2014年-世界发展银行全球_Global_Civil_Registration_and_Vital_Statistics___A_Scaling_Up_Investment_Plan_2015-2024_92页_1mb

Summary of the Global Civil Registration and Vital Statistics (CRVS) Scaling Up Investment Plan 2015-2024

Core Content

The Global Civil Registration and Vital Statistics (CRVS) Scaling Up Investment Plan 2015-2024 outlines a strategic approach to improving civil registration and vital statistics systems worldwide. It emphasizes the importance of CRVS in securing legal identity, enhancing health and development planning, and supporting governance and service delivery. The plan was developed by the World Bank Group and the World Health Organization (WHO) with input from various agencies and countries.

Main Objectives

• Achieve universal civil registration of births, deaths, and other vital events by 2030.
• Ensure accurate and reliable cause-of-death reporting to support health planning and global health targets.
• Strengthen national and regional CRVS systems through international support and coordination.
• Promote the use of modern technologies and data systems to improve efficiency and coverage.

Key Components

1. What is CRVS?

• Civil Registration and Vital Statistics (CRVS) systems are universal, continuous, and compulsory mechanisms for recording vital events (birth, death, marriage, etc.) as defined by the United Nations.
• These systems are a fundamental function of governments, providing legal proof and supporting population data and health statistics.

2. Why CRVS Matters

• CRVS systems are crucial for legal identity, family recognition, and national rights (e.g., social protection, inheritance).
• They enable access to essential services such as health, education, and social welfare.
• Accurate vital statistics are essential for health planning, disaster risk management, and achieving global health goals such as universal health coverage and combating non-communicable diseases.

3. Current State of CRVS

• Birth registration rates for children under five have increased from 58% to 65% over the past decade, but more than 100 developing countries still lack functional systems.
• Approximately 230 million children under five are not registered globally.
• Death registration remains a major challenge, with up to 80% of deaths outside health facilities and two-thirds of global deaths not being recorded.

4. Challenges in CRVS Systems

• Lack of awareness and barriers to registration among citizens.
• Discriminatory laws and practices in some countries.
• Poor political prioritization and underfunding of CRVS systems.
• Fragmented systems and lack of interoperability between government departments.
• Inadequate ICT infrastructure and independent databases in many regions.

5. Progress Made

• Several countries, such as Brazil and South Africa, have made notable improvements in CRVS systems.
• There has been progress in developing National Strategies for Statistics and improving data sharing across agencies.
• Public-private partnerships and community-based initiatives have shown promise in improving access and utilization of CRVS systems.

6. Opportunities for Transformation

• Focus on women and children as entry points for improving birth registration through maternal, newborn, and child health (MNCH) services.
• Leverage the data revolution by integrating CRVS systems with health records, population registers, and national ID systems.
• Regional initiatives such as the African Programme for Accelerated Improvement of CRVS (APAI-CRVS) and Asia-Pacific regional strategy are playing a key role.
• Global coordination is being strengthened through the establishment of a Global CRVS Group.

7. Key Enabling Factors

• A holistic approach to CRVS development, considering all vital events and their associated legal and administrative systems.
• Unique identifiers and interoperability of information systems.
• Robust ICT infrastructure and mobile technologies to enhance data collection and transmission.
• Secure and confidential data sharing across government agencies.
• Legal frameworks that support the integration of CRVS with other systems.

8. The Scaling Up Plan

• The plan has three main components:

  • National CRVS strengthening: Addressing registration barriers, improving death reporting, and strengthening institutions.
  • International support for CRVS: Developing global standards, sharing guidance, and supporting regional initiatives.
  • Sharing knowledge and building the evidence base: Conducting impact evaluations and analyzing implementation barriers.

• Financing needs:

  • Total estimated cost for 73 COIA priority countries is US$3.82 billion.
  • After excluding domestic funding, there is a US$1.99 billion financing gap over a ten-year period.
  • US$199 million per year is required to close the gap.

• Implementation Targets:

  • 2020: 80% of births registered, 70% of registered births issued certificates, 60% of deaths reported and certified.
  • 2025: 90% of births registered, 85% of certificates issued, 70% of deaths reported and certified.
  • 2030: 100% of births registered, 90% of certificates issued, 80% of deaths reported and certified.

Conclusion

The Global CRVS Scaling Up Investment Plan 2015-2024 aims to transform civil registration and vital statistics systems worldwide by improving coverage, accuracy, and integration with other government services. It highlights the need for national leadership, international collaboration, and innovative use of technology to achieve universal registration and support global health and development goals.