strategies for improving civil registration and vital statistics systems discussant: dr aj lanyon...
TRANSCRIPT
Strategies for improving civil registration and vital
statistics systems
Discussant: Dr AJ Lanyon
Australian Bureau of Statistics
29 June 2011
2
Papers/Presentations
• 2 papers/presentations were very complementary
• ECA• Very good overview of key components of an
improvement strategy
• VSC, Canada:• Lived example of a commitment to ongoing
improvement in a way that links the CRS and the VSS
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Reflections on Chapter IV
• Support (in general) endorsement of content of existing Chapter IV
• Chap IV is clear – not meant to be comprehensive – draws attention to importance of
improvement strategies– framed to cover both CRS and VSS
• One size will not fit all (ECA paper)
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Reflections on Chapter IV
• Emphasis in next P+R?– A monitoring and improvement plan
should be INTEGRAL to system design – governance, regular operation, commitment to training
– Risks when seen as an add-on– Periodic independent evaluation has a
role – but should not be the sole focus of investment in improvement
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Reflections on Chapter IV
• WHO / UQ HIS-Hub Assessment Framework and tool provides:– comprehensive resource for reviewing
CRS and VS produced– results in of improvement/action plans
to achieve sustainable CRS• Covers:
– number of components raised by ECA– majority of components of Chapter IV
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Reflections on Chapter IV• Ensuring strong links between CRS
and VSS is important – inter-agency co-ordinating mechanisms are key (Canadian experience)
• Feedback loops at operational level also important
• Not sure current Chapter emphasises importance of CRS/VSS links sufficiently
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Reflections on Chapter IV
• Some further comments:– Need to be careful about how to frame
membership of co-ordination committees
– Stakeholder analysis should inform– Could be a way of making links with
Health Agencies and the research community (key part of CRS and VSS)
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Reflections on Chapter IV• Some further comments:
– ECA paper (para 27) re-affirms value of targeted outreach program to address problem areas (applicable to developing and developed countries)
– Mobilization of funds is important – balance between national and donor funding required to be sustainable
– With UQ HIS-Hub, ABS developed a tool to assist in development of ‘business cases’ to obtain $
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Reflections on Chapter IV• Some final (!) comments:
– Keeping abreast of ICT developments is key but challenging (Canadian experience is heartening – demonstrates value in collaboration!)
– Access to technical expertise/resources required to support improvement
– Role to play by regional programmes to monitor and support strong CRS + VSS.