/civil-registration-and-vital-statistics-systems-basic-level-self-paced-format.

14. United Nations General Assembly Resolution 70/1. Transforming our world: the 2030 Agenda for Sustainable Development 2015 [cited 4 Nov 2015]. http://www.un.org/ga/search/view_doc.asp?symbol=A/RES/70/1&Lang=E.

15. Suthar AB, Khalifa A, Joos O, Manders EJ, Abdul-Quader A, Amoyaw F, et al. National health information systems for achieving the Sustainable Development Goals. BMJ Open. 2019;9(5):e027689. doi: 10.1136/bmjopen-2018-027689 31101699

16. Abouzahr C, Azimi SY, Bersales LGS, Chandramouli C, Hufana L, Khan K, et al. Strengthening civil registration and vital statistics in the Asia-Pacific region: Learning from country experiences. Asia-Pacific Population Journal. 2014;29(1):39–73.

17. Every Child’s Birth Right: Inequities and trends in birth registration. New York: United Nations Childrens Fund, 2013.

18. Muzzi M. UNICEF Good practices in integrating birth registraiton into health systems (2000–2009), Case Studies: Bandladesh, Brazil, the Gambia and Delhi, India. New York: United Nations Children’s Fund (UNICEF), 2009.

19. Mikkelsen L, Phillips DE, AbouZahr C, Setel PW, de Savigny D, Lozano R, et al. A global assessment of civil registration and vital statistics systems: monitoring data quality and progress. Lancet. 2015;386(10001):1395–406. doi: 10.1016/S0140-6736(15)60171-4 25971218

20. Phillips DE, Lozano R, Naghavi M, Atkinson C, Gonzalez-Medina D, Mikkelsen L, et al. A composite metric for assessing data on mortality and causes of death: the vital statistics performance index. Population Health Metrics. 2014;12(14).

21. World Health Organization. World Health Statistics 2017: Monitoring Health for the SDGs. 2017.

22. Move it: Report on Monitoring of Vital Events using Information Technology. Geneva: World Health Organization, 2013.

23. Systematic review of eCRVS and mCRVS interventions in low and middle income countries. Geneva: World Health Organization, 2013.

24. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JP, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol. 2009;62(10):e1–34. doi: 10.1016/j.jclinepi.2009.06.006 19631507

25. Suthar AB. Towards universal civil registration and vital statistics systems: a systematic review and meta-analysis of policies to improve birth and death registration 2017 [cited 12 Jun 2018]. https://www.crd.york.ac.uk/PROSPEROFILES/85768_PROTOCOL_20180110.pdf.

26. United Nations. International Programme for Accelerating the Improvement of Vital Statistics and Civil Registration Systems. In: Office UNS, editor. New York, New York, USA1989.

27. Phillips DE, AbouZahr C, Lopez AD, Mikkelsen L, de Savigny D, Lozano R, et al. Are well functioning civil registration and vital statistics systems associated with better health outcomes? Lancet. 2015;386(10001):1386–94. doi: 10.1016/S0140-6736(15)60172-6 25971222

28. AbouZahr C, de Savigny D, Mikkelsen L, Setel PW, Lozano R, Nichols E, et al. Civil registration and vital statistics: progress in the data revolution for counting and accountability. Lancet. 2015;386(10001):1373–85. doi: 10.1016/S0140-6736(15)60173-8 25971224

29. Mahapatra P, Shibuya K, Lopez AD, Coullare F, Notzon FC, Rao C, et al. Civil registration systems and vital statistics: successes and missed opportunities. Lancet. 2007;370(9599):1653–63. doi: 10.1016/S0140-6736(07)61308-7 18029006

30. Hill K, Lopez AD, Shibuya K, Jha P, Monitoring of Vital E. Interim measures for meeting needs for health sector data: births, deaths, and causes of death. Lancet. 2007;370(9600):1726–35. doi: 10.1016/S0140-6736(07)61309-9 18029005

31. Setel PW, Macfarlane SB, Szreter S, Mikkelsen L, Jha P, Stout S, et al. A scandal of invisibility: making everyone count by counting everyone. Lancet. 2007;370(9598):1569–77. doi: 10.1016/S0140-6736(07)61307-5 17992727

32. AbouZahr C, Cleland J, Coullare F, Macfarlane SB, Notzon FC, Setel P, et al. The way forward. Lancet. 2007;370(9601):1791–9. doi: 10.1016/S0140-6736(07)61310-5 18029003

33. Freeman MF, Tukey JW. Transformations related to the angular and the square root. The Annals of Mathematical Statistics. 1950;21(4):607–11.

34. Cooper H, Hedges L. The Handbook of Research Synthesis. New York, NY: Russel Sage Foundation; 1994.

35. Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med. 2002;21(11):1539–58. doi: 10.1002/sim.1186 12111919

36. Noyes J, Popay J, Pearson A, Hannes K, Booth A. Chapter 20: Qualitative research and Cochrane reviews 2011.

37. Atkins S, Lewin S, Smith H, Engel M, Fretheim A, Volmink J. Conducting a meta-ethnography of qualitative literature: lessons learnt. BMC Med Res Methodol. 2008;8:21. doi: 10.1186/1471-2288-8-21 18416812

38. Britten N, Campbell R, Pope C, Donovan J, Morgan M, Pill R. Using meta ethnography to synthesise qualitative research: a worked example. J Health Serv Res Policy. 2002;7(4):209–15. doi: 10.1258/135581902320432732 12425780

39. Thomas J, Harden A. Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Methodol. 2008;8:45. doi: 10.1186/1471-2288-8-45 18616818

40. Sandelowski M, Barroso J. Handbook for synthesizing qualitative research. New York, USA: Springer; 2007.

41. Dixon-Woods M, Agarwal S, Jones D, Young B, Sutton A. Synthesising qualitative and quantitative evidence: a review of possible methods. Journal of health services research & policy. 2005;10(1):45–53.

42. Barnett-Page E, Thomas J. Methods for the synthesis of qualitative research: a critical review. BMC medical research methodology. 2009;9:59. doi: 10.1186/1471-2288-9-59 19671152

43. Noblit G, Hare R. Meta-ethnography: synthesizing qualitative studies. California, USA: Sage; 1988.

44. Modi D, Patel J, Desai S, Shah P. Accessing completeness of pregnancy, delivery, and death registration by Accredited Social Health Activists [ASHA] in an innovative mHealth project in the tribal areas of Gujarat: A cross-sectional study. Journal of postgraduate medicine. 2016;62(3):170–2. 27241808

45. Garenne M, Collinson MA, Kabudula CW, Gomez-Olive FX, Kahn K, Tollman S. Completeness of birth and death registration in a rural area of South Africa: the Agincourt health and demographic surveillance, 1992–2014. Glob Health Action. 2016;9:32795. doi: 10.3402/gha.v9.32795 27782873

46. Duff P, Kusumaningrum S, Stark L. Barriers to birth registration in Indonesia. The Lancet Global health. 2016;4(4):e234–5. doi: 10.1016/S2214-109X(15)00321-6 27013307

47. Silva R, Amouzou A, Munos M, Marsh A, Hazel E, Victora C, et al. Can Community Health Workers Report Accurately on Births and Deaths? Results of Field Assessments in Ethiopia, Malawi and Mali. PLoS ONE. 2016;11(1):e0144662. doi: 10.1371/journal.pone.0144662 26731544

48. Dababneh F, Nichols EK, Asad M, Haddad Y, Notzon F, Anderson R. Improving mortality data in Jordan: a 10 year review. Bull World Health Organ. 2015;93(10):727–31. doi: 10.2471/BLT.14.137190 26600615

49. Tripp JS, Duncan JD, Finch L, Huff SM. Completing Death Certificates from an EMR: Analysis of a Novel Public-Private Partnership. AMIA Annual Symposium proceedings AMIA Symposium. 2015;2015:1214–23. 26958261

50. Ozdemir R, Rao C, Ocek Z, Dinc Horasan G. Reliable mortality statistics for Turkey: Are we there yet? BMC public health. 2015;15:545. doi: 10.1186/s12889-015-1904-1 26058703

51. Kabengele Mpinga E, Delley V, Jeannot E, Cohen J, Chastonay P, Wilson DM. Testing an unconventional mortality information source in the canton of Geneva Switzerland. Global journal of health science. 2013;6(1):1–8. doi: 10.5539/gjhs.v6n1p1 24373259

52. Singogo E, Kanike E, van Lettow M, Cataldo F, Zachariah R, Bissell K, et al. Village registers for vital registration in rural Malawi. Tropical medicine & international health: TM & IH. 2013;18(8):1021–4.

53. Joubert J, Rao C, Bradshaw D, Vos T, Lopez AD. Evaluating the quality of national mortality statistics from civil registration in South Africa, 1997–2007. PLoS ONE. 2013;8(5):e64592. doi: 10.1371/journal.pone.0064592 23724066

54. Robertson L, Mushati P, Eaton JW, Dumba L, Mavise G, Makoni J, et al. Effects of unconditional and conditional cash transfers on child health and development in Zimbabwe: a cluster-randomised trial. Lancet. 2013;381(9874):1283–92. doi: 10.1016/S0140-6736(12)62168-0 23453283

55. Fagernas S, Odame J. Birth registration and access to health care: an assessment of Ghana’s campaign success. Bull World Health Organ. 2013;91(6):459–64. doi: 10.2471/BLT.12.111351 24052683

56. Curioso WH, Pardo K, Loayza M. [Transforming the Peruvian birth information system]. Revista peruana de medicina experimental y salud publica. 2013;30(2):303–7. 23949519

57. Lhamsuren K, Choijiljav T, Budbazar E, Vanchinkhuu S, Blanc DC, Grundy J. Taking action on the social determinants of health: improving health access for the urban poor in Mongolia. International journal for equity in health. 2012;11:15. doi: 10.1186/1475-9276-11-15 22429615

58. Prata N, Gerdts C, Gessessew A. An innovative approach to measuring maternal mortality at the community level in low-resource settings using mid-level providers: a feasibility study in Tigray, Ethiopia. Reproductive health matters. 2012;20(39):196–204. doi: 10.1016/S0968-8080(12)39606-7 22789098

59. Singh PK, Kaur M, Jaswal N, Kumar R. Impact of policy initiatives on civil registration system in haryana. Indian journal of community medicine: official publication of Indian Association of Preventive & Social Medicine. 2012;37(2):122–5.

60. Upham S, Mikkelsen L. Advocacy for strengthening civil registration and vital statistics. Pacific health dialog. 2012;18(1):41–52. 23240337

61. Toivanen H, Hyvönen J, Wevelsiep M, Metsäniemi M. Mobile birth registration in Liberia: VTT Technical Research Centre of Finland; 2011 [cited 17 May 2018]. https://www.vtt.fi/inf/pdf/workingpapers/2011/W159.pdf.

62. Mony P, Sankar K, Thomas T, Vaz M. Strengthening of local vital events registration: lessons learnt from a voluntary sector initiative in a district in southern India. Bull World Health Organ. 2011;89(5):379–84. doi: 10.2471/BLT.10.083972 21556306

63. Hunter W, Sugiyama NB, editors. Documenting citizenship: contemporary efforts toward social inclusion in Brazil. American Political Science Association Annual Meeting; 2011; Seattle, USA.

64. Ohemeng-Dapaah S, Pronyk P, Akosa E, Nemser B, Kanter AS. Combining vital events registration, verbal autopsy and electronic medical records in rural Ghana for improved health services delivery. Studies in health technology and informatics. 2010;160(Pt 1):416–20. 20841720

65. Woodward GL, Bienefeld MK, Ardal S. Under-reporting of live births in Ontario: 1991–1997. Canadian journal of public health = Revue canadienne de sante publique. 2003;94(6):463–7. 14700248

66. Lu TH, Janes CR, Lee MC, Chou MC, Shih TP. High-frequency death certifiers in Taiwan: a sociocultural product. Social science & medicine. 2002;55(9):1663–9.

67. Starr P, Starr S. Reinventing vital statistics. The impact of changes in information technology, welfare policy, and health care. Public health reports. 1995;110(5):534–44. 7480607

68. Prybylski D, Alto WA, Rogers S, Pickering H. Measurement of child mortality in association with a multipurpose birth certificate programme in the Southern Highlands Province of Papua New Guinea. Journal of biosocial science. 1992;24(4):527–37. 1429780

69. Inter-American Development Bank. Democratic Governance, Citizenship, and Legal Identity: Linking Theoretical Discussion and Operational Reality 2009 [cited 17 May 2018]. https://publications.iadb.org/handle/11319/4300.

70. Rao C, Bradshaw D, Mathers CD. Improving death registration and statistics in developing countries: Lessons from sub-Saharan Africa. Southern African Journal of Demography. 2004;9(2):81–99.

71. United Nations Children’s Fund. Case Studies on UNICEF Programming in Child Protection 2013 [cited 17 May 2018]. https://www.unicef.org/protection/files/CP_Case_Studies_Final.pdf.

72. The World Bank. Integration of civil registration and vital statistics and identity management systems: Botswana success story 2015 [cited 17 May 2018]. http://documents.worldbank.org/curated/en/963541495179518711/Botswana-Integration-of-civil-registration-and-vital-statistics-and-identity-management-systems-Botswana-success-story.

73. United Nations Children’s Fund. UNICEF good practices in integrating birth registration into health systems (2000–2009) 2010 [cited 17 May 2018]. http://www.unicef.org/protection/files/Birth_Registration_Working_Paper.pdf.

74. Gadabu OJ, Manjomo RC, Mwakilama SG, Douglas GP, Harries AD, Moyo C, et al. An electronic register for vital registration in a rural village with no electricity in Malawi. Public health action. 2014;4(3):145–9. doi: 10.5588/pha.14.0015 26400800

75. Skiri H, Kumbaro MT, Abelsæth A, Opdahl S, Brunborg H, Roll-Hansen D. How to modernise a Civil Registration System: The case of Albania: Statistics Norway; 2012 [cited 17 May 2018]. https://www.ssb.no/a/english/publikasjoner/pdf/doc_201232_en/doc_201232_en.pdf.

76. Kabadi G, Mwanyika H, de Savigny D. Innovations in monitoring vital events: Mobile phone SMS support to improve coverage of birth and death registration: The University of Queensland; 2013 [cited 17 May 2018]. https://core.ac.uk/download/pdf/18410813.pdf.

77. Tangcharoensathien V, Limwattananon S, Patcharanarumol W, Thammatacharee J. Monitoring and evaluating progress towards Universal Health Coverage in Thailand. PLoS Med. 2014;11(9):e1001726. doi: 10.1371/journal.pmed.1001726 25243409

78. Cobos Munoz D, Abouzahr C, de Savigny D. The ‘Ten CRVS Milestones’ framework for understanding Civil Registration and Vital Statistics systems. BMJ global health. 2018;3(2):e000673. doi: 10.1136/bmjgh-2017-000673 29607102

79. The World Bank. World Development Report 2017: Governance and the Law 2017 [cited 10 Jun 2018]. http://www.worldbank.org/en/publication/wdr2017.

80. Inter-American Development Bank. Birth registration: the key to social inclusion in Latin America and the Caribbean. 2013.

81. World Bank. Incentives for improving birth registration coverage: a review of the literature 2018 [cited 6 Sep 2018]. http://pubdocs.worldbank.org/en/928651518545413868/Incentives-and-Birth-Registration030518.pdf.

82. Khosravi A, Taylor R, Naghavi M, Lopez AD. Mortality in the Islamic Republic of Iran, 1964–2004. Bull World Health Organ. 2007;85(8):607–14. doi: 10.2471/BLT.06.038802 17768519

83. Centers for Disease Control and Prevention. International Institute for Vital Registration and Statistics Reports 2018 [cited 17 May 2018]. https://www.cdc.gov/nchs/isp/isp_iivrs.htm.